Psychological aspects of patients with intestinal stoma: integrative review.
Natália Michelato Silva, Manoel Antônio Dos Santos, Sara Rodrigues Rosado and 2 others
PMID 29236836WHAT IT FOUND
Patients with intestinal stomas commonly reported fear, body-image concerns, social and sexual difficulties, and poorer early quality of life.
Better adjustment was linked to stoma-care knowledge, social support, and follow-up after discharge.
Key findings
01Quality of life was lower in the first postoperative month than at the sixth month, and patients reported loss of body control and social avoidance.
02Patients with more stoma-care knowledge and more social support reported better adaptation.
03Telephone follow-up by a stoma therapist nurse after discharge was reported to improve satisfaction, reduce complications, and increase self-care confidence.
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
Most included studies looked at patients after discharge, so the review says little about psychological care during the hospital stay. The review included only adults, so it does not address children or adolescents with stomas. The synthesis was descriptive and combined observational, qualitative, and intervention studies, so it cannot show how large any effect is. The search used selected databases and three languages, so relevant studies may have been missed.
The easy way to misread this
Do not read this review as proof that any one stoma-care intervention reliably improves psychological adjustment. The included studies varied in design and setting, and the review used descriptive synthesis rather than pooled statistics.