"Living with a Stoma": Exploring the Lived Experience of Patients with Permanent Colostomy

Int J Environ Res Public Health. 2021 Aug 12;18(16):8512. doi: 10.3390/ijerph18168512.

Abstract

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.

Keywords: assessment; colostomy; nursing care; patient outcomes; qualitative research; quality of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Caregivers
  • Colostomy*
  • Humans
  • Qualitative Research
  • Quality of Life*