肠造口术成人患者的造口感知：单中心的隐喻分析。
Stoma Perceptions of Adults with an Ostomy: A Metaphor Analysis in a Single Center.
机构信息
At Dokuz Eylül University, Faculty of Nursing, Department of Surgical Nursing, Izmir, Turkey, Nazife Gamze Özer Özlü, PhD, is Research Assistant; and Fatma Vural, PhD, is Associate Professor. Acknowledgments: The authors thank all of the people who participated in this study. They also thank the nurses and physicians at the clinic for their kind assistance. The authors have disclosed no financial relationships related to this article. Submitted August 11, 2022; accepted in revised form December 1, 2022.
出版信息
Adv Skin Wound Care. 2023 Sep 1;36(9):1-7. doi: 10.1097/ASW.0000000000000017.
OBJECTIVE
To use metaphor to evaluate stoma perceptions among adults with ostomies to conceptualize and portray their lived experiences using a figurative approach.
METHODS
A qualitative research design was used. Participants were 27 adults with an ostomy who were followed up in the stoma therapy unit. Individuals were included in the study if they had had a temporary or permanent ostomy for at least 2 months and spoke Turkish. Participants were asked to complete the sentence: "Stoma is like…/similar to… because…." The researchers used content analysis to evaluate participants' responses. Interpretation of the metaphors developed by participants was carried out in five phases: coding, example metaphor compilation, theme development, ensuring trustworthiness, and transferring.
RESULTS
Participants expressed a total of 17 unique and 10 repeated metaphors for the concept of "stoma." These metaphors were grouped under three different themes: positive (lifesaving), negative (punishment/enemy), and neutral (temporary/necessity for life). The most commonly used metaphors were life, savior, comfort, difficulty, fear, punishment, and necessity.
CONCLUSIONS
Individuals with an ostomy mostly had negative metaphorical associations with stomas. The authors recommend that hospitals implement multifaceted interventions to bring positive metaphors to individuals with ostomies.
目的
运用隐喻来评估造口患者对造口的感知，采用形象化的方法来概念化和描绘他们的生活体验。
方法
采用定性研究设计。参与者为 27 名在造口治疗单位接受随访的造口成年人。如果个体有至少 2 个月的临时或永久性造口，并且会说土耳其语，则将其纳入研究。参与者被要求完成句子：“造口就像……/类似于……，因为……。”研究人员使用内容分析法评估参与者的反应。对参与者提出的隐喻的解释分五个阶段进行：编码、示例隐喻汇编、主题开发、确保可信度和转移。
结果
参与者总共对“造口”这一概念表达了 17 个独特的和 10 个重复的隐喻。这些隐喻分为三个不同的主题：积极（救命）、消极（惩罚/敌人）和中性（临时/维持生命的必要）。最常用的隐喻是生命、救星、舒适、困难、恐惧、惩罚和必要性。
结论
造口患者大多对造口有负面的隐喻联想。作者建议医院实施多方面的干预措施，为造口患者带来积极的隐喻。
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