Prevalence of leakage and its negative impact on quality of life in people living with a stoma in the UK

Br J Nurs. 2022 Sep 8;31(16):S24-S38. doi: 10.12968/bjon.2022.31.16.S24.

Abstract

Background: People with a stoma are reported to experience leakage, which negatively impacts patient quality of life (QoL).

Aim: To assess the impact of leakage experienced by individuals with a stoma in the UK.

Methods: Data were analysed from 301 patients living in the UK who completed a questionnaire concerning the physical and psychosocial impact of living with a stoma.

Findings: Most respondents had had their stoma for more than 5 years. Nine out of 10 worried about leakage to varying degrees and half the respondents accepted that this was a worry they had to live with. Almost 70% experienced leakage onto clothes within the preceding year, and 28% experienced this monthly. Peristomal skin complications were experienced by 82% of respondents, the severity of which correlated with reductions in QoL.

Conclusion: Despite the consequential negative impact of leakage on QoL, individuals are not seeking advice to resolve leakage-related issues, including from their specialist stoma care nurse.

Keywords: Leakage; Ostomy; Ostomy Leak Impact tool; Peristomal skin complications; Quality of life; Stoma; Worry about leakage.

MeSH terms

  • Humans
  • Prevalence
  • Quality of Life*
  • Surgical Stomas* / adverse effects
  • Surveys and Questionnaires
  • United Kingdom / epidemiology