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. 2016 May;39(3):281–289. doi: 10.1179/2045772315Y.0000000006

Table 2.

Questionnaire concerning bowel management pre- and post-colostomy

1. Please describe your bowel emptying prior to the colostomy
______________________________________
2. What was the reason for having the colostomy?
______________________________________
3. Presently, how much time do you use on bowel management daily? N = 18
□  0–15 min n = 13 (72%)
□  16–30 min n = 2 (11%)
□  31–60 min n = 3 (17%)
□  61–120 min n = 0
□  More than 120 min n = 0
4. Pre colostomy, how often did you perform bowel management? N = 18
□  0–2 times a week n = 1 (6%)
□  3–7 times a week n = 13 (72%)
□  More than 7 times a week n = 4 (22%)
5. Pre colostomy, how much time average did you use on bowel management daily? N = 18
□  0–15 min n = 3 (17%)
□  16–30 min n = 3 (17%)
□  31–60 min n = 3 (17%)
□  61–120 min n = 5 (28%)
□  More than 120 min n = 4 (22%)
6. Are there any problems with the colostomy? N = 18
□  Leakage problems n = 2 (11%)
□  Skin problems n = 3 (17%)
□  Odour problems n = 2 (11%)
□  Cosmetic problems n = 1 (6%)
□  Pain n = 3 (17%)
□  Emptying problems n = 0
□  Function problems n = 1 (6%)
7. Do you perceive bowel management with a colostomy as being a problem? N = 18
□  Yes n = 2 (11%)
□  No n = 16 (89%)
8. When comparing your bowel management prior to the colostomy, how is your bowel management now? N = 17
□  Better n = 16 (94%)
□  Unchanged n = 0
□  Worse n = 1 (6%)
9. If possible would you prefer reversing the colostomy? N = 18
□  Yes n = 1 (6%)
□  No n = 17 (94%)
10. Would you have preferred to have the colostomy performed earlier? N = 18
□  Yes n = 12 (67%)
□  No n = 6 (33%)
11. Do you have concerns about longer transportation in relation to bowel management? N = 18
□  Yes n = 3 (17%)
□  No n = 15 (83%)
12. Are you very dependent on easy access to toilets, when you are not N = 18
□  Yes n = 2 (11%)
□  No n = 16 (89%)
13. Has the colostomy affected your social life? N = 18
□  Yes n = 10 (56%)
□  No n = 8 (44%)
If Yes, please describe _______________