Introduction: Living with a permanent colostomy brings severe changes in patients' lives. The general health status as well as the personal, social and professional life of patients are significantly affected.
Aim: The aim of the present study was to investigate the lived experience of patients undergoing permanent colostomy.
Material And Methods: A qualitative research design based on interpretive phenomenology was carried out. Semi-structured interviews were conducted as the data collection method to obtain in-depth information regarding the research topic. The study sample consisted of eight (8) patients who had undergone a permanent colostomy. The data analysis was performed by the method of content analysis.
Results: From the analysis of the data, three main themes emerged, namely: (A) Experiencing a traumatic event; (B) Living a new reality; (C) Efforts to improve quality of life. Five subthemes were formulated which were encompassed within the respective main themes accordingly.
Conclusion: Patients with permanent colostomy face significant life changes that are experienced in a traumatic way. Issues such as autonomy, family and organizational support, self-management and empowerment can significantly improve the patients' quality of life. Further research, regarding caregivers' experience, improved community nursing care as well as nurses' views on the needs of colostomy patients and their families, is suggested.
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http://dx.doi.org/10.3390/ijerph18168512 | DOI Listing |
Front Surg
November 2024
Department of Surgery, Brandenburg Medical School, University Hospital Brandenburg/Havel, Brandenburg, Germany.
Background: Prophylactic mesh placement when creating a permanent colostomy was recommended by the 2017 European Hernia Society guidelines on the prevention and treatment of parastomal hernias (GPTPH2017). The extent of this recommendation is under debate based on the long-term data from clinical trials. Our aim was to conduct a survey of surgeons revealing perspectives and concerns regarding GPTPH2017 and to discuss their concerns.
View Article and Find Full Text PDFLangenbecks Arch Surg
December 2024
Dunedin Hospital, Health New Zealand, Dunedin, New Zealand.
Background: Hartmann's procedure (sigmoid resection with end colostomy) is a commonly performed emergency procedure for diseases of the sigmoid colon.
Aim: To determine the proportion of patients undergoing Hartmann's reversal (restoration of GI continuity) following Hartmann's procedure, the clinical and demographic factors associated with reversal, and the reasons for non-reversal.
Method: This is a single center, retrospective audit of patients undergoing Hartmann's procedure between June 2011 and May 2020.
Hernia
November 2024
Center for Abdominal Core Health, Cleveland Clinic, 2049 E 100th St, Desk, A-100, Cleveland, OH, 44106, USA.
Case Rep Gastrointest Med
October 2024
Colorectal Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, USA.
Perianal Paget's disease (PPD) is a rare skin adenocarcinoma that arises in the apocrine glands of the perianal region. It is often misdiagnosed as eczema, leukoplakia, squamous cell carcinoma, Bowen's disease, lichen planus, or condylomata acuminata. We report a case of a 63-year-old male who presented to the emergency room (ER) for evaluation of an anal mass that had persisted over 6 months.
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