Care Experience of a Stoma Patient with Hepatectomy Surgery Based on a Human-to-Human Relationship Model: A Case Report

Öz

To provide qualified care, nurses must use effective communication skills. The human-to-human rela tionship model is frequently applied to guide such interactions. This case report aimed to explore the care experiences of a patient who had a stoma due to rectal cancer and underwent hepatectomy for liver metastasis through the lens of this model. The interview was conducted in line with the model’s five stages: first encounter, emergence of identities, empathy, sympathy, and the development of a friendly relationship. Data were obtained through a semi-structured interview held on the fourth postoperative day in a quiet room. The patient provided both verbal and written consent. Thematic analysis was performed using a deductive approach. The patient, a 59-year-old woman with hearing impairment and rectal cancer, had three children, one of whom had a mental disability. A temporary stoma was created after rectal surgery, and hepatectomy was later performed. During the interview, she expressed that the nurses left a positive first impression, supported her during surgery, and were consistently attentive. She described participating in mobilisation, stoma care and breathing exercises with nursing guidance. She emphasised that she felt safe, valued, and satisfied throughout the care process. Findings were structured under five themes: “First Impression,” “Mutual Interaction,” “Desire to Help,” “Affected by the Patient,” and “Establishing Patient-Nurse Trust,” all aligned with the human-to-human relationship model. The results showed that nurses effectively used communication and empathy to support the patient’s physical and emotional recovery in a complex surgical care context.

Anahtar Kelimeler

• Stoma
• Hepatectomy
• Human-To-Human Relationship Model

Kaynakça

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