造口患者及其配偶生活变化的定性研究。

Changes in the Lives of Individuals with a Stoma and Their Spouses: A Qualitative Study.

机构信息

At the Gazi University Health Research and Application Center Hospital, Ankara, Turkey, Zehra Göçmen Baykara, PhD, RN, is Professor, Department of Nursing; Evrim Eyikara, PhD, RN, is Research Assistant, Department of Nursing; Aysel Ören Hin, RN, and Hülya Acarlar, RN, are Nurses; and Sezai Leventoğlu, PhD, is Professor. The authors have disclosed no financial relationships related to this article. Submitted January 25, 2022; accepted in revised form February 7, 2022.

出版信息

Adv Skin Wound Care. 2022 May 1;35(5):281-288. doi: 10.1097/01.ASW.0000823992.61032.ee.

Abstract

OBJECTIVE

Individuals with a stoma and their spouses experience various changes with regard to their new life situation. The authors aimed to determine the changes caused by stoma creation in the lives of individuals with a stoma and their spouses.

METHODS

This study was carried out with individuals with a stoma (n = 15) and their spouses (n = 15) in a stoma therapy unit. Semistructured interviews were digitally audio recorded and transcribed. Inductive reasoning was used in the analysis of the qualitative data.

RESULTS

As a result of the data obtained from in-depth interviews, the authors identified three contexts, nine themes, and many subthemes (49 subthemes for individuals with a stoma and 30 subthemes for spouses). Most subthemes were expressed by both the individual with a stoma and his/her partner, showing that the feelings, thoughts, and difficulties experienced were often shared between spouses.

CONCLUSIONS

Ostomies change the lives of individuals and their spouses. These changes have mostly negative biopsychosocial effects. However, after stoma surgery, spouses strengthen their commitment to each other and better understand the value of being healthy.

摘要

目的

造口患者及其配偶会经历新的生活状况所带来的各种变化。作者旨在确定造口对造口患者及其配偶生活造成的变化。

方法

本研究在造口治疗病房中对 15 名造口患者及其 15 名配偶进行了研究。采用半结构式访谈进行数字音频记录和转录。在对定性数据进行分析时,使用了归纳推理。

结果

通过深入访谈获得的数据,作者确定了三个背景、九个主题和许多子主题(造口患者有 49 个子主题,配偶有 30 个子主题)。大多数子主题都被造口患者及其伴侣表达出来,这表明配偶之间常常会共同感受到情绪、想法和困难。

结论

造口改变了患者及其配偶的生活。这些变化主要具有消极的身心社会影响。然而,在造口手术后,配偶之间的承诺更加坚定,对健康的价值有了更好的理解。

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