Quality of Life, Levels of Anxiety and Depression Among Sudanese Patients With Surgical Stoma in Khartoum State, Sudan.

Abstract Background: The objectives of this study are to assess the quality of life, levels of anxiety, and depression among Sudanese ostomates with special emphasis on sociodemographic data and ostomy-related data. Methods : This is a facility-based cross-sectional study in Khartoum state between 2018 and 2019. 100 patients participated in the study with a response rate of 80 in seven hospitals throughout Khartoum state. Standardized fecal incontinence quality of life (FIQOL) and hospital anxiety and depression scale (HADS) questionnaires were used and data obtained were analyzed by multiple statistical tests to identify any group differences and associations to the sociodemographic data. Results : Quality of life total score was found to be below the average. Depression scale scores at the average, and religious score account for the worst. While there is a strong correlation between the QOL subscales, there was no significant association between quality of life score and the sociodemographic data. Regarding anxiety and depression levels 51.3% of the participants are normal for anxiety level while 25% and 23.8% were borderline and abnormal respectively. For depression level, the score was 45% normal, 26.3% borderline and 28.8% were abnormal. neither some significant association nor subgroup differences were found regarding sociodemographic and ostomy-related data. Conclusions : Respondents had a quality of life below the average and high levels of anxiety and depression. Religious and spiritual QOL is marginally influenced by the intestinal stoma, qualitative comments also lend insight to the spiritual aspect. this finding can assist in the provision of holistic care in our stoma patients.