773 Quality of Life in Patients with Colostomy: A Comparative Analysis of Surgical Settings and Procedure Types

Aim Quality of Life (QoL) is a crucial metric for evaluating the success of clinical interventions. This study aims to assess and compare the QoL of patients with a stoma based on surgical settings, types of procedures undergone, and the amount of support received before discharge. Method The methodology involved the identification of patients and the administration of a structured QoL questionnaire (ASCN UK). The sample population included individuals who underwent five different surgeries which were Hartman’s, sigmoid colectomy, anterior resection, low anterior resection, and abdominal perineal excision of the rectum in the past three years, encompassing both elective and emergency settings. Results Results revealed the mean QoL score for elective procedures was notably higher at 78.6%, compared to 62.6% for emergency settings. Among elective surgeries, sigmoid colectomy demonstrated the highest mean QoL score (90.4%), while Hartman’s procedure showed the lowest (72.4%). In emergency settings, Hartman’s procedure had the highest mean QoL score (75%), contrasting with anterior resection's lowest score (46%). The study emphasized the multifactorial nature of QoL, highlighting the positive impact of pre-surgery information and support. Gender and age were significant contributors, with males and older individuals exhibiting higher QoL scores. Conclusions In conclusion, QoL in patients undergoing elective settings was significantly higher than in emergency settings. This trend was consistent across different procedures, as elective settings consistently yielded higher mean QoL scores compared to their emergency counterparts where applicable. This study highlights the pivotal role of support in enhancing QoL for colostomy patients, providing valuable insights for healthcare decision-making and management planning.