The main aim of this article is to explore the experiences and life situations of people living with intestinal stomas. Previous studies indicated the need to investigate the concerns of ostomy patients and how these concerns can affect their quality of life and their approaches to the comprehensive conceptualization of the bodily changes. A qualitative systematic review and metasynthesis design was carried out by using the main scientific databases. Original articles from 2002 to 2015 were selected based on their qualitative methodology. Methodological quality was evaluated using the Critical Appraisal Skills Program. The findings were synthesized using the metasynthesis procedure of Sandelowski. The final number of articles included was 95 and 1,982 participants. Regarding the metasummary, the data generated 191 thematic statements that were organized into eight categories. The findings support an explanatory model of the experience of people with ostomy based on three aspects: Acceptance, Adaptation, and Autonomy.
Aim:to describe ostomy patient’s perception about health care received, as well as
their needs and suggestions for healthcare system improvement. Method:qualitative phenomenological study was conducted, involving individual and
semi-structured interviews on the life experiences of 21 adults who had a
digestive stoma. Participants were selected following a purposive sampling
approach. The analysis was based on the constant comparison of the data, the
progressive incorporation of subjects and triangulation among researchers and
stoma therapy nurses. The software Atlas.ti was used. Results:perception of health care received is closely related to the information process,
as well as training for caring the stoma from peristomal skin to diet. It is
worthy to point out the work performed by stoma care nurses ensuring support
during all stages of the process. Conclusion:findings contribute to address the main patients’ needs (better prepared nurses,
shorter waiting lists, information about sexual relation, inclusion of family
members all along the process) and recommendations for improving health care to
facilitate their adaptation to a new status of having a digestive stoma.
The aim of this article is to explore patients' experiences of having a stoma, in particular those relating to: emotion and social issues; changes in quality of life; feelings of fear, shame or frustration because of the altered lifestyle; and changes in roles and relationships and in their social environment. This article is part of a research project that employs a three-step method, including a metasynthesis method for international qualitative research, the development of clinical pathways for nursing diagnoses, interventions and outcomes, and the implementation and evaluation of these clinical pathways. This article describes the first phase of the research. The results show that, internationally, there are many similarities in the ways in which individuals with a stoma cope with having a stoma.
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