Influence of Intestinal Stoma on Spiritual Quality of Life of U.S. Veterans

Purpose: To examine spiritual quality of life (QOL) of veterans with intestinal ostomies. Design: Mixed-method cross-sectional. Methods: Male veterans with total scores in the upper (n = 59) and lower (n = 61) quartiles of the City of Hope Quality-of-Life–Ostomy survey provided spiritual QOL data. Analyses included chi-square and analysis of variance with significance set at p <.05. Content analysis was used to explicate narratives and focus groups. Results: The high spiritual QOL group was more likely to be married, older, and report more years since surgery (each p <.0001). Upper quartile participants had more favorable scores for several spiritual QOL domains (all p <.0001). Qualitative comments reflected high or low total QOL scores. Conclusions: Spiritual QOL is influenced by an intestinal stoma. Qualitative comments lend insight into the meaning of spirituality items. Findings can assist in the provision of holistic care in this population.