OBJECTIVES An ostomy results in lifelong quality of life changes for a cancer survivor. We describe the greatest challenges reported from a randomized trial of cancer survivors with stomas (ostomies). METHODS Cancer survivors with ostomies participating in a multi-site randomized prospective trial of an Ostomy Self-Management Telehealth (OSMT) program versus usual care (UC) were surveyed at six months post accrual. An open-ended question requested greatest challenges after ostomy surgery. Quantitative descriptive and qualitative analyses were used to examine greatest challenges reported. RESULTS A total of 118 trial participants identified greatest challenges with 55 in the OSMT and 63 in the UC. Six conceptual domains were used to code comments-physical, psychological, social, and spiritual quality of life; ostomy-specific issues, and healthcare issues. The OSMT contributed 187 comments, and UC contributed 235 comments. Ostomy specific issues and social well-being had the most comments overall with UC contributing more comments in all domains except physical well-being. Word Clouds revealed post-operative and treatment-related issues and going out in public as the most common challenges in both groups. Word Clouds compared types of ostomies revealing bowel function challenges (colostomy group), difficulties going out in public (ileostomy group), and positive support (urostomy group). CONCLUSIONS Fewer challenges submitted by the OSMT group provide the beginning evidence of the OSMT program impact. Dominant challenges across both groups were social well-being and ostomy care. Challenges varied by type of ostomy. Findings support long-term care and support for all cancer survivors with ostomies. TRIAL REGISTRATION NCT02974634.

中文翻译：

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癌症幸存者在造口术中面临的最大挑战：造口术自我管理远程医疗 (OSMT) 随机试验的结果。

目标 造口术会改变癌症幸存者的终生生活质量。我们描述了一项针对造口（造口术）癌症幸存者的随机试验报告的最大挑战。方法 参与造口术自我管理远程医疗 (OSMT) 计划与常规护理 (UC) 的多点随机前瞻性试验的造口术癌症幸存者在入组后六个月进行了调查。一个开放式问题要求造口手术后面临最大的挑战。定量描述和定性分析用于检查报告的最大挑战。结果 共有 118 名试验参与者确定了最大的挑战，其中 OSMT 有 55 人，UC 有 63 人。六个概念领域用于编码评论——身体、心理、社会和精神生活质量；造口术特定问题，和医疗保健问题。OSMT 贡献了 187 条评论，UC 贡献了 235 条评论。造口术特定问题和社会福祉总体上的评论最多，UC 在除身体健康之外的所有领域发表了更多评论。Word Clouds 揭示了术后和治疗相关的问题，以及在公共场合外出是两组中最常见的挑战。Word Clouds 比较了不同类型的造口术，揭示了肠道功能挑战（结肠造口术组）、在公共场合外出困难（回肠造口术组）和积极支持（尿道造口术组）。结论 OSMT 小组提交的挑战较少提供了 OSMT 计划影响的初步证据。两组的主要挑战是社会福祉和造口护理。挑战因造口术类型而异。研究结果支持对所有造口癌症幸存者的长期护理和支持。试用注册 NCT02974634。