Adaptation of the spouse and other family members to the colostomy patient

Dyk, Ruth B.; Sutherland, Arthur M.

doi:10.1002/1097-0142(195601/02)9:1<123::aid-cncr2820090110>3.0.co;2-t

Cited by 88 publications

(33 citation statements)

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“…The bteratiffe relating to the expenences of patients with a stoma and their subsequent adaptation to perceived body image changes reveals a number of common themes, for e, the difficulties expenenced m coming to terms With an ostomy (Dyk & Sutherland 1956, Druss et al 1968, Devlm et al 1971, Cahoon 1973, Eardley et al 1976 Devbn ei al (1971) suggests that an immense pnce is paid for cure and this pnce incorporates physical discomfort and psychological and social trauma Emotional and social effects include feelmgs of degradation damage, isolation, restndion and mutilation (Klopp 1990) There are significant disadvantages associated with an lleostomy, many patients are restncted m work, hobbies and travel while most are limited m choice of dothing and athletic activities In addition to these lifestyle restndions, an end lleostomy may cause physical problems such as skm lmtation due to leakage, and psychosexual and emotional problems due to its effect on body image (Church 1986) The bleak picture that Church (1986) paints could be questioned, as many patients do not expenence the restnctions he suggests (Kebnan & Minkler 1989) He does, however, admit that, despite this bst of drawbacks, most people with ileostomies, with the aid of a modem enterostomal therapist (stoma care nurse) and a well-fashioned stoma, adapt to their body image change and live normal bves…”

Section: The Patient With a Stomamentioning

confidence: 99%

What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?

Salter

1992

Journal of Advanced Nursing

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This paper describes a qualitative study of seven patients which explored the perceptions of body image in patients with a conventional stoma, compared with those who have had a conventional stoma followed by a continent pouch. The operation of choice for patients with ulcerative colitis (the group of patients in the study) who wish to avoid permanent ileostomy is restorative proctocolectomy with ileal reservoir, more commonly known as the 'pouch' procedure. The outcome of this study, using a phenomonenological approach, reflects the problems faced by patients undergoing stoma surgery; that is, patients with a stoma, on the whole, expressed difficulties in coming to terms with an ostomy, with perceived negative feelings of body image. In contrast, patients with a continent pouch, provided they were not experiencing difficulties with the pouch, were of the opinion that such a procedure enhanced their lives over that of an ileostomy. However, in examining these patients' feelings, it was found that the majority still considered their experience traumatic. This implies that the benefits of a continent pouch were not so obvious, as body image changes of stoma surgery still had a perceived negative effect on the patients. This affected the outcome of the study so that the differences of the two groups of patients were not as significant as perceived by the writer.

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Section: The Patient With a Stomamentioning

confidence: 99%

What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?

Salter

1992

Journal of Advanced Nursing

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“…These conflicted feelings may result in physical avoidance of the patient or avoidance of open, honest communication about the disease, its course, and the patient's fears. Other studies, as well, point to the centrality of socioemotional concerns for individuals faced with a lifethreatening illness, particularly to the absence of social support at a time when it is especially critical (14,22,23). The socioemotional support which has been suggested as constituting an important coping resource for cancer patients (5,24) includes support from doctors and other medical personnel as well as from naturally occurring support networks, i.e., friends and family.…”

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confidence: 99%

Social Supports as Stress Buffers for Adult Cancer Patients

Revenson

Wollman

Felton

1983

Psychosomatic Medicine

129

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Although a growing body of research evidence suggests that persons encountering stressful life circumstances are protected from potential declines in health and well-being by supportive relationships, the evidence for the stress-buffering qualities of social support for cancer patients is equivocal. This study examines the relationship between naturally occurring, supportive behaviors and psychological adjustment to the illness for 32 nonhospitalized adult cancer patients, and includes follow-up data collected 7 months after the initial interview. Results indicated that although support appeared to have few effects on adjustment at either time point for the sample as a whole, social support was related to poorer adjustment for patients not undergoing chemotherapy or radiation treatments, or for those with many limitations on physical functioning. These findings, though tentative because of the sample size, point to the need to consider the specific contextual stresses the cancer patient is experiencing in evaluating psychosocial adjustment to the illness, and suggest caution in assuming social supports to be a universal boon.

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“…An individual's ability to function effectively is deeply affected by what the situation offers or demands of him. The importance of individual social values and attitudes in adjusting to handicaps has been sharply pointed up by the work of Dyk & Sutherland who found among their patients with colostomy a wide range in the degree of incapacity conferred by the operation depending upon the earlier atti tudes and adjustment patterns of the patient (22). Social pressures together with personality attributes and situations ap pear capable of affecting an individual's health depending how he con sciously or unconsciously perceives and evaluates a given situation in the social setting in which he finds himself and in view of his unique experience and personality characteristics.…”

Section: Social Pressuresmentioning

confidence: 99%

Psychiatry

Wolf¹

1957

Annu. Rev. Med.

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It is evident that research in psychiatry is coming of age. Adequate investigative methods are gradually evolving, and progress in psychiatry is slowly being related to the growing understanding in the whole field of human biology. The descriptive and the doctrinaire in psychiatric research are happily giving way to a more detached attitude of inquiry. Since progress in the whole field during the past year cannot be encompassed within this short review, it will deal mainly with the most rapidly advancing frontiers and with certain important developments which bear fairly directly on the field of internal medicine. BODILY SYMPTOMS AND DISEASEIn the past and up to midcentury, sufficient experimental evidence had accumulated to establish that a wide variety of bodily organs and organ systems are capable of reacting to symbolic stimuli with the manifestations of disease. A list of bodily structures capable of such reaction takes in virtually all of the organic equipment of man (44). The inference is that man's organs are connected in some way to the interpretive areas of the brain and are thereby capable of reacting to impulses which emanate from these highest integrative neural centers. It has been pointed out that the brain is capable of enhancing, altering, di minishing, or even suspending the functions of or gans or cellular systems which might otherwise proceed automatically. The extent to which it is capable of influencing the entire internal econom y is not generally appre ciated and it is probably for this reason more than any other that the effect of adaptive reactions upon human health is often underestimated (44).Correlations of visceral and other organic behavior with life experience and emotional responses have continued to appear in the literature. Female infertility has been related to failure of the anterior pituitary to release luteinizing hormone under circumstances of chronic psychological malad justment (34). Similarly the occurrence of habitual abortion in women has been related to situation ally determined disturbances in uterine motility manifested particularly by premature dilatation of the cervix (66). Corre lations have also been reported with the urinary excretion of formaldehydo genic steroids and creatinine (90), in finger blood flow (10), capillary pres sure (58), circulating eosinophils (41), and in the regulation of water and electrolyte metabolism (89). Confirmatory data have been derived from animal experimentation. In female dogs stimuli which appeared to be emotionally disturbing induced increased uterine contraction associated with inhibition of water diuresis (1).

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Adaptation of the spouse and other family members to the colostomy patient

Cited by 88 publications

References 1 publication

What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?

What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?

Social Supports as Stress Buffers for Adult Cancer Patients

Psychiatry

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