Enterostomal Therapy Service: Ten-year Experience at B.P. Koirala Memorial Cancer Hospital

Abstract

Introduction: Enterostomal therapy (ET) is the newly evolving subspecialty area of nursing. None of the university started the ET courses in Nepal. Very few ET nurses catering the needs
of osteomates in different hospital. Increasing burden of colorectal and urinary bladder cancer increases the ostomy population. There are no defi nite data regarding the ostomy population
in national context. So, this is the neglected area of care in most cancer hospital of Nepal. The objective of this study is to fi nd out the total number of ostomy population in terms of types of
ostomies, age, sex, geographical distribution, complications and stoma service availability at BP Koirala Memorial Cancer Hospital

Methods: A descriptive study was carried out retrospectively at, BP Koirala Memorial Cancer Hospital, Bharatpur Nepal and approved by nursing department. All available data were abstracted
from stoma clinic from 2008 to 2018.

Results: There were total 659 ostomates registered in the stoma clinic. Among them majority (63%) were male. There were main three categories of ostomate namely colostomies (66.7%)
440, Ileostomies (9.8%) 65 and urostomies (23.3%) 154. Ostomate represented from 56 districts. International osteomate also took services from the clinic. Peristomal skin excoriation, Parastomal
hernia, stoma prolapsed were complications reported by the osteomates.
Conclusion. This aspect of ostomy care and management deserves an investment of research to find out the reliable data.