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《带着造口生活》:探索永久性结肠造口患者的生活体验。

"Living with a Stoma": Exploring the Lived Experience of Patients with Permanent Colostomy.

机构信息

Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece.

出版信息

Int J Environ Res Public Health. 2021 Aug 12;18(16):8512. doi: 10.3390/ijerph18168512.

Abstract

INTRODUCTION

Living with a permanent colostomy brings severe changes in patients' lives. The general health status as well as the personal, social and professional life of patients are significantly affected.

AIM

The aim of the present study was to investigate the lived experience of patients undergoing permanent colostomy.

MATERIAL AND METHODS

A qualitative research design based on interpretive phenomenology was carried out. Semi-structured interviews were conducted as the data collection method to obtain in-depth information regarding the research topic. The study sample consisted of eight (8) patients who had undergone a permanent colostomy. The data analysis was performed by the method of content analysis.

RESULTS

From the analysis of the data, three main themes emerged, namely: (A) Experiencing a traumatic event; (B) Living a new reality; (C) Efforts to improve quality of life. Five subthemes were formulated which were encompassed within the respective main themes accordingly.

CONCLUSION

Patients with permanent colostomy face significant life changes that are experienced in a traumatic way. Issues such as autonomy, family and organizational support, self-management and empowerment can significantly improve the patients' quality of life. Further research, regarding caregivers' experience, improved community nursing care as well as nurses' views on the needs of colostomy patients and their families, is suggested.

摘要

简介

永久性结肠造口术给患者的生活带来了严重的变化。患者的总体健康状况以及个人、社会和职业生活都受到了重大影响。

目的

本研究旨在探讨永久性结肠造口患者的生活体验。

材料和方法

采用基于解释现象学的定性研究设计。半结构化访谈被用作数据收集方法,以获取有关研究主题的深入信息。研究样本由 8 名接受永久性结肠造口术的患者组成。数据分析采用内容分析法进行。

结果

通过对数据的分析,出现了三个主要主题,即:(A)经历创伤性事件;(B)生活在新的现实中;(C)努力提高生活质量。制定了五个子主题,分别包含在相应的主要主题中。

结论

永久性结肠造口术患者面临着重大的生活变化,这些变化是以创伤的方式经历的。自主性、家庭和组织支持、自我管理和赋权等问题可以显著提高患者的生活质量。建议进一步研究照顾者的体验、改善社区护理以及护士对造口患者及其家庭需求的看法。

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