Psychological issues affecting patients living with a stoma

Black, Patricia and Notter, Joy (2021) Psychological issues affecting patients living with a stoma. British Journal of Nursing, 36 (6). pp. 20-32. ISSN 0966-0461

Psychological Issues in Ostomates.pdf - Accepted Version

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Stoma surgery, be it temporary or permanent, it is an intrusive operation, with outcomes that can impact seriously on daily life, not just in the immediate post-operative and recovery period, but for the rest of their lives. There are changes in bodily function, altered body image, physicality and personal care needs (ref). These changes require acceptance and adaptation and can necessitate a re-ordering of daily life, socially, emotionally and in terms of work.
Assessing the patient’s needs through the trajectory of diagnosis, surgery and a stoma, is not just important during the treatment phase but needs to continue through the lifespan. Traditionally, patient outcome measures after bowel surgery have included overall self-efficacy, checking for stoma complications, clinical health status, function and psychological status. However, over the last three decades there has been increasing recognition that Quality of Life (QoL) which is now regarded as a key measurement, needs further consideration. Patients report difficulties when explaining to healthcare professionals the challenges they face, and their reactions as they try to make the adjustments to their new normal of life with a stoma. The transition process by professionals from active care to post care treatment using a long term health plan that not only takes the patient through the first five years (accepted time span if there has been a cancer) can be critical to wellbeing for the rest of their life. This article examines some of the previous research into QoL and looks at stoma patients perceptions of their outcomes from recent research.

Item Type: Article
Identification Number:
10 December 2020Accepted
26 March 2021Published Online
Uncontrolled Keywords: Stoma, psychological issues, Clinical Nurse Specialists (CNS), Body image.
Subjects: CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions: Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR)
Depositing User: Joy Notter
Date Deposited: 05 Feb 2021 10:27
Last Modified: 03 Mar 2022 17:15

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