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Sexual experiences of patients with bowel stoma: qualitative study

Year 2020, , 17 - 23, 01.03.2020
https://doi.org/10.21601/ortadogutipdergisi.581232

Abstract

Objective: To describe the sexual experiences of individuals with bowel stoma.
Methods: A qualitative descriptive approach was adopted in the study. The sample of the study consisted of patients who were selected with the purposive sampling followed in the Stomatherapy Unit of a university hospital. In-depth interviews were conducted using semi-structured interview format. Content analysis method was used in the analysis of the obtained data. The interview guide prepared by the researchers consists of 7 questions about sexual experiences of individuals with intestinal stoma. The interviews were carried out in the stoma therapy unit and lasted for approximately 45 minutes and recorded on a voice recorder. The analysis approach developed by Colaizzi (1978) was used to analyze the interview data. The answers of the participants were separately and repetitively read and coded and themes were created by both researchers.
Results: Seven of the participants were female and eight were male. The data gathered from the interviews were collected under three themes: situations affecting sex life, partner-related situations that affect sex life, and ways of coping with sexual life problems.
Conclusion: It was seen that individuals with stoma who participated in the study had problems related to their sexual life and they needed to talk about these problems. It is thought that patients with stoma should receive counseling services with their husbands about their sexual lives.

References

  • Carpenito-Moyet U. Nursing Care Plans & Documentation: Nursing Diagnoses and Collaborative Problems. 5. Edition, China: Lippincott Williams&Wilkins, 2009;525-6.
  • Bossema ER., Seunties MW, Marjinen CA, Baas-Thijssen MC, van de Velde CJ, Stiggelbaut AM. The relation between illness cognitions and quality of life in people with and without a stoma following rectal cancer treatment. Psychooncology, 2011; 20(4): 428-34.
  • Ostomy Guidelines Task F, Goldberg M, Aukett LK, Carmel J, Fellows J, Folkedahl F, Pitman J, Palmer R, ve ark. Management of the patient with a fecal ostomy: best practice guideline for clinicians. J Wound Ostomy Continence Nurs, 2010; 37(6): 596-8.
  • Shaffy S K, Karobi D, Rajesh G. Physical, nutritional and sexual problems experienced by the patients with colostomy/ileostomy: a qualitative study. Nurs Midwifery Res J., 2012; 8(3): 210-22.
  • Gozuyesil E, Taylan S, Inel Manav A, Akıl Y. The Evaluation of Self-Esteem and Sexual Satisfaction of Patients with Bowel Stoma in Turkey. Sex Disabi, 2017; 35: 157–69.
  • Junkin J, Beitz JM. Sexuality and the person with a stoma: implications for comprehensive WOC nursing practice. J Wound Ostomy Continence Nurs, 2005; 32(2): 121-8.
  • Beck M, Justham D. Nurses’ attitudes towards the sexuality of colorectal patients. Nurs Stand, 2009; 23(31): 44-8.
  • Burch J. Psychological problems and stomas: a rough guide for community nurses. Br J Community Nurs, 2005; 10(5): 224-7.
  • Cakmak A, Aylaz G, Kuzu MA. Permanent stoma not only affects patients’ quality of life but also that of their spouses. World J Surg, 2010; 34(12): 2872-6.
  • Vural F, Harputlu D, Karayurt O, Suler G, Edeer Durmaz A, Ucer C. The Impact of an Ostomy on the Sexual Lives of Persons with Stomas: A Phenomenological Study. J Wound Ostomy Continence Nurs, 2016; 43(4): 381-4.
  • Symms MR, Rawl SM, Grant M. Sexual health and quality of life among male veterans with intestinal ostomies. Clin Nurse Spec. 2008; 22(1): 30-40.
  • Kralik D, Koch T, Telford K. Constructions of sexuality for midlife women living with chronic illness. 2001(2): 180-7.
  • McKenzie F, White C, Kendall S, Finlayson A, Urquhar TM, Williams I. Psychological impact of colostomy pouch change and disposal. Br J Nursing 2006; 15(6): 308-16.
  • Noone P. Pre- and postoperative steps to improve body image following stoma surgery. Gastrointest Nurs 2010; 8(2): 34-9.
  • Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri 9. Baskı. Seçkin Yayıncılık, 2013; 147.
  • Cohen L, Mannion L, Morrison K. Research Methods in Education. UK: Routledge, Taylor & Francis Group. 2007.
  • Ayaz S, Kubilay G. Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma. Journal of Clinical Nursing, 2007; 18: 89–98.
  • Brown H, Randle J. Living with a stoma: a review of the literature. J Clin Nurs, 2005; 14(1): 74-81.
  • Abalos EE, Rivera RY, Locsin RC, Schoenhofer SO. Husserlian Phenomenology and Colaizzi’s Method of Data Analysis: Exemplar in Qualitative Nursing Inquiry Using Nursing as Caring Theory. International Journal for Human Caring, 2016; 20(1): 19-23.
  • Li CC. Sexuality among patients with a colostomy: an exploration of the influences of gender, sexual orientation, and Asian heritage. J. Wound Ostomy Cont Nurs, 2009; 36: 288–96.
  • Kimura CA, Kamada I, Guilhem D, Fortes RC. Perception of sexual activities and the care process in ostomized women. J Coloproctol, 2013; 33: 145–50.
  • Weerakoon P. Sexuality and the patient with a stoma. Sex Disabil, 2001; 19: 121–9.
  • Ozturk O, Yalcin BM, Unal M, Yildirim K, Ozlem N. Sexual dysfunction among patients having undergone colostomy and its relationship with self-esteem. J Fam Med Community Health, 2015; 2: 2–7.
  • Kilic E, Taycanli O, Belli AK, Ozmen M. The effect of permanent ostomy on body image, self-esteem, marital adjustment, and sexual functioning. Turk J Psychiatry, 2007; 18: 302–10.
  • Sprunk E, Alteneder RR. The impact of an ostomy on sexuality. Clin J Oncol Nurs, 2000; 4: 85–8.
  • Krouse RS, Grant M, Rawl SM. Coping and acceptance: The greatest challenge forveterans with intestinal stomas. J Psychosom Res, 2009; 66: 227-32.

Bağırsak stoması olan hastaların cinsel deneyimleri: nitel çalışma

Year 2020, , 17 - 23, 01.03.2020
https://doi.org/10.21601/ortadogutipdergisi.581232

Abstract

Amaç: Bağırsak stoması olan bireylerin cinsel deneyimleri sırasında ne yaşadıkları ve hissettiklerinin anlaşılmasıdır.
Yöntem: Araştırmada nitel bir yaklaşım benimsenmiştir. Araştırmanın örneklemini, bir üniversite hastanesinin Stomaterapi Ünitesi’nde takip edilen amaçlı örnekleme ile seçilen hastalar oluşturmuştur. Derinlemesine görüşmeler yarı yapılanmış görüşme formatı kullanılarak yapılmıştır. Elde edilen verilerin analizinde içerik analizi yöntemi kullanılmıştır. Araştırmacılar tarafından hazırlanan görüşme rehberi bağırsak stoması olan bireylerin cinsel deneyimleri ile ilgili 7 sorudan oluşmaktadır. Görüşmeler stoma terapi ünitesinde yapılmış olup yaklaşık 45 dakika sürmüş ve ses kayıt cihazına kaydedilmiştir. Görüşme verilerinin analizinde Colaizzi (1978) tarafından geliştirilen analiz yaklaşımından yararlanılmıştır. Katılımcıların cevapları her iki araştırmacı tarafından da ayrı ayrı ve tekrarlı okunarak kodlamalar yapılmış ve temalar oluşturulmuştur.
Bulgular: Araştırmaya katılanların yedisi kadın, sekizi erkektir. Görüşmelerden elde edilen veriler cinsel yaşamı etkileyen durumlar, cinsel yaşamı etkileyen eş ile ilgili durumlar ve cinsel yaşam sorunları ile baş etme yolları olmak üzere üç tema altında toplanmıştır.
Sonuç: Çalışmaya katılan stomalı bireylerin cinsel yaşamları ile ilgili sorunlar yaşadıkları ve bu sorunları konuşmaya ihtiyaç duydukları görülmüştür. Stomalı hastaların cinsel yaşamları konusunda eşleri ile birlikte danışmanlık hizmeti alması gerektiği düşünülmektedir.

References

  • Carpenito-Moyet U. Nursing Care Plans & Documentation: Nursing Diagnoses and Collaborative Problems. 5. Edition, China: Lippincott Williams&Wilkins, 2009;525-6.
  • Bossema ER., Seunties MW, Marjinen CA, Baas-Thijssen MC, van de Velde CJ, Stiggelbaut AM. The relation between illness cognitions and quality of life in people with and without a stoma following rectal cancer treatment. Psychooncology, 2011; 20(4): 428-34.
  • Ostomy Guidelines Task F, Goldberg M, Aukett LK, Carmel J, Fellows J, Folkedahl F, Pitman J, Palmer R, ve ark. Management of the patient with a fecal ostomy: best practice guideline for clinicians. J Wound Ostomy Continence Nurs, 2010; 37(6): 596-8.
  • Shaffy S K, Karobi D, Rajesh G. Physical, nutritional and sexual problems experienced by the patients with colostomy/ileostomy: a qualitative study. Nurs Midwifery Res J., 2012; 8(3): 210-22.
  • Gozuyesil E, Taylan S, Inel Manav A, Akıl Y. The Evaluation of Self-Esteem and Sexual Satisfaction of Patients with Bowel Stoma in Turkey. Sex Disabi, 2017; 35: 157–69.
  • Junkin J, Beitz JM. Sexuality and the person with a stoma: implications for comprehensive WOC nursing practice. J Wound Ostomy Continence Nurs, 2005; 32(2): 121-8.
  • Beck M, Justham D. Nurses’ attitudes towards the sexuality of colorectal patients. Nurs Stand, 2009; 23(31): 44-8.
  • Burch J. Psychological problems and stomas: a rough guide for community nurses. Br J Community Nurs, 2005; 10(5): 224-7.
  • Cakmak A, Aylaz G, Kuzu MA. Permanent stoma not only affects patients’ quality of life but also that of their spouses. World J Surg, 2010; 34(12): 2872-6.
  • Vural F, Harputlu D, Karayurt O, Suler G, Edeer Durmaz A, Ucer C. The Impact of an Ostomy on the Sexual Lives of Persons with Stomas: A Phenomenological Study. J Wound Ostomy Continence Nurs, 2016; 43(4): 381-4.
  • Symms MR, Rawl SM, Grant M. Sexual health and quality of life among male veterans with intestinal ostomies. Clin Nurse Spec. 2008; 22(1): 30-40.
  • Kralik D, Koch T, Telford K. Constructions of sexuality for midlife women living with chronic illness. 2001(2): 180-7.
  • McKenzie F, White C, Kendall S, Finlayson A, Urquhar TM, Williams I. Psychological impact of colostomy pouch change and disposal. Br J Nursing 2006; 15(6): 308-16.
  • Noone P. Pre- and postoperative steps to improve body image following stoma surgery. Gastrointest Nurs 2010; 8(2): 34-9.
  • Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri 9. Baskı. Seçkin Yayıncılık, 2013; 147.
  • Cohen L, Mannion L, Morrison K. Research Methods in Education. UK: Routledge, Taylor & Francis Group. 2007.
  • Ayaz S, Kubilay G. Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma. Journal of Clinical Nursing, 2007; 18: 89–98.
  • Brown H, Randle J. Living with a stoma: a review of the literature. J Clin Nurs, 2005; 14(1): 74-81.
  • Abalos EE, Rivera RY, Locsin RC, Schoenhofer SO. Husserlian Phenomenology and Colaizzi’s Method of Data Analysis: Exemplar in Qualitative Nursing Inquiry Using Nursing as Caring Theory. International Journal for Human Caring, 2016; 20(1): 19-23.
  • Li CC. Sexuality among patients with a colostomy: an exploration of the influences of gender, sexual orientation, and Asian heritage. J. Wound Ostomy Cont Nurs, 2009; 36: 288–96.
  • Kimura CA, Kamada I, Guilhem D, Fortes RC. Perception of sexual activities and the care process in ostomized women. J Coloproctol, 2013; 33: 145–50.
  • Weerakoon P. Sexuality and the patient with a stoma. Sex Disabil, 2001; 19: 121–9.
  • Ozturk O, Yalcin BM, Unal M, Yildirim K, Ozlem N. Sexual dysfunction among patients having undergone colostomy and its relationship with self-esteem. J Fam Med Community Health, 2015; 2: 2–7.
  • Kilic E, Taycanli O, Belli AK, Ozmen M. The effect of permanent ostomy on body image, self-esteem, marital adjustment, and sexual functioning. Turk J Psychiatry, 2007; 18: 302–10.
  • Sprunk E, Alteneder RR. The impact of an ostomy on sexuality. Clin J Oncol Nurs, 2000; 4: 85–8.
  • Krouse RS, Grant M, Rawl SM. Coping and acceptance: The greatest challenge forveterans with intestinal stomas. J Psychosom Res, 2009; 66: 227-32.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original article
Authors

Seçil Taylan 0000-0002-7243-0734

Yasemin Akıl This is me 0000-0002-0004-6055

Publication Date March 1, 2020
Published in Issue Year 2020

Cite

Vancouver Taylan S, Akıl Y. Bağırsak stoması olan hastaların cinsel deneyimleri: nitel çalışma. otd. 2020;12(1):17-23.

e-ISSN: 2548-0251

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