Taylan Secil, Özkan İlknur
Secil Taylan, PhD, Akdeniz University, Kumluca Health Sciences Faculty, Nursing Department, Kumluca, Antalya, Turkey.
İlknur Özkan, PhD, Akdeniz University, Kumluca Health Sciences Faculty, Nursing Department, Kumluca, Antalya, Turkey.
J Wound Ostomy Continence Nurs. 2025;52(3):212-219. doi: 10.1097/WON.0000000000001176. Epub 2025 May 16.
The purpose of this structured review was to synthesize qualitative studies examining sexual life experiences of patients with a fecal ostomy.
This meta-synthesis was based on the interpretive meta-ethnography method defined by Noblit and Hare.
Electronic databases, CINAHL, MEDLINE, PubMed, Web of Science, OVID, Scopus, Springer, and TR Index were searched to identify pertinent sources. Inclusion criteria used a qualitative research design, developed a theme or category, included participants with fecal ostomies aged 18 years or older, and published in English or Turkish. We searched for studies published between January 1990 and December 2020. Grey literature sources and quantitative studies were excluded. Qualitative studies included in this study were evaluated for quality using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (QARI).
The sample comprised 20 studies. Three main themes were determined: (1) perceived barriers to sexual life, (2) the effect of perceived barriers on sexual life, and (3) sexual counseling related to the effect of an ostomy. Synthesis of the studies provides evidence for the importance of the sexual life experiences of patients with a fecal ostomy and the patient care, patient follow-up, and counseling practices of ostomy nurse specialists.
Ostomy nurse specialists should be aware that the sexual problems experienced by patients are multifaceted and should provide specific training and counseling about these problems.
本结构化综述的目的是综合定性研究，以考察粪便造口术患者的性生活经历。
本元综合研究基于诺布利特和黑尔定义的解释性元民族志方法。
检索了电子数据库CINAHL、MEDLINE、PubMed、科学网、OVID、Scopus、Springer和TR Index，以识别相关资料来源。纳入标准采用定性研究设计，形成一个主题或类别，纳入18岁及以上的粪便造口术患者，并以英文或土耳其文发表。我们检索了1990年1月至2020年12月期间发表的研究。排除灰色文献来源和定量研究。本研究纳入的定性研究使用乔安娜·布里格斯研究所定性评估和综述工具（QARI）进行质量评估。
样本包括20项研究。确定了三个主要主题：（1）感知到的性生活障碍；（2）感知到的障碍对性生活的影响；（3）与造口术影响相关的性咨询。对这些研究的综合为粪便造口术患者性生活经历的重要性以及造口术护士专家的患者护理、患者随访和咨询实践提供了证据。
造口术护士专家应意识到患者经历的性问题是多方面的，应就这些问题提供特定的培训和咨询。
