Psychological considerations of stoma care nursing

Living with a stoma: a review of the literature

“…Previous work on the psychosocial impact of stoma formation has produced conflicting findings. Borwell (1997), White and Hunt (1997) and Nugent et al. (1999) suggest that stoma formation can result in psychological morbidity.…”

“…Previous work on the psychosocial impact of stoma formation has produced conflicting findings. Borwell (1997), White and Hunt (1997) and Nugent et al (1999) suggest that stoma formation can result in psychological morbidity. This may be exacerbated for those living in industrialized countries where consumer culture provides a multitude of stylised images of the body (Hancock et al 2000).…”

A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery

“…Although there have been advancements in the surgical techniques and medical treatments for cancer in the past decades, for some patients stoma surgery cannot be avoided as one of the major treatment modalities. Having stoma surgery or living with a stoma is an anxiety‐provoking experience which affects an individual's quality of life (QoL) because stoma patients are required to cope with a change in body image, functional ability and lifestyle (Hughes 1991; Borwell 1997). In terms of the physical, psychological, social and sexual functioning, past studies have indicated that patients are troubled by frequent or irregular bowel movements and diarrhoea as well as a higher level of psychological distress than non‐stoma patients (Sprangers et al 1995).…”

Nurses’ attitudes towards the sexuality of colorectal patients

“…Sexual health has been accepted as a focus for nursing care. However, conservative attitudes, a lack of knowledge about sexuality and sexual dysfunction, and anxiety in relation to discussing these aspects of care are widespread (Webb 1987, Borwell 1997a. Williams (2006) suggests that if nurses discuss sexuality more openly with patients, their patients will be aware that this aspect of their care matters and is important in their care planning.…”

“…Erectile dysfunction can result from surgical intervention or from a fear of rejection and performance anxiety. This, in turn, can lead to tensions in a relationship and withdrawal from intimacy (Borwell 1997a). Many patients find it difficult to discuss sexual feelings, particularly after a change in body image.…”