Living with a stoma: a review of the literature

Brown, Hannah; Randle, Jacqueline

doi:10.1111/j.1365-2702.2004.00945.x

Cited by 232 publications

(190 citation statements)

References 25 publications

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“…This policy might result in a longer hospital stay and higher overall costs. However, this needs to be balanced with a low rate of faecal diversion which is associated with decrease in quality of life and iterative hospitalisations [38][39][40][41] and the low rate of post-operative morbidity with no need for re-admissions. Consensus on incorporating this strategy and discussing the relative place of surgery and medical treatment is required.…”

Section: Discussionmentioning

confidence: 99%

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Zerbib

Koriche

Truant

et al. 2010

Aliment Pharmacol Ther

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Section: Discussionmentioning

confidence: 99%

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Zerbib

Koriche

Truant

et al. 2010

Aliment Pharmacol Ther

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“…Cancer survivorship provekes diverse alterations in a person's life, and results in complex emotional, social, physical, including sexual concerns [9,11]. The treatments, which are invasive, stressful and associated with numerous side-effects, may be greatly detrimental to the quality of life and social contacts which often elicits fear and emotional distress.…”

Section: Discussionmentioning

confidence: 99%

“…The use of the colostomy bag presents a challenge as to the adjustment to the new condition of life. The establishment of a stoma affects sexuality directly by disruption of nerve and blood supply to the genitals and indirectly by the effect on sexual activity [9]. For these reasons, it is important to understand how affected women experience their altered life situation and thus to know their real problems and needs [16].…”

Section: Discussionmentioning

confidence: 99%

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Emotions of Gynecologic Cancer Patients Dealing with Permanent Colostomy: A Qualitative Interview Study

Pınar¹,

Ayhan²,

Pınar³

2013

JCT

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Purpose: This study was conducted to describe emotional state of colostomized patients with gynecologic cancer. Patients and Methods: The study employed a qualitative design from May to October of 2010, in a private university hospitals outpatient gnecologic oncology clinic in Ankara, Turkey. Content analysis with an inductive approach had been used to analyze 32 interviews that served as the data base for this study. Interview form that focused on what gynecologic cancer women felt to living with a colostomy. Results: Findings also reveal that gynecologic cancer patients with colostomy experience many uneasy feelings that affect their emotional state. The content analysis resulted in the development of two thematic units. The first we described as "To experience the consequences of stoma as a gynecologic cancer patients". The second was "suffering experienced-being challenged the consequences of the stoma", and the third was "promote self management-normalization of the new condition". For the psychological support, family and friends' support has been mentioned as the most important part that can release their anxiety. Conclusions: We concluded that a having stoma was difficult for the women. The emotional state of the women when they get colostomy was typically characterized by fear, and worry about their current process. Body image, self-esteem, social activity, sexuality were the aspects that most affected the patients. Nurses have very important role within holistic approach and empathetic interaction, for determining major problem areas.

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“…spina iliaca anterior superior) te se na sredini linije označi mjesto za stomu. Stoma bi se trebala postaviti unutar ravnog abdominalnog mišića 4 . Medicinska sestra na izabranom mjesto stome zalijepi podlogu s vrećicom, a pacijent zauzima stojeći, sjedeći, pognuti i ležeći položaj radi potvrde pristupa i izbora najpogodnijeg mjesta za formiranje stome.…”

Section: Prijeoperacijska Pripremaunclassified

Educational role of a nurse in the patients with urostomy

Škevin

Vitas

2017

Med. flum.

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Sažetak. Urostoma je kirurški oblikovan otvor na koži trbuha s namjenom derivacije urina. Potreba stvaranja urostome najčešće se javlja kod kirurškog liječenja invazivnoga karcinoma mokraćnog mjehura. S obzirom na to da se urostoma oblikuje u sklopu zahtjevne i često mutilirajuće operacije, edukacija i priprema pacijenta je veoma bitna, a započinje i prije zahvata. Nakon postavljene dijagnoze i određivanja kirurškog oblika liječenja veliku važnost u daljnjoj pripremi pacijenta ima medicinska sestra. Ona pacijentu razumljivim jezikom objašnjava uobičajen tijek oporavka, posebnosti poslijeoperacijskih potreba te rukovanje i brigu oko urostomije. Pacijentu se pokažu uzorci vrećica i podloga kako bi imao jasnu predodžbu o onome što ga očekuje. U ranom poslijeoperacijskom razdoblju, istovremeno s njegom, medicinska sestra provodi edukaciju o rukovanju podlogama i vrećicama te higijeni urostome. Pacijent promatranjem i ponavljanjem radnji uči te se privikava na svoje promijenjeno tijelo. Budući da pacijenti vrlo često teško prihvaćaju svoju bolest i kirurški zahvat, medicinska sestra važna je u pružanju psihološke potpore pacijentu i njegovoj obitelji. Pri otpustu iz bolnice pacijent i njegova obitelj spremni su za samostalno rukovanje vrećicama i brigu o urostomi. Također su upoznati s prehrambenim potrebama i mogućim ograničenjima pri ponovnoj integraciji u društveni život.Ključne riječi: medicinska sestra; urostoma; zdravstvena njega Abstract. A stoma is a surgically shaped opening in the abdomen skin used for diverting urine. The need for a stoma typically arises in patients with invasive, surgically treated bladder cancer. As it is a difficult and mutilating surgery, educating and preparing patients begins before the procedure. Following the diagnosis and determining surgical treatment, the nurse plays a key role in further preparing the patient. The nurse must, in a way understandable for the patient, explain the typical course of recovery, special postoperative dietary requirements, and how to handle and take care of the stoma bags. The patient is shown samples of bags and surfaces in order to clearly understand what they can expect. In the early postoperative period, simultaneously with patient care, the nurse educates the patient on handling surfaces and bags, as well as stoma hygiene. The patient learns through observation and repetition of actions, and that way gets accustomed to their changed body. Since patients often have difficulties accepting their illness and surgical procedure, the nurse is important for providing psychological support for the patient and their family. When discharged from the hospital, the patient and their family are ready for independently handling the bags and taking care of the stoma. They are also informed about the dietary requirements and possible limitations for reintegration into society.

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Living with a stoma: a review of the literature

Abstract: Knowledge of the problems stoma patients can experience can help nurses plan care in an individualized way. Recommendations for nursing practice and future research are made.

Cited by 232 publications

References 25 publications

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Emotions of Gynecologic Cancer Patients Dealing with Permanent Colostomy: A Qualitative Interview Study

Educational role of a nurse in the patients with urostomy

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