文献汇报造口照护解读.ppt

Literature Report Student: Xu fang-fang Tutor: Yu wei-hua Date: 2015-9-28 合肥市第一人民医院 徐芳芳 Learning to Live With a PermanentIntestinal Ostomy Impact on Everyday Life and Educational Needs J Wound Ostomy Continence Nurs Editor-in-Chief: Mikel L. Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN ISSN: 1071-5754 Online ISSN: 1528-3976 Frequency: 6 issues per year Ranking: Nursing 42/101 Impact Factor: 1.177 the official publication of the Wound Ostomy Continence Nurses Society Anne Kjaergaard Danielsen Ph.D, MA (ed), Ma(ClN), Department of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark. Abstract Purpose: 1.explore the impact of a permanent stoma on patients’ everyday lives 2. gain further insight into their need for ostomy-related education. Subjects and Setting: 1. 15 persons with permanent ostomies. 2. the surgical department at a hospital Abstract Methods: 1.Focus group interviews 2.a phenomenological hermeneutic approach 3.Data were collected and analyzed using qualitative content analysis Results: 1.Stoma creation led to feelings of stigma, worries about disclosure, a need for control and self-imposed limits. Abstract Conclusions: 1. Self-imposed isolation was often selected as a strategy for avoiding disclosing the presence of a stoma. 2. Patient education using health promotional Methods, recommend involvement of lay teachers Abstract Results: 2. Furthermore, difficulties identifying their new lives with their lives before surgery. 3. Participants stated they need to be seen as a whole person, to have close contact with health care professionals, and receive trustworthy Information about life with an ostomy 4. Group sessions conducted after hospital discharge. delivered by lay teachers who had a stoma themselves Key Words: Patient education Permanent ostomy Stoma Qualitative content analysis Quality of life Contents Introduction Methods Results Discussion Introduction impact on everyday life construction of a permanent stoma is not a