Personal awareness and behavioural choices on having a stoma: a qualitative metasynthesis

Tao, Hui; Songwathana, Praneed; Isaramalai, Sang-arun; Zhang, Ying

doi:10.1111/jocn.12309

Cited by 17 publications

(16 citation statements)

References 35 publications

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“…Others may consider that it is difficult to take good care of themselves, which emphasised individuals' efforts to manage ostomy, including the assessment of a stoma, the prevention of complications and the use of stoma appliances independently (Bohnenkamp et al, 2004). Additionally, many Chinese are keen on face-saving and are ashamed of living with an ostomy, so they are unwilling to take the responsibility for self-care (Tao, Songwathana, Isaramalai, & Zhang, 2014). As the individuals adapt to their new life with a stoma gradually, they made efforts to improve their self-management abilities and reduce the negative impacts of the ostomy on themselves and their families (Thorpe, Mcarthur, & Richardson, 2014).…”

Section: Effects Of Intervention On the Stages Of Change Of Self-mamentioning

confidence: 99%

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Shen

Wang

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To determine the effect of a transtheoretical model (TTM)‐based intervention on patients with an ostomy and provide patient‐centred, accessible assistance and dynamic education to improve patient self‐management. Background Proper self‐management may promote the rehabilitation of patients with an ostomy. TTM‐based interventions have resulted in positive health behavioural changes. Design Randomised controlled trial performed according to the CONSORT guidelines. Subject and setting The sample comprised 55 men and 37 women (24–77 years old, mean ± SD = 52.8 ± 11.13 years). The study settings included three tertiary hospitals in Changsha, Hunan, China. Methods The 92 patients, recruited from August 2012 to March 2013, were randomised into a control group and an intervention group. Randomisation was done by using a block randomisation list with a block size of 4. Self‐management behaviours were assessed at the baseline, 2 days before discharge and after 1, 3 and 6 months of follow‐up. The chi‐squared test, independent sample t test and repeated measures analysis of variance were used to analyse the data. Results Patients in the intervention group were more likely to be at the action and maintenance stages compared with those in the control group. We also observed significant improvements in the self‐management ability in the process of change, the decisional balance and self‐efficacy in the intervention group compared with those in the control group after four intervention sessions and up to 6 months of follow‐up. No serious intervention‐related adverse events were observed. Conclusions The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy. Relevance to clinical practice The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy and may provide a reference for health providers to develop behaviour promotion programmes to improve the self‐management of patients with an ostomy.

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Section: Effects Of Intervention On the Stages Of Change Of Self-mamentioning

confidence: 99%

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Shen

Wang

et al. 2019

Journal of Clinical Nursing

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“…Previous studies of health-related quality of life [4,5,6,7] in people receiving stoma-forming surgery and one meta-synthesis [52] have found that stoma-forming surgery has a dramatic impact on post-operative adjustment in terms of poor self-image and individuals feeling out of control of their bodies and their lives. However, a deeper understanding of meaning to those experiencing stoma formation has been largely absent.…”

Section: Introductionmentioning

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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“…Den har ikke lengre de samme funksjoner, og den oppleves ikke som hel. (4,6,7,10). Kroppen kan oppleves som fremmed, og noen har en negativ kroppsfølelse og distanserer seg fra kroppen sin.…”

Section: Studier Om Voksneunclassified

“…Kroppen kan oppleves som fremmed, og noen har en negativ kroppsfølelse og distanserer seg fra kroppen sin. Det er beskrevet at den «nye kroppen» gjør at personen føler seg annerledes enn andre (6). Det å få en stomi innebaerer en stor endring som påvirker personens livssituasjon, selvbilde, kroppsbilde og kroppsfølelse (4, 6-8, 10-12).…”

Section: Studier Om Voksneunclassified

“…Forskningen beskriver hvordan livet med stomi skaper begrensninger for livsførsel, både i forhold til daglige aktiviteter, yrke, sosiale sammenhenger og i intime relasjoner (4,6,7,13). Det kan handle om å kle seg annerledes for å skjule stomiposen, unngå situasjoner der tilgangen til toalett er uviss, eller at en bevisst unngår sosiale settinger der man kan møte nye mennesker.…”

Section: Studier Om Voksneunclassified

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Stomi kan være ekstra utfordrende for unge

Krabbe¹,

Austrheim²,

Ambrose³

2019

Sykepleien

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Det er forsket lite på hvordan det er for barn og unge å leve med stomi. De få studiene som er gjort, viser at å ha «pose på magen» er utfordrende og at helsepersonell vet for lite.Sykepleien 2019 107(75395)(e-75395) DOI: https://doi.org/10.4220/Sykepleiens.2019.75395Det er publisert en rekke kvalitative studier om voksnes opplevelse av det å leve med stomi. Forskningen fokuserer på den psykiske, fysiske og sosiale endringen knyttet til det å få en stomi, samt konsekvensene det får for personene. Litteraturgjennomgangen viser at forskning relatert til unge voksne, ungdom og barn med permanent stomi er begrenset. De studiene som er gjort, viser at livet med stomi er utfordrende og at helsepersonell har begrenset kunnskap om den enkeltes personlige erfaringer. FAGUTVIKLING

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Personal awareness and behavioural choices on having a stoma: a qualitative metasynthesis

Abstract: The description and interpretation on personal awareness and behavioural choices associated with having a stoma is useful for nurses in providing practical, informational and emotional supports to help the individuals successfully adapt to their lives with a stoma.

Cited by 17 publications

References 35 publications

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Adjusting to bodily change following stoma formation: a phenomenological study

Stomi kan være ekstra utfordrende for unge

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