Experiential Aspects in Patients With Permanent Urostomy Following Bladder Cancer Surgery: Meta-Synthesis of Qualitative Studies.
Luqiang Zhou, Yu Chen, Xiaojuan Yuan and 6 others
PMID 41928070WHAT IT FOUND
People living with a permanent urostomy after bladder cancer surgery described fear of leaks and odour, changed body image, sexual problems, family and financial stress, and gaps in home stoma care.
These themes describe daily life, not treatment effects.
Key findings
01Patients described lasting changes to body image, clothing, social outings and sexual relationships because of stoma bag use.
02Patients described worry about caregiver burden and treatment cost, and they wanted family support.
03Patients wanted more specialised medical care knowledge and support from the health care and health insurance system.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
Only seven qualitative studies were included. All included studies were rated moderate quality, not high. Some studies did not distinguish urinary stomas from other stoma types. The included studies came from China, Turkey, the UK, Italy and India, and the paper says this is not enough to show a complete picture. Primary studies had limited demographic detail, so gender, age and socioeconomic differences were not explored. Mixed-methods studies were excluded, and the included methods were mostly phenomenological. Only English and Chinese publications were included.
Declared interests
The authors declare no conflicts of interest. Funding came from the Nursing Incubation Program of the Second Affiliated Hospital of Army Medical University, the Chongqing Municipal Subsidy for Maternal and Child Health Capacity Obstetrics and Gynecology, the Discipline Talent Construction Project of the Second Affiliated Hospital of Army Medical University, the Humanities and Social Sciences Fund of Army Medical University and the Second Affiliated Hospital of the Army Military Medical University Qingbo Program Key Projects.
The easy way to misread this
Do not conclude that any specific stoma education, counselling, buddy system or insurance change improves outcomes. The paper synthesises patient experiences from qualitative studies; it does not test interventions.