Emotions of Gynecologic Cancer Patients Dealing with Permanent Colostomy: A Qualitative Interview Study

Gül Pınar, Ali Ayhan, Tevfik Pınar

Department of Gyne-Oncology, Faculty of Medicine, Baskent University, Ankara, Turkey.
Department of Nursing, Faculty of Health Science, Yildirim Beyazit University, Ankara, Turkey.
Department of Public Health, Faculty of Medicine, Kirikkale University, Ankara, Turkey.

DOI: 10.4236/jct.2013.46120                

Abstract

Purpose: This study was conducted to describe emotional state of colostomized patients with gynecologic cancer. Patients and Methods: The study employed a qualitative design from May to October of 2010, in a private university hospitals outpatient gnecologic oncology clinic in Ankara, Turkey. Content analysis with an inductive approach had been used to analyze 32 interviews that served as the data base for this study. Interview form that focused on what gynecologic cancer women felt to living with a colostomy. Results: Findings also reveal that gynecologic cancer patients with colostomy experience many uneasy feelings that affect their emotional state. The content analysis resulted in the development of two thematic units. The first we described as “To experience the consequences of stoma as a gynecologic cancer patients”. The second was “suffering experienced-being challenged the consequences of the stoma”, and the third was “promote self management-normalization of the new condition”. For the psychological support, family and friends’ support has been mentioned as the most important part that can release their anxiety. Conclusions: We concluded that a having stoma was difficult for the women. The emotional state of the women when they get colostomy was typically characterized by fear, and worry about their current process. Body image, self-esteem, social activity, sexuality were the aspects that most affected the patients. Nurses have very important role within holistic approach and empathetic interaction, for determining major problem areas.

Keywords

Emotional State; Ostomy; Qualitative Study

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	A. Jemal, R. Siegel, J. Xu and E. Ward, “Cancer Statistics, 2010,” CA: A Cancer Journal for Clinicians, Vol. 60, No. 5, 2010, pp. 277-300. doi:10.3322/caac.20073
[2]	G. Pinar, A. Kurt and T. Gungor, “The Efficacy of Preopoerative Instruction in Reducing Anxiety Following Gyneoncological Surgery: A Case Control Study,” World Journal of Surgical Oncology, Vol. 9, No. 1, 2011, pp. 38-45.
[3]	G. Pinar, S. Okdem, L. Buyukgonenc and A. Ayhan, “The Relationship between Social Support and the Level of Anxiety, Depression, and Quality of Life of Turkish Women with Gynecologic Cancer,” Cancer Nursing, Vol. 35, 2012, pp. 229-235. doi:10.1097/NCC.0b013e31822c47bd
[4]	G. Pinar, L. Algier, M. Colak and A. Ayhan, “Quality of Life in Patients with Gynecologic Cancer,” Uluslararasi Hematoloji-Onkoloji Dergisi, Vol. 18, No. 3, 2008, pp. 141-149.
[5]	B. D. Bultz and J. C. Holland, “Emotional Distress in Patients with Cancer: The Sixth Vital Sign,” Community Oncology, Vol. 3, 2006, pp. 311-314. doi:10.1016/S1548-5315(11)70702-1
[6]	M. M. Lobchuk and S. A. Bokhari, “Linkages among Empathic Behaviors, Physical Symptoms, and Psychological Distress in Patients with Ovarian Cancer: A Pilot Study,” Oncology Nursing Forum, Vol. 35, No. 5, 2008, pp. 808-814. doi:10.1188/08.ONF.808-814
[7]	G. Pinar, S. Okdem, N. Dogan, L. Buyukgonenc and A. Ayhan, “The Effects of Hysterectomy on Body Image, Self-Esteem, and Marital Adjustment in Turkish Women with Gynecologic Cancer,” Clinical Journal of Oncology Nursing, Vol. 16, No. 3, 2012, pp. 99-104. doi:10.1188/12.CJON.E99-E104
[8]	E. Ozalp, E. S. Cankurtaran, H. Soygur, G. P. Ozdemir and P. B. Jacobsen, “Screening for Psychological Distress in Turkish Cancer Patients,” Psycho-Oncology, Vol. 16, No. 1, 2007, pp. 304-311.
[9]	H. Brown and J. Randle, “Living with a Stoma: A Review of the Literature,” Journal of Clinical Nursing, Vol. 14, No. 1, 2005, pp. 74-81. doi:10.1111/j.1365-2702.2004.00945.x
[10]	D. M. Smith, G. Loewenstein, P. Rozin, R. L. Sherriff and P. A. Ubel, “Sensitivity to Disgust, Stigma, and Adjustment to Life with a Colostomy,” Journal of Research in Personality, Vol. 41, No. 4, 2007, pp. 787-803. doi:10.1016/j.jrp.2006.09.006
[11]	M. A. Mehraban, E. Ashoori, A. Moladoost and S. Aghayi, “Psychological Experiences of Patients with Surgical Stoma (Colostomy): A Phenomenological Study,” Research and Behavioral Science, Vol. 2, No. 5, 2008, pp. 119-127.
[12]	T. Nichols and M. Riemer, “The Impact of Stabilizing Forces on Postsurgical Recovery in Ostomy Patients,” Journal of Wound, Ostomy and Continence Nursing, Vol. 35, No. 3, 2008, pp. 316-320. doi:10.1097/01.WON.0000319131.52348.7a
[13]	P. K. Black, “Psychological, Sexual, and Cultural Issues for Patients with the Stoma,” British Journal of Nursing, Vol. 13, No. 12, 2004, pp. 692-695.
[14]	J. Junkin and J. M. Beitz, “Sexuality and the Person with a Stoma,” Journal of Wound, Ostomy and Continence Nursing, Vol. 32, 2005, pp. 121-128. doi:10.1097/00152192-200503000-00009
[15]	J. Junkin and J. M. Beitz, “Sexuality and the Person with a Stoma: Implications for Comprehensive WOC Nursing Practice,” Journal of Wound, Ostomy and Continence Nursing, Vol. 32, No. 2, 2005, pp. 121-128. doi:10.1097/00152192-200503000-00009
[16]	J. Burch, “The Preand Post-Operative Nursing Care for Patients with a Stoma,” British Journal of Nursing, Vol. 14, No. 6, 2005, pp. 310-318.
[17]	J. Burch, “Psychological Problems and Stomas: A Rough Guide for Community Nurses,” British Journal of Community Nursing, Vol. 10, No. 5, 2005, pp. 224-227.
[18]	J. M. Jenks, K. H. Morin and N. Tomaselli, “The Influence of Ostomy Surgery on Body Image in Patients with Cancer,” Applied Nursing Research, Vol. 10, No. 4, 1997, pp. 174-180. doi:10.1016/S0897-1897(97)80548-4