Quality of life and predictive factors among patients with an abdominal stoma: a cross-sectional study in a teaching tertiary hospital

Abdul Wahab, Patimah and Mohamed, Nurhazelin and Ismail, Norsuzana and Shahadan, Siti Zuhaidah and Hassan, Intan Idiana and Haryanto, Haryanto (2026) Quality of life and predictive factors among patients with an abdominal stoma: a cross-sectional study in a teaching tertiary hospital. Malaysian Journal of Medical Sciences, 33 (2). pp. 135-145. ISSN 1394-195X E-ISSN 2180-4303

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Abstract

Background: An abdominal stoma is instrumental in preserving life; however, its impact on a patient’s quality of life (QoL) is multifaceted and influenced by a complex interplay of various factors, including sociodemographic and clinical factors. This study aimed to assess patients’ QoL and examine its relationship with these factors. Methods: A cross-sectional telephone survey was conducted among patients with abdominal stoma at a teaching tertiary hospital from December 2020 to February 2021. Participants were identified from the medical records of postoperative patients with a stoma and underwent eligibility assessment via medical record reviews. Data on sociodemographic characteristics and clinical conditions were obtained from medical records. A telephone survey employing the City of Hope-Quality of Life-Ostomy Questionnaire (CoH-QoL-OQ) facilitated QoL data collection. Predictor factors of QoL were examined using multiple linear regression. Results: The mean QoL score was 6.86 (standard deviation [SD] = 0.84), indicating a moderate QoL. Physical well-being was the most affected (6.29; SD = 0.76), and spiritual wellbeing was the least affected (8.07; SD = 1.17). Employment status (b = –0.94 [95% CI: –1.67, –0.22];P = 0.014) and colorectal cancer (CRC) (b = 0.92 [95% CI: 0.13, 1.71]; P = 0.025) were significant predictors of QoL (R² = 0.389). Conclusion: The study found that patients with stomas generally experience a moderate QoL, with poorer QoL associated with unemployment and non-CRC diagnoses. These findings provide valuable insight into the need to strengthen patient-centred care to ensure appropriate and equitable supportive interventions for all patients.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Quality of life, ostomy, surgical stomas, colonic neoplasms, Malaysia
Subjects:	R Medicine > R Medicine (General) R Medicine > RT Nursing
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing > Department of Medical Surgical Nursing Kulliyyah of Nursing
Depositing User:	Dr Patimah Abdul Wahab
Date Deposited:	19 May 2026 09:18
Last Modified:	19 May 2026 09:18
Queue Number:	2026-05-Q3362
URI:	http://irep.iium.edu.my/id/eprint/129006

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