TY - JOUR T1 - Stomalı gebelik ve doğumu yönetmek: Dayanıklılık ve olumlu bakış açısına ilişkin bir olgu TT - Managing pregnancy and birth with a stoma: A case of resilience and positive outlook AU - Karakoç, Tülin AU - Yavuz Van Giersbergen, Meryem PY - 2024 DA - September Y2 - 2024 DO - 10.52880/sagakaderg.1490610 JF - Sağlık Akademisyenleri Dergisi JO - SagAkaDerg PB - Dünya Kongre WT - DergiPark SN - 2148-7472 SP - 443 EP - 446 VL - 11 IS - 3 LA - tr AB - Özet: Bu vaka çalışması, stoma gerektiren Fournier kangreni öyküsü olan ve daha sonra Tip 2 diyabet tanısı konulan 32 yaşındaki bir kadının tedavisini incelemektedir. Bu zorluklara rağmen planlanmamış bir hamileliği başarıyla yöneterek sağlıklı bir çocuk doğurdu. Bu rapor, hastanın proaktif yönetimine ve psikolojik dayanıklılığına odaklanarak, kadın doğum ve genel cerrahiyi kapsayan disiplinler arası yaklaşımı ele almakta ve benzer vakalara ilişkin değerli bilgiler sağlamaktadır. KW - Stomalı Gebelik KW - Gebelikte Stoma Bakımı KW - Gebelikte Psikolojik Dayanıklılık KW - Gebelikte Multidisipliner Bakım N2 - Abstract:This case study examines the treatment of a 32-year-old woman with a history of Fournier's gangrene requiring a stoma and who was later diagnosed with Type 2 diabetes. Despite these difficulties, she successfully managed an unplanned pregnancy and gave birth to a healthy child. This report takes an interdisciplinary approach covering obstetrics and general surgery, focusing on proactive management and psychological resilience of the patient, and provides valuable information on similar cases. CR - Alptekin, H. M., & Şimşek Şahin, E. (2020). İntestinal Stomanın Gebelik Sürecine Etkisi ve Hemşirelik Bakımı. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(2). https://doi.org/10.37989/gumussagbil.635744 CR - Campigotto, M. Braini, A. Casarotto, M. Croce, S. & Sablich, R. (2022). Childbearing and delivery in women with ulcerative colitis and ileostomy or ileal pouch-anal anastomosis. Acg Case Reports Journal, 9(6), e00805. https://doi.org/10.14309/crj.0000000000000805 CR - Doe, J. (2019). Managing stomas in pregnancy: A review of the literature. Journal of Clinical Nursing, 28(9-10), 1234-1245. CR - Edel, M. (2022). Pregnancy with a stoma: Personal case report. In Coloproctology (Vol. 44, Issue 2). https://doi.org/10.1007/s00053-022-00599-9 CR - Gupta, S. & Hollander, M. H. (2021). Cesarean Section in Complex Pregnancies: Clinical Guidelines. Obstetrics and Gynecology International, 2021, Article e9324017. CR - Jing, W. Yue, S. Xue, D. Zipan, W. Yu, L. CHEN, Z. … & Qi, L. (2019). An analysis of the application of the suggestions of clinical practice guideline for ostomy care in china: a cross-sectional investigation. Journal of Integrative Nursing, 1(1), 9-20. https://doi.org/10.35437/intnur.issn.2663-4481.2019.01.01.02 CR - Johnson, S. & Taylor, G. (2018). Nutrition and Diet in Stoma Patients: A Practical Approach. Nutrition in Clinical Practice, 33(3), 381-389. CR - Kim, J. (2023). Nurses’ satisfaction with and demand for the national cancer patient home-care pilot program. https://doi.org/10.1101/2023.11.21.23298855 CR - Koç, M. Akyol, C. Gökmen, D. Aydın, D. Erkek, B. & Kuzu, M. (2022). Effect of prehabilitation on stoma self-care, anxiety, depression, and quality of life in patients with stomas: a randomized controlled trial. Diseases of the Colon & Rectum, 66(1), 138-147. https://doi.org/10.1097/dcr.0000000000002275 CR - Lee, K. et al. (2022). Postpartum Recovery in Women with Pre-Existing Gastrointestinal Conditions. Journal of Women’s Health, 31(2), 290-300. CR - McGee, M. and Cataldo, P. (2021). Intestinal stomas. 907-946. https://doi.org/10.1007/978-3-030-66049-9_54 CR - Mert, T. Yücel, A. Özkan, Y. (2023). Management of Stoma Care: A Case Report. Journal of Intensive Care Nursing 27(1):45-53 CR - Panwar, M., . R., Ahuja, N., Sangwan, A., & Arora, J. (2022). Sigmoid volvulus complicating pregnancy: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 11(8). https://doi.org/10.18203/2320-1770.ijrcog20221957 CR - Simmons, K. et al. (2020). Natural remedies for post-surgical recovery in stoma patients: A systematic review. Alternative Therapies in Health and Medicine, 26(4), 22-29. CR - Smith, L. et al. (2017). Pregnancy outcomes in women with gastrointestinal stomas. Journal of Perinatology, 37, 1068-1073. CR - Storm, S. (2023). Patient satisfaction with stoma care and their expectations on mobile apps for supportive care. Colorectal Disease, 25(9), 1852-1862. https://doi.org/10.1111/codi.16658 CR - Su, X. Zhong, M. Ye, X. Li, Z. Yin, X. Fang, Q. … & Wang, H. (2019). Effects of evidence-based continuing care bundle on health outcomes in rectal cancer patients with temporary stomas. Cancer Nursing, 44(3), 223-234. https://doi.org/10.1097/ncc.0000000000000762 CR - Wagner, P. et al. (2020). Psychological resilience and well-being in patients with stomas: A descriptive study. Journal of Psychosomatic Research, 133, Article 110102. UR - https://doi.org/10.52880/sagakaderg.1490610 L1 - https://dergipark.org.tr/tr/download/article-file/3958876 ER -