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Qualitative exploration of home life experiences and care needs among elderly patients with temporary intestinal stomas

作     者:Si-Meng Wang Jian-Ling Jiang Rui Li Juan-Juan Wang Chun-Hong Gu Jia Zeng Xiao-Hui Wei Mei Chen 

作者机构:Wuxi Medical College of Jiangnan UniversityJiangnan UniversityWuxi 214122Jiangsu ProvinceChina Department of Gastrointestinal SurgeryTongren Hospital Shanghai Jiao Tong University School of MedicineShanghai 200335China Department of NursingTong Ren Hospital Shanghai Jiao Tong University School of MedicineShanghai 200335China 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2024年第30卷第22期

页      面:2893-2901页

核心收录:

学科分类:1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100401[医学-流行病与卫生统计学] 10[医学] 

基  金:The study was reviewed and approved by the Science and Research Office of Tong Ren Hospital(Shanghai)  No. AF/SC-08/04.0 

主  题:Elderly Temporary intestinal stomas Life experiences Intestinal ostomy complications Qualitative study 

摘      要:BACKGROUND This study employed a phenomenological research approach within qualitative research to explore the challenges encountered by elderly individuals with temporary colostomies in managing their daily lives and care *** the anus surgery combined with temporary colostomy has emerged as a prevalent treatment modality for low rectal ***,the ileostomy is susceptible to peri-stoma skin complications,as well as fluid,electrolyte,and nutritional imbalances,posing challenges to effective *** successful selfmanagement of patients is intricately linked to their adjustment to temporary colostomy;nonetheless,there remains a dearth of research examining the factors influencing self-care among temporary colostomy patients and the obstacles they *** To investigate the lived experiences,perceptions,and care requirements of temporary colostomy patients within their home environment,with the ultimate goal of formulating a standardized management *** Over the period of June to August 2023,a purposive sampling technique was utilized to select 12 patients with temporary intestinal stomas from a tertiary hospital in Shanghai,*** a phenomenological research approach,a semi-structured interview guide was developed,and qualitative interviews were conducted using in-depth interview *** acquired data underwent coding,analysis,organization,and summarization following Colaizzi’s seven-step *** The findings of this study revealed that the experiences and needs of patients with temporary intestinal stomas can be delineated into four principal themes:Firstly,Temporary colostomy patients bear various burdens and concerns about the uncertainty of disease progression;secondly,patients exhibit limited self-care capabilities and face information deficits,resulting in heightened reliance on healthcare professionals;thirdly,patients demonstrate the potential for internal motivation through proactive self-adj

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