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Colostomy may offer hope in improving quality of life: a phenomenological qualitative study with patients dependent on a wheelchair

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Abstract

Purpose

This study aimed to evaluate the perspectives of patients who had spinal cord injuries and were wheelchair-dependent on colostomy surgery, which is among the bowel movement methods.

Methods

In this qualitative study, which was based on Heidegger's hermeneutical phenomenological approach, the Van Manen method was used to reveal how patients were affected by their experiences. The data of the study were collected by directly interviewing the patients and using a semi-structured interview guide. The interviews were recorded with a voice recorder device with the permission of the participants. Nine patients who were leading a life dependent on a wheelchair as a result of spinal cord injury made up the sample of the study.

Results

Six of the participants were female. The ages of participants ranged between 32 and 52, and all of them were married. The results of the interviews indicated that the experiences of participants who were dependent on a wheelchair about bowel movement management consisted of three main themes: (a) difficult experiences; (b) coping with difficulties; and (c) colostomy awareness experience.

Conclusions

Results showed that knowledge of a stoma obtained from different sources was a glimmer of hope for patients but that healthcare professionals did not exhibit a supportive attitude toward this hope.

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Data availability

The data that support the findings of this study are available from the corresponding author on reasonable request.

References

  1. Sezer, N., Akkuş, S., & Uğurlu, F. G. (2015). Chronic complications of spinal cord injury. World journal of orthopedics, 6(1), 24–33. https://doi.org/10.5312/wjo.v6.i1.24

    Article  PubMed  PubMed Central  Google Scholar 

  2. Coggrave, M. J., Ingram, R. M., Gardner, B. P., & Norton, C. S. (2012). The impact of stoma for bowel management after spinal cord injury. Spinal Cord, 50(11), 848–852. https://doi.org/10.1038/sc.2012.66

    Article  CAS  PubMed  Google Scholar 

  3. Inskip, J. A., Lucci, V. E. M., McGrath, M. S., Willms, R., & Claydon, V. E. (2018). A community perspective on bowel management and quality of life after spinal cord injury: The influence of autonomic dysreflexia. Journal of neurotrauma, 35(9), 1091–1105. https://doi.org/10.1089/neu.2017.5343

    Article  PubMed  PubMed Central  Google Scholar 

  4. Rasmussen, M. M., Krogh, K., Clemmensen, D., Bluhme, H., Rawashdeh, Y., & Christensen, P. (2013). Colorectal transport during defecation in subjects with supraconal spinal cord injury. Spinal cord, 51(9), 683–687. https://doi.org/10.1038/sc.2013.58

    Article  CAS  PubMed  Google Scholar 

  5. Bølling Hansen, R., Staun, M., Kalhauge, A., Langholz, E., & Biering-Sørensen, F. (2016). Bowel function and quality of life after colostomy in individuals with spinal cord injury. The journal of spinal cord medicine, 39(3), 281–289. https://doi.org/10.1179/2045772315Y.0000000006

    Article  PubMed  PubMed Central  Google Scholar 

  6. Stoffel, J. T., Van der Aa, F., Wittmann, D., Yande, S., & Elliott, S. (2018). Neurogenic bowel management for the adult spinal cord injury patient. World journal of urology, 36(10), 1587–1592. https://doi.org/10.1007/s00345-018-2388-2

    Article  PubMed  Google Scholar 

  7. Nielsen, S. D., Faaborg, P. M., Finnerup, N. B., Christensen, P., & Krogh, K. (2017). Ageing with neurogenic bowel dysfunction. Spinal Cord, 55(8), 769–773. https://doi.org/10.1038/sc.2017.22

    Article  CAS  PubMed  Google Scholar 

  8. Cooper, E. A., Bonne Lee, B., & Muhlmann, M. (2019). Outcomes following stoma formation in patients with spinal cord injury. Colorectal Disease, 21(12), 1415–1420. https://doi.org/10.1111/codi.14753

    Article  CAS  PubMed  Google Scholar 

  9. Choukou, M. A., Best, K. L., Craven, B. C., & Hitzig, S. L. (2019). Identifying and classifying quality of life tools for assessing neurogenic bowel dysfunction after spinal cord injury. Topics in Spinal Cord Injury Rehabilitation, 25(1), 1–22. https://doi.org/10.1310/sci18-00019

    Article  PubMed  Google Scholar 

  10. Waddell, O., McCombie, A., & Frizelle, F. (2020). Colostomy and quality of life after spinal cord injury: Systematic review. BJS open, 4(6), 1054–1061. https://doi.org/10.1002/bjs5.50339

    Article  PubMed  PubMed Central  Google Scholar 

  11. Krassioukov, A., Eng, J. J., Claxton, G., Sakakibara, B. M., & Shum, S. (2010). Neurogenic bowel management after spinal cord injury: A systematic review of the evidence. Spinal cord, 48(10), 718–733. https://doi.org/10.1038/sc.2010.14

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Hughes, M. (2014). Bowel management in spinal cord injury patients. Clinics in colon and rectal surgery, 27(03), 113–115. https://doi.org/10.1055/s-0034-1383904

    Article  PubMed  PubMed Central  Google Scholar 

  13. Boucher, M. (2016). Early elective colostomy following spinal cord injury. British Journal of Nursing, 25(5), 4–10. https://doi.org/10.12968/bjon.2016.25.5.S4

    Article  Google Scholar 

  14. Rentmeester, C. (2018). Heidegger, communication, and healthcare. Medicine, Health Care and Philosophy, 21(3), 431–437. https://doi.org/10.1007/s11019-018-9823-4

    Article  PubMed  Google Scholar 

  15. Van Manen, M. (2016). Phenomenology of practice meaning-giving methods in phenomenological research and writing. Left Coast Press.

    Book  Google Scholar 

  16. Dahlberg, H., & Dahlberg, K. (2019). The question of meaning—A momentous issue for qualitative research. International Journal of Qualitative Studies on Health and Well-being, 14(1), 1598723. https://doi.org/10.1080/17482631.2019.1598723

    Article  PubMed  PubMed Central  Google Scholar 

  17. Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042

    Article  PubMed  Google Scholar 

  18. Creswell, J. W. (2013). Qualitative inquiry & research design: Choosing among five approaches. CA: SAGE.

    Google Scholar 

  19. Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in nursing & health, 29(5), 489–497. https://doi.org/10.1002/nur.20147

    Article  Google Scholar 

  20. BlachRossen, C., Sørensen, B., WürtzJochumsen, B., & Wind, G. (2012). Everyday life for users of electric wheelchairs–a qualitative interview study. Disability and Rehabilitation: Assistive Technology, 7(5), 399–407. https://doi.org/10.3109/17483107.2012.665976

    Article  Google Scholar 

  21. Hearn, J. H., Cotter, I., Fine, P., & Finlay, K. A. (2015). Living with chronic neuropathic pain after spinal cord injury: An interpretative phenomenological analysis of community experience. Disability and rehabilitation, 37(23), 2203–2211. https://doi.org/10.3109/09638288.2014.1002579

    Article  PubMed  Google Scholar 

  22. Hughes, M., Burton, A. E., & Dempsey, R. C. (2019). ‘I am free in my wheelchair but pain does have a say in it though’: The meaning and experience of quality of life when living with paraplegia and chronic pain. Journal of health psychology, 24(10), 1356–1367. https://doi.org/10.1177/1359105317750254

    Article  PubMed  Google Scholar 

  23. Leung, L. (2015). Validity, reliability, and generalizability in qualitative research. Journal of Family Medicine and Primary Care, 4(3), 324–327. https://doi.org/10.4103/2249-4863.161306)

    Article  PubMed  PubMed Central  Google Scholar 

  24. Ozisler, Z., Koklu, K., Ozel, S., & Unsal-Delialioglu, S. (2015). Outcomes of bowel program in spinal cord injury patients with neurogenic bowel dysfunction. Neural Regeneration Research, 10(7), 1153–1158. https://doi.org/10.4103/1673-5374.160112

    Article  PubMed  PubMed Central  Google Scholar 

  25. Fuseini, A. G., Aniteye, P., & Alhassan, A. (2019). Beyond the diagnosis: Lived experiences of persons with spinal cord injury in a selected town in Ghana. Neurology research international. https://doi.org/10.1155/2019/9695740

    Article  PubMed  PubMed Central  Google Scholar 

  26. Braaf, S., Lennox, A., Nunn, A., & Gabbe, B. (2017). Social activity and relationship changes experienced by people with bowel and bladder dysfunction following spinal cord injury. Spinal cord, 55(7), 679–686. https://doi.org/10.1038/sc.2017.19

    Article  CAS  PubMed  Google Scholar 

  27. Manack, A., Motsko, S. P., Haag-Molkenteller, C., Dmochowski, R. R., Goehring, E. L., Jr., Nguyen-Khoa, B. A., & Jones, J. K. (2011). Epidemiology and healthcare utilization of neurogenic bladder patients in a US claims database. Neurourology and urodynamics, 30(3), 395–401. https://doi.org/10.1002/nau.21003

    Article  PubMed  Google Scholar 

  28. Tapia, C. I., Khalaf, K., Berenson, K., Globe, D., Chancellor, M., & Carr, L. K. (2013). Health-related quality of life and economic impact of urinary incontinence due to detrusor overactivity associated with a neurologic condition: A systematic review. Health and quality of life outcomes, 11(1), 1–15. https://doi.org/10.1186/1477-7525-11-13

    Article  Google Scholar 

  29. Forchheimer, M., Meade, M. A., Tate, D., Cameron, A. P., Rodriguez, G., & DiPonio, L. (2016). Self-report of behaviors to manage neurogenic bowel and bladder by individuals with chronic spinal cord injury: Frequency and associated outcomes. Topics in spinal cord injury rehabilitation, 22(2), 85–98. https://doi.org/10.1310/sci2202-85

    Article  PubMed  PubMed Central  Google Scholar 

  30. Savic, G., Frankel, H. L., Jamous, M. A., Soni, B. M., & Charlifue, S. (2018). Long-term bladder and bowel management after spinal cord injury: A 20-year longitudinal study. Spinal cord, 56(6), 575–581. https://doi.org/10.1038/s41393-018-0072-4

    Article  PubMed  Google Scholar 

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Funding

The authors have not disclosed any funding.

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Authors and Affiliations

Authors

Contributions

GKÇ and ST contributed to the conception and design. GKÇ, and ST performed experiments and did data collection, GKÇ and ST analyzed data. GKÇ and ST contributed to the writing and GKÇ and ST did the critical revision of the article. All authors approved the final version of the article.

Corresponding author

Correspondence to Gülden Küçükakça Çelik.

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No conflict of interest has been declared by the authors.

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This study was present as an oral presentation at the 2nd National Colo-Proctology and Stoma-Therapy Congress-Cappadocia/Turkey (9-11 September 2022).

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Küçükakça Çelik, G., Taylan, S. Colostomy may offer hope in improving quality of life: a phenomenological qualitative study with patients dependent on a wheelchair. Qual Life Res 32, 1981–1989 (2023). https://doi.org/10.1007/s11136-023-03368-3

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