Sarabi Nasrin, Navipour Hassan, Mohammadi Eesa
Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, P.O. Box: 14115-331, Tehran, Iran.
World J Surg. 2017 Aug;41(8):2136-2142. doi: 10.1007/s00268-017-3983-x.
Ostomy significantly alters one's elimination pattern and can affect the individual in physiological, psychosocial and spiritual aspects. Over time, the ostomy patient's experience changes and they develop coping strategies to handle the new reality. The aims of this study sought Iranian ostomy patients' main problem, how they deal and the outcome of their efforts to manage that problem in their daily lives.
A qualitative content analysis was conducted involving twenty-seven ostomy patients that were chosen by purposeful sampling and referred to the Iranian Ostomy Association from October 2015 to June 2016.
The mean age of the participants was 55 years, 15 were males, the major cause of ostomy was colorectal cancer and the colostomy was the most common type of ostomy, and nineteen of them between one and twenty years lived with an ostomy. Most of them were married, had bachelor degree and received adjuvant therapy, and few were employed. Guarantee indecisive to maintain a stable life with an ostomy and the possibility of ostomy disclosure unpredictability show relative tranquility in patients' social life.
Because of the ostomy nature, there is not the possibility of full control over life with an ostomy and this issue is causing concerns in their family and social life.
造口术会显著改变人的排泄模式,并可能在生理、心理社会和精神层面影响个体。随着时间推移,造口术患者的体验会发生变化,他们会形成应对策略来应对新的现实情况。本研究旨在探寻伊朗造口术患者的主要问题、他们的应对方式以及他们在日常生活中处理该问题的努力结果。
采用定性内容分析法,对2015年10月至2016年6月期间通过目的抽样法选取的27名造口术患者进行研究,这些患者均隶属于伊朗造口术协会。
参与者的平均年龄为55岁,其中15名男性,造口术的主要病因是结直肠癌,结肠造口术是最常见的造口类型,19名患者已携带造口生活了1至20年。他们大多已婚,拥有本科学历并接受辅助治疗,少数人有工作。在维持造口状态下稳定生活的保障方面犹豫不决,以及造口暴露的不可预测性,显示出患者在社交生活中相对平静。
由于造口术的特性,完全掌控造口生活是不可能的,这一问题在他们的家庭和社交生活中引发了担忧。