{"title":"Sexual Life Experiences of Patients With a Fecal Ostomy: A Meta-synthesis.","authors":"Secil Taylan, İlknur Özkan","doi":"10.1097/WON.0000000000001176","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this structured review was to synthesize qualitative studies examining sexual life experiences of patients with a fecal ostomy.</p><p><strong>Method: </strong>This meta-synthesis was based on the interpretive meta-ethnography method defined by Noblit and Hare.</p><p><strong>Search strategy: </strong>Electronic databases, CINAHL, MEDLINE, PubMed, Web of Science, OVID, Scopus, Springer, and TR Index were searched to identify pertinent sources. Inclusion criteria used a qualitative research design, developed a theme or category, included participants with fecal ostomies aged 18 years or older, and published in English or Turkish. We searched for studies published between January 1990 and December 2020. Grey literature sources and quantitative studies were excluded. Qualitative studies included in this study were evaluated for quality using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (QARI).</p><p><strong>Findings: </strong>The sample comprised 20 studies. Three main themes were determined: (1) perceived barriers to sexual life, (2) the effect of perceived barriers on sexual life, and (3) sexual counseling related to the effect of an ostomy. Synthesis of the studies provides evidence for the importance of the sexual life experiences of patients with a fecal ostomy and the patient care, patient follow-up, and counseling practices of ostomy nurse specialists.</p><p><strong>Implications: </strong>Ostomy nurse specialists should be aware that the sexual problems experienced by patients are multifaceted and should provide specific training and counseling about these problems.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 3","pages":"212-219"},"PeriodicalIF":1.8000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Wound Ostomy and Continence Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/WON.0000000000001176","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/16 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: The purpose of this structured review was to synthesize qualitative studies examining sexual life experiences of patients with a fecal ostomy.
Method: This meta-synthesis was based on the interpretive meta-ethnography method defined by Noblit and Hare.
Search strategy: Electronic databases, CINAHL, MEDLINE, PubMed, Web of Science, OVID, Scopus, Springer, and TR Index were searched to identify pertinent sources. Inclusion criteria used a qualitative research design, developed a theme or category, included participants with fecal ostomies aged 18 years or older, and published in English or Turkish. We searched for studies published between January 1990 and December 2020. Grey literature sources and quantitative studies were excluded. Qualitative studies included in this study were evaluated for quality using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (QARI).
Findings: The sample comprised 20 studies. Three main themes were determined: (1) perceived barriers to sexual life, (2) the effect of perceived barriers on sexual life, and (3) sexual counseling related to the effect of an ostomy. Synthesis of the studies provides evidence for the importance of the sexual life experiences of patients with a fecal ostomy and the patient care, patient follow-up, and counseling practices of ostomy nurse specialists.
Implications: Ostomy nurse specialists should be aware that the sexual problems experienced by patients are multifaceted and should provide specific training and counseling about these problems.
目的：本结构化综述的目的是综合定性研究，探讨粪便造口术患者的性生活经历。方法：以Noblit和Hare定义的解释性元人种学方法为基础进行meta综合。检索策略：检索电子数据库，CINAHL， MEDLINE, PubMed, Web of Science， OVID, Scopus，施普林格，TR Index，确定相关来源。纳入标准采用定性研究设计，制定主题或类别，纳入年龄在18岁或以上的粪便造口患者，并以英语或土耳其语发表。我们检索了1990年1月至2020年12月之间发表的研究。排除灰色文献来源和定量研究。采用乔安娜布里格斯研究所定性评估和审查工具（QARI）对本研究中包括的定性研究进行质量评估。研究结果：样本包括20项研究。确定了三个主要主题：(1)感知到的性生活障碍；(2)感知到的障碍对性生活的影响；(3)与造口术影响相关的性咨询。综合这些研究提供了证据，证明了粪便造口术患者的性生活经历以及造口护理专家的患者护理、患者随访和咨询实践的重要性。启示：造口护理专家应该意识到患者所经历的性问题是多方面的，并且应该就这些问题提供专门的培训和咨询。
期刊介绍：
The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care.
The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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