Skip to main content
SpringerLink
Log in

Relative Tranquility in Ostomy Patients’ Social Life: A Qualitative Content Analysis

  • Original Scientific Report
  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

Ostomy significantly alters one’s elimination pattern and can affect the individual in physiological, psychosocial and spiritual aspects. Over time, the ostomy patient’s experience changes and they develop coping strategies to handle the new reality. The aims of this study sought Iranian ostomy patients’ main problem, how they deal and the outcome of their efforts to manage that problem in their daily lives.

Method

A qualitative content analysis was conducted involving twenty-seven ostomy patients that were chosen by purposeful sampling and referred to the Iranian Ostomy Association from October 2015 to June 2016.

Results

The mean age of the participants was 55 years, 15 were males, the major cause of ostomy was colorectal cancer and the colostomy was the most common type of ostomy, and nineteen of them between one and twenty years lived with an ostomy. Most of them were married, had bachelor degree and received adjuvant therapy, and few were employed. Guarantee indecisive to maintain a stable life with an ostomy and the possibility of ostomy disclosure unpredictability show relative tranquility in patients’ social life.

Conclusion

Because of the ostomy nature, there is not the possibility of full control over life with an ostomy and this issue is causing concerns in their family and social life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Michalkova H (2010) Psychosocial problems of stoma clients. Journal of Nursing Society Studies Public 1(1–2):62–70

    Google Scholar 

  2. Pittman J.A (2011) Ostomy complications and risk factors: Development and testing of two instruments. Submitted to the faculty of the University Graduate School in partial fulfillment of the requirements for the degree Doctor of Philosophy in the School of Nursing, Indiana University

  3. Grant M, McCorkle R, Hornbrook MC, Wendel CS, Krouse R (2013) Development of a chronic care ostomy self-management program. Journal of Cancer Education 28(1):70–78

    Article  PubMed  PubMed Central  Google Scholar 

  4. Persson E, Hellstrom AL (2002) Experiences of Swedish men and women 6 to 12 weeks after ostomy surgery. Journal of Wound Ostomy and Continence Nursing 29(2):298–305

    Google Scholar 

  5. Kikic E, Taycan O, Belli AK, Ozmen M (2007) The effect of permanent ostomy on Body image, self-esteem, marital adjustment, and sexual functioning. Turk Psikiyatri Derg 18(4):302–310

    Google Scholar 

  6. Karadag A, Menteş BB, Uner A, Irkorucu O, Ayaz S, Ozkan S (2003) Impact of stomatherapy on quality of life in patients with permanent colostomies or ileostomies. International Journal of Colorectalal Disease 18(3):234–238

    Google Scholar 

  7. Bekkers MJTM, van Knippenberg FCE, van den Borne HW, Poen H, Berqsma J, van BergeHenegouwen GP (1995) Psychosocial adaptation to stoma surgery: A review. Journal of Behavioral Medicine 18(1):1–31

    Article  CAS  PubMed  Google Scholar 

  8. Barnabé NC, Dell’Acqua MCQ (2008) Coping strategies of ostomized individuals. Revista latino-americana de enfermagem 16(4):712–719

    Article  PubMed  Google Scholar 

  9. Bonill-de-las-Nieves C, Celdran-Manas M, Hueso-Montoro C, Morales-Asencio JM, Rivas-Marin C, Fernandez-Gallego MC (2014) Living with digestive stomas: Strategies to cope with the new bodily reality. Revista latino-americana de enfermagem 22(3):394–400

    Article  PubMed  PubMed Central  Google Scholar 

  10. Stein Backes MT, Stein Backes D, Erdmann AL (2012) Feelings and expectations of permanent colostomy patients. Journal of Nursing Education and Practice 2(3):9–14

    Google Scholar 

  11. Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S, Safaee A (2012) Quality of life outcomes in patients living with stoma. Indian Journal of Palliative Care 18(3):176–180

    Article  PubMed  PubMed Central  Google Scholar 

  12. Dabirian A, Yaghmaei F, Rassouli M, Zagheri Tafreshi M (2011) Quality of life in ostomy patients: A qualitative study. Patient Prefer and Adherence 5:1–5

    Google Scholar 

  13. Naseh L, Rafii F, Moghadasi J, Yousefi F (2012) Quality of life and its dimensions in ostomates. Journal of Clinical Nursing and Midwifery 1(1):10–22

    Google Scholar 

  14. Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S, Safaee A (2012) Clinical profile and post-operative lifestyle changes in cancer and non-cancer patients with ostomy. Gastroenterology and Hepatology from bed to bench 5(Suppl 1):S26–S30

    PubMed  PubMed Central  Google Scholar 

  15. Adel Mehraban M, Ashoori E, Moladoost A, Aghayi S (2008) Psychological experiences of patients with surgical stoma (Cholostomy): A phenomenological study. Journal of Research in Behavioural Sciences 6(2):119–127

    Google Scholar 

  16. Thorpe G, McArthur M, Richardson B (2009) Bodily change following faecal stoma formation: Qualitative interpretive synthesis. Journal of Advanced Nursing 65(9):1778–1789

    Article  PubMed  Google Scholar 

  17. Graneheim UH, Lundman L (2004) Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 24(2):105–112

    Article  CAS  PubMed  Google Scholar 

  18. Macdonald LD, Anderson HR (1984) Stigma in patients with rectal cancer: A community study. Journal of Epidemiology and Community Health 38(4):284–290

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Taleghani F, Yekta ZP, Nasrabadi AN (2006) Coping with breast cancer in newly Diagnosed women: A qualitative study. Journal of Advanced Nursing 54(3):265–272

    Article  PubMed  Google Scholar 

  20. Mitchell KA, Rawl SM, Schmidt CM, Grant M, Ko CY, Baldwin CM, Wendel C, Krouse RS (2007) Demographic, clinical, and quality of life variables related to embarrassment in veterans living with an intestinal stoma. Journal of Wound Ostomy and Continence Nursing 35(4):524–532

    Article  Google Scholar 

  21. Sukhpal Kaur SH, Rajesh Gupta KD (2012) Physical, nutritional and sexual problems experienced by the patients with colostomy/ileostomy: A qualitative study. Journal of Nursing and Midwifery Research Journal 8(3):210–222

    Google Scholar 

  22. Golicki D, Styczen P, Szczepkowski M (2013) Quality of life in stoma patients in Poland: Multicenters cross-sectional study using WHOOL-BREF questionnaire. Przeglad epidemiologiczny 67(3):491–496

    PubMed  Google Scholar 

  23. Menezes LCG, Guedes MVC, Oliveira RM, de Oliveira SKP, de Meneses LST, de Castro ME (2013) Self-care practice of ostomy patients: Contributions of the Orem’s theory. Revista Rene 14(2):301–310

    Google Scholar 

  24. Nicholas DB, Swan SR, Gerstle TJ, Allan T, Griffiths AM (2008) Struggles, strengths, and strategies: An ethnographic study exploring the experiences of adolescents living with an ostomy. Health and Quality of Life Outcomes 6(114):1–8

    Google Scholar 

  25. Pearson T (2010) Older people should be given practical support to effectively manage their stomas. http://www.nursingtimes.net/clinical-archive/gastroenterology

  26. Silva AL, Monteiro PS, Sousa JB, Vianna AL, Oliveira PG (2014) Partners of patients having a permanent colostomy should also receive attention from the healthcare team. Colorectal Disease 16(12):0431–0434

    Article  Google Scholar 

  27. Choi H, Marks NF (2008) Marital conflict, depressive symptoms, and functional impairment. Journal of Marriage and Family 70(2):377–390

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We would like to express our gratitude to all the participants in the study and Iranian Ostomy Association staffs. This study was supported by the Tarbiat Modares University.

Funding

Financial support was received from Tarbiat Modares University.

Authors’ Contributions

Hassan Navipour, Eesa Mohammadi and Nasrin Sarabi involved in data analysis. Hassan Navipour and Nasrin Sarabi involved in critical revision of the manuscript. Hassan Navipour, Eesa Mohammadi and Nasrin Sarabi involved in project conception and evolution.

Author information

Authors and Affiliations

  1. Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, P.O. Box: 14115-331, Tehran, Iran

    Nasrin Sarabi, Hassan Navipour & Eesa Mohammadi

Authors
  1. Nasrin Sarabi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hassan Navipour
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Eesa Mohammadi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hassan Navipour.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sarabi, N., Navipour, H. & Mohammadi, E. Relative Tranquility in Ostomy Patients’ Social Life: A Qualitative Content Analysis. World J Surg 41, 2136–2142 (2017). https://doi.org/10.1007/s00268-017-3983-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-017-3983-x

Keywords

Search

Navigation