Healthcare experiences of patients following faecal output stoma-forming surgery: A qualitative exploration

Thorpe, Gabrielle; McArthur, Margaret; Richardson, Barbara

doi:10.1016/j.ijnurstu.2013.06.014

Cited by 33 publications

(45 citation statements)

References 26 publications

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“…This result is consistent with the existing evidence that suggests that the duration of experience is a positive predictor of ostomized patients' acceptance and adaptation to the condition (Brown & Randle, 2005;Richbourg, Thorpe, & Rapp, 2007;RNAO, 2009, Mota et al, 2016. The repetition of care and the experience with the ostomy over time allow people to acquire greater self-care competence, thus becoming more independent (Thorpe et al, 2014;Lim et al, 2015;Mota et al, 2016). The results also show that there are no statistically significant differences between the level of ostomy self-care competence and attending or not a preoperative nursing consultation.…”

Section: Discussionsupporting

confidence: 90%

“…In emergency tracheostomies, it is impossible to be prepared for surgery since it results from a sudden situation. For this reason, it is more difficult for them to accept the stoma, which will have a potential impact on the development of ostomy self-care competence (Thorpe, McArthur, & Richardson, 2014;Mota et al, 2015). On the contrary, since a total laryngectomy is a planned surgery, the participant can be more prepared and potentially more ready to deal with change.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Conditioning factors for the development of the self-care competence in the person with a tracheostomy

Queirós¹,

Santos²,

Brito³

et al. 2017

Rev. Enf. Ref.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Conditioning factors for the development of the self-care competence in the person with a tracheostomy

Queirós¹,

Santos²,

Brito³

et al. 2017

Rev. Enf. Ref.

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“…Findings from the study relating to the impact of professional care on the experience of living with a new stoma have been previously reported [24]. This paper focuses on experiences of bodily change following stoma formation and identifies embodiment as a conceptual framework that goes beyond body image to more accurately represent this profound experience.…”

Section: Aimmentioning

confidence: 96%

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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“…Por isso, é indispensável o conhecimento das necessidades desses clientes por meio de suas indagações que, além de serem diversas, mudam constantemente 4 .…”

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“…Para incentivar o autocuidado, as pessoas com estomias precisam receber informações e cuidados, que os capacitem para uma vida autônoma e independente. Os mesmos devem receber aconselhamento e apoio dos profissionais de saúde desde os períodos pré e pós-operatório, a fim de aumentar o entendimento sobre as condições e adaptações necessárias para alcançar um padrão de vida satisfatório 4,6 . Sabendo que o resultado do procedimento cirúrgico de confecção de uma estomia implica em diversas mudanças para o cliente, é fundamental que o médico cirurgião forneça informações sobre o procedimento e tenha conhecimento sobre a rede de apoio necessária a sua reabilitação.…”

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