1 University of Granada, Granada, Spain.
2 Torrecárdenas Hospital, Almería, Spain.
Qual Health Res. 2019 Jul;29(9):1255-1265. doi: 10.1177/1049732318820933. Epub 2019 Jan 25.
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.
本文的主要目的是探讨肠造口患者的生活经历和生活状况。既往研究表明，需要调查造口患者的关注点以及这些关注点如何影响他们的生活质量以及他们对身体变化的综合概念化的方法。采用主要科学数据库，进行了定性系统综述和元综合设计。根据定性方法，选择了 2002 年至 2015 年的原始文章。使用关键评估技能计划评估方法学质量。使用 Sandelowski 的元综合程序对研究结果进行综合。最终纳入的文章数量为 95 篇，参与者为 1982 人。关于元综合，生成的数据有 191 个主题陈述，这些陈述被组织成八个类别。研究结果支持了一个基于三个方面的造口患者体验的解释模型：接受、适应和自主。
