Yanqing Kang, Yingying Zhu, Gaoting Zhong, Aili Lv, Rui Gao, Ning Li, Cong Li, Tianmeng Wang, Ya Zhang
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引用次数: 0
Abstract
Objective: Urostomy profoundly alters the body image of bladder cancer patients, leading to a series of physiological, psychological, social, and functional changes. This review aims to synthesize qualitative research on urostomy patients' life experiences to provide healthcare professionals with a complete understanding of the patient's problems and needs, thereby guiding the development of interventions and continuous care services.
Methods: This review adhered to the ENTREQ guide. The Cochrane, EMBASE, Ovid (Medline), Web of Science Core Collection, PubMed, EBSCO, CNKI, VIP, and Wan Fang databases were searched for qualitative studies on the life experience of urostomy patients. The search period was from the earliest available records in each database to June 2024. This review selected studies based on the study's objectives and predetermined criteria. The data was synthesized using a meta-aggregation method.
Results: A total of 17 studies were included in the synthesis. This review included 242 patients. The 32 qualitative findings were distilled into nine new categories and synthesized into three findings: (1) Facing multiple pressures and challenges that disrupt normalcy; (2) The existence of multidimensional unmet needs; and (3) Growing up after trauma and achieving life reconstruction.
Conclusions: Urostomy patients face complex physiological, psychological, and social challenges. These challenges require a comprehensive understanding of patients' experiences, life adjustments, and unmet needs. Healthcare professionals should address these aspects, support patients through their adjustment to stoma life, and enhance their self-care abilities to improve their quality of life.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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