A chance to live: Women's experiences of living with a colostomy after rectal cancer surgery

Andersson, Gun; Engström, Åsa; Söderberg, Siv

doi:10.1111/j.1440-172x.2010.01887.x

Cited by 22 publications

(60 citation statements)

References 37 publications

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“…Changes in physical status were the primary stressor type for temporary colostomy patients; this finding was similarly observed among permanent colostomy patients in Taiwan and in another study (Tseng et al, ; Zamanzadeh, Valizadeh, Rahmani, Zirak, & Desiron, ). Approximately 52% of the participants reported that they had uncertainty about waiting for the colostomy closure time and CRC recurrence, similar to previous findings in other studies (Andersson et al, ; Danielsen et al, ). Stoma closure means the current treatment to a new stage for his cancer survival.…”

Section: Discussionsupporting

confidence: 87%

Stress and other factors associated with colorectal cancer outpatients with temporary colostomies

et al. 2019

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This study investigated stress and other factors associated with colorectal cancer (CRC) outpatients with temporary colostomies in Taiwan. Temporary colostomies have been incorporated as a defecation alternative to maintain physical function and are accompanied by chemotherapy/radiotherapy in CRC patients. A cross‐sectional study was conducted, and a convenience sampling approach was adopted to recruit 110 discharged CRC patients with temporary colostomies from a medical centre in southern Taiwan. The mean score of the Stress of Colostomy Patients Scale was 66.49 (out of 120). Demographic attributes were found to have an impact on different stress types. Stress of changes in familial and social interaction was affected by age, employment status, educational level and colostomy assistant caregiver. The stress of colostomy care was impacted by the factor of employment status, and the stress of changes of self‐concept was impacted by the factors of educational level and self‐perception of disease. The results provide post‐operative information regarding stress and stress types among CRC patients with temporary colostomies, serve as a reference for clinical assessment, practice and care, and generate up‐to‐date knowledge and comprehension of learning how to live with a temporary colostomy.

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Section: Discussionsupporting

confidence: 87%

Stress and other factors associated with colorectal cancer outpatients with temporary colostomies

et al. 2019

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“…Understanding of this experience is deepened by the exploration of how bodily mastery is achieved and experienced over a longer time-frame than used in previous studies, highlighting the centrality of relationships with healthcare staff responsible for building competence in stoma self-care. Experiences of appliance failure, unscheduled or audible bowel movements or a perception that others can see the stoma impinge on individuals' self-confidence and social function [11,41,42]. However, there is a lack of recognition of the importance of these elements of bodily mastery in supporting the development of self-confidence.…”

Section: Discussionmentioning

confidence: 99%

Adjusting to bodily change following stoma formation: a phenomenological study

Thorpe

Arthur

McArthur

2016

Disability and Rehabilitation

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Purpose: Scant research has been undertaken to explore in-depth the meaning of bodily change for individuals following stoma formation. The aim of this study was to understand the experience of living with a new stoma, with a focus on bodily change.Method: The study adopted a longitudinal phenomenological approach. Purposeful sampling was used to recruit twelve participants who had undergone faecal stoma-forming surgery. Indepth, unstructured interviews were conducted at three, nine and fifteen months following surgery. A five-stage framework facilitated iterative data analysis.Results: Stoma formation altered the taken-for-granted relationship individuals had with their bodies in terms of appearance, function and sensation, undermining the unity between body and self. Increasing familiarity with and perceived control over their stoma over time diminished awareness of their changed body, facilitating adaptation and self-acceptance.Conclusions: Stoma formation can undermine an individual's sense of embodied self. A concept of embodiment is proposed to enable the experience of living with a new stoma to be understood as part of a wider process of re-establishing a unity between body, self and world. In defining a framework of care, individuals with a new stoma can be assisted to adapt to and accept a changed sense of embodied self.

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“…Moreover, considering that many of the participants received an ostomy 10 years ago on average, inappropriate family support could have bothered the patients or lowered their self‐esteem, with increases in the ostomy care duration . In particular, sexual problems in ostomy patients have been highlighted in multiple studies as an important issue in their spousal relationships …”

Section: Discussionmentioning

confidence: 99%

Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients

Nam

Kim

et al. 2019

International Wound Journal

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This study aims to test which factors influence and aid the psychosocial adjustment of patients with an ostomy and to provide data for the development of programmes for the self‐management of and psychosocial adjustment to intestinal stomas. A total of 150 ostomy patients were recruited between December 1, 2017 and March 26, 2018 in Korea and completed self‐report questionnaires. Data of 25 participants were excluded, resulting in a sample size of 125 participants. Factors, including social support subtypes and self‐efficacy, that influence the psychosocial adjustment were analysed using Cox's regression. Of the factors that influenced the adjustment groups after adjusting for time, the following subtypes of social support were found to influence the patients' adjustment: the patients' psychosocial adjustment increased by 0.4 when the level of medical staff support increased by 1 (Exp[B] = 1.04, P = 0.007), and adjustment decreased by 0.3 when the level of family support increased by 1 (Exp[B] = 0.97, P < 0.001). As medical staff support who have expertise exert more of an influence on the psychosocial adjustment of ostomy patients than self‐efficacy and family support, psychosocial adjustment programmes that reflect this and nurses specialised in care for ostomy patients are required.

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A chance to live: Women's experiences of living with a colostomy after rectal cancer surgery

Cited by 22 publications

References 37 publications

Stress and other factors associated with colorectal cancer outpatients with temporary colostomies

Stress and other factors associated with colorectal cancer outpatients with temporary colostomies

Adjusting to bodily change following stoma formation: a phenomenological study

Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients

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