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Korean J Adult Nurs : Korean Journal of Adult Nursing

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Original Research

Living with a Colostomy: A Phenomenological Study

Soo Young Jun, RN, MPH1, Yeoungsuk Song, APRN-ACNP, Ph.D.2
Korean Journal of Adult Nursing 2017;29(6):579-586.
Published online: December 18, 2017

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Corresponding author: Song, Yeoungsuk College of Nursing, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu 41944, Korea. Tel: +82-53-420-4978, Fax: +82-53-425-1258, E-mail: asansong@knu.ac.kr
• Received: July 14, 2017   • Accepted: December 15, 2017

© 2017 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study was to explore and describe their experience of living with a colostomy.
  • Methods
    The data were collected by in-depth interviews with eight patients with colorectal cancer. The individual interviews lasted from 45 minutes to one hour each time, up to two times. The main questions were "How do you cope with the distress related to your colostomy?" The interview data were analyzed using Colaizzi's phenomenological method.
  • Results
    Of the eight participants, five were men and three were women. Mean age was 60.6 years. Three theme clusters were identified; ‘ overcoming adversity of ostomy', and’ adjustment to ostomy' and ‘ new life through self-transcendence'.
  • Conclusion
    These results showed that participants try to overcome their negative images and distress of having an ostomy by themselves, or with support from neighbors, families, religious persons or health professionals. The results from this study can help nurses to develop effective colostomy-caring inter-ventions for patients living with a colostomy.
  • Key Words: Colorectal neoplasms; Ostomy; Adjustment; Qualitative research
Table 1.
Coping Experience of Patients with Colostomy
Theme cluster Theme
Actively dealing with reality Change of dietary pattern
Colostomy self-care
Adjustment to living with ostomy Acceptance of change in body image
Being aloof from ostomy distress
New life through self-transcendence Resumed life
Journey with others
Leaning on spiritual sources
  • 1.Korea Central Cancer Registry. 2014 National cancer registration and statistics [Internet]. Sejong: Ministry for Health, Wel-fare and Family Affairs; 2016. [cited 2017 January 13]. Available from.http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=337780&page=1.
  • 2.National Cancer Information Center. National cancer statistics [Internet]. Goyang: National Cancer Statistics; 2016. [cited 2016 December 23]. Available from.http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040302000000.
  • 3.Schneider EB, Hyder O, Brooke BS, Efron J, Cameron JL, Edil BH, et al. Patient readmission and mortality after colorectal surgery for colon cancer: impact of length of stay relative to other clinical factors. Journal of the American College of Surgeons.. 2012;214(4):390-8. https://doi.org/10.1016/j.jamcollsurg.2011.12.025.
  • 4.Holland DE, Mistiaen P, Bowles KH. Problems and unmet needs of patients discharged "home to self-care". Professional Case Management.. 2011;16(5):240-50. https://doi.org/10.1097/NCM.0b013e31822361d8.
  • 5.Kim HKHealth-related quality of life and its related factors in rectal cancer [master's thesis]. Seoul: Yonsei University; 2003.
  • 6.Park HM, Ha NS. Influencing predictors of quality of life in colorectal cancer patients with colostomy. Korean Clinical Nursing Research.. 2006;12(2):123-31.
  • 7.Lee BS. A study on self-esteem, social support and quality of life in ostomates. Health & Nursing.. 2008;20(2):37-49.
  • 8.Ju AR, Yeoum SG, Park KS. The nursing needs of post-surgical colon cancer patients at discharge. Journal of Korean Academy of Fundamentals of Nursing.. 2009;16(4):392-401.
  • 9.Oh EH, Hong SJ, Mo MH, Woo MY, Kim SJ, Chung BY. Di-stress of the patients with ostomy. Journal of Korean Oncology Nursing.. 2011;11(1):9-19. https://doi.org/10.5388/jkon.2011.11.1.9.
  • 10.Zhu X, Chen Y, Tang X, Chen Y, Liu Y, Guo W, et al. Sexual ex-periences of Chinese patients living with an ostomy. Journal of Wound Ostomy & Continence Nursing.. 2017;44(5):469-74. https://doi.org/10.1097/WON.0000000000000357.
  • 11.Hueso-Montoro C, Bonill-de-las-Nieves C, Celdráñ-Mañas M, Her-nádez-Zambrano SM, Amezcua-Martínez M, Morales-Asencio JM. Experiences and coping with the altered body image in digestive stoma patients. Revista Latino-Americana de Enfermagem.. 2016;24:e2840-8. https://doi.org/10.1590/1518-8345.1276.2840.
  • 12.Krous RS, Grant M, Rawl SM, Mohler MJ, Baldwin CM, Coons SJ, et al. Coping and acceptance: the greatest challenge for veterans with intestinal stoma. Journal of Psychosomatic Research.. 2009;66(3):227-33. https://doi.org/10.1016/j.jpsychores.2008.09.009.
  • 13.Yang HR. Merleau-Ponty's cultural phenomenology of the body. The Performing Arts & Film Review.. 2004;45(6):25-42.
  • 14.Colazzi PFPsychological research as the phenomenologist views it. New York, NY: Oxford University Press; 1978. p. 57-71.
  • 15.Lincoln YS, Guba EGNaturalistic inquiry. Newbury Park, CA: Sage Publications Inc.; 1985. p. 301-31.
  • 16.Matthews EE, Cook PF. Relationships among optimism, well- being, self-transcendence, coping, and social support in women during treatment for breast cancer. Psycho-Oncology.. 2009;18(7):716-26. https://doi.org/10.1002/pon.1461.
  • 17.Ching SS, Martinson IM, Wong TK. Meaning making: psycho-logical adjustment to breast cancer by Chinese women. Qualitative Health Research.. 2012;22(2):250-62. https://doi.org/10.1177/1049732311421679.
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  • 19.Simmons KL, Smith JA, Bobb KA, Liles LL. Adjustment to colostomy: stoma acceptance, stoma care self-efficacy and inter-personal relationships. Journal of Advanced Nursing.. 2007;60(6):627-35. https://doi.org/10.1111/j.1365-2648.2007.04446.x.
  • 20.Kim KM, Baek ES, Kang NH, Yoon KE, Bae NY, Cha BK. Ef-fects of self efficacy promoting programs on self efficacy, self care behavior and psychosocial adaptation in patients with a colostomy. Journal of Korean Academy of Fundamentals of Nursing.. 2007;14(3):288-96.
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  • 22.Park JA, Choi KS. Experience of colorectal cancer survival jour-neys: born again after going through an altered self image. Asian Oncology Nursing.. 2013;13(3):163-73. https://doi.org/10.5388/aon.2013.13.3.163.
  • 23.Reed PGTheory of self-transcendence. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. 2nd ed.. New York, NY: Springer Publishing; 2008. p. 105-29.
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    Citations

    Citations to this article as recorded by  
    • Hopelessness and suicide ideation in ostomy patients: a mixed method study
      Nasrin Sarabi
      Journal of Coloproctology.2020; 40(03): 214.     CrossRef
    • Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
      Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
      International Wound Journal.2019; 16(S1): 13.     CrossRef

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    Living with a Colostomy: A Phenomenological Study
    Korean J Adult Nurs. 2017;29(6):579-586.   Published online December 31, 2017
    DOI: https://doi.org/10.7475/kjan.2017.29.6.579
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    Living with a Colostomy: A Phenomenological Study
    Korean J Adult Nurs. 2017;29(6):579-586.   Published online December 31, 2017
    DOI: https://doi.org/10.7475/kjan.2017.29.6.579
    Close
    Living with a Colostomy: A Phenomenological Study
    Living with a Colostomy: A Phenomenological Study

    Coping Experience of Patients with Colostomy

    Theme cluster Theme
    Actively dealing with reality Change of dietary pattern
    Colostomy self-care
    Adjustment to living with ostomy Acceptance of change in body image
    Being aloof from ostomy distress
    New life through self-transcendence Resumed life
    Journey with others
    Leaning on spiritual sources
    Table 1. Coping Experience of Patients with Colostomy

    Table 1.

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