Coping and acceptance: The greatest challenge for veterans with intestinal stomas

Robert S. Krouse; Marcia Grant; Susan M. Rawl; M. Jane Mohler; Carol M. Baldwin; Stephen Joel Coons; Ruth McCorkle; C. Max Schmidt; Clifford Y. Ko

doi:10.1016/j.jpsychores.2008.09.009

Coping and acceptance: The greatest challenge for veterans with intestinal stomas

Robert S. Krouse, Marcia Grant, Susan M. Rawl, M. Jane Mohler, Carol M. Baldwin, Stephen Joel Coons, Ruth McCorkle, C. Max Schmidt, Clifford Y. Ko

Nursing and Health Innovation, Edson College of (EDSON)

Research output: Contribution to journal › Article › peer-review

55 Scopus citations

Abstract

Objective: Intestinal stomas (ostomies) create challenges for veterans. The goal of this qualitative analysis was to understand better patients' perspectives regarding their greatest challenge. Methods: Ostomates at three Veterans Affairs locations were surveyed using the modified City of Hope Quality of Life-Ostomy questionnaire that contained an open-ended request for respondents to describe their greatest challenge. The response rate was 51% (239 of 467); 68% (163 of 239) completed the open-ended item. Content analysis was performed by an experienced qualitative research team. Results: Coping and acceptance were the most commonly addressed themes. The most frequently expressed issues and advice were related to a need for positive thinking and insight regarding adjustment over time. Coping strategies included the use of humor, recognition of positive changes resulting from the stoma, and normalization of life with an ostomy. Conclusions: Coping and acceptance are common themes described by veterans with an intestinal stoma. Health-care providers can assist veterans by utilizing ostomate self-management strategies, experience, and advice.

Original language	English (US)
Pages (from-to)	227-233
Number of pages	7
Journal	Journal of Psychosomatic Research
Volume	66
Issue number	3
DOIs	https://doi.org/10.1016/j.jpsychores.2008.09.009
State	Published - Mar 2009

Keywords

Acceptance
Coping
Ostomy
Quality of life

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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10.1016/j.jpsychores.2008.09.009

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title = "Coping and acceptance: The greatest challenge for veterans with intestinal stomas",

abstract = "Objective: Intestinal stomas (ostomies) create challenges for veterans. The goal of this qualitative analysis was to understand better patients' perspectives regarding their greatest challenge. Methods: Ostomates at three Veterans Affairs locations were surveyed using the modified City of Hope Quality of Life-Ostomy questionnaire that contained an open-ended request for respondents to describe their greatest challenge. The response rate was 51% (239 of 467); 68% (163 of 239) completed the open-ended item. Content analysis was performed by an experienced qualitative research team. Results: Coping and acceptance were the most commonly addressed themes. The most frequently expressed issues and advice were related to a need for positive thinking and insight regarding adjustment over time. Coping strategies included the use of humor, recognition of positive changes resulting from the stoma, and normalization of life with an ostomy. Conclusions: Coping and acceptance are common themes described by veterans with an intestinal stoma. Health-care providers can assist veterans by utilizing ostomate self-management strategies, experience, and advice.",

keywords = "Acceptance, Coping, Ostomy, Quality of life",

author = "Krouse, {Robert S.} and Marcia Grant and Rawl, {Susan M.} and Mohler, {M. Jane} and Baldwin, {Carol M.} and Coons, {Stephen Joel} and Ruth McCorkle and Schmidt, {C. Max} and Ko, {Clifford Y.}",

note = "Funding Information: This research was supported by a grant from the Veterans Affairs Health Services Research and Development Service IIR 02-221-2: Health-Related Quality of Life in VA Patients with Intestinal Stomas.",

year = "2009",

month = mar,

doi = "10.1016/j.jpsychores.2008.09.009",

language = "English (US)",

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AU - Grant, Marcia

AU - Rawl, Susan M.

AU - Mohler, M. Jane

AU - Baldwin, Carol M.

AU - Coons, Stephen Joel

AU - McCorkle, Ruth

AU - Schmidt, C. Max

AU - Ko, Clifford Y.

N1 - Funding Information: This research was supported by a grant from the Veterans Affairs Health Services Research and Development Service IIR 02-221-2: Health-Related Quality of Life in VA Patients with Intestinal Stomas.

PY - 2009/3

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N2 - Objective: Intestinal stomas (ostomies) create challenges for veterans. The goal of this qualitative analysis was to understand better patients' perspectives regarding their greatest challenge. Methods: Ostomates at three Veterans Affairs locations were surveyed using the modified City of Hope Quality of Life-Ostomy questionnaire that contained an open-ended request for respondents to describe their greatest challenge. The response rate was 51% (239 of 467); 68% (163 of 239) completed the open-ended item. Content analysis was performed by an experienced qualitative research team. Results: Coping and acceptance were the most commonly addressed themes. The most frequently expressed issues and advice were related to a need for positive thinking and insight regarding adjustment over time. Coping strategies included the use of humor, recognition of positive changes resulting from the stoma, and normalization of life with an ostomy. Conclusions: Coping and acceptance are common themes described by veterans with an intestinal stoma. Health-care providers can assist veterans by utilizing ostomate self-management strategies, experience, and advice.

AB - Objective: Intestinal stomas (ostomies) create challenges for veterans. The goal of this qualitative analysis was to understand better patients' perspectives regarding their greatest challenge. Methods: Ostomates at three Veterans Affairs locations were surveyed using the modified City of Hope Quality of Life-Ostomy questionnaire that contained an open-ended request for respondents to describe their greatest challenge. The response rate was 51% (239 of 467); 68% (163 of 239) completed the open-ended item. Content analysis was performed by an experienced qualitative research team. Results: Coping and acceptance were the most commonly addressed themes. The most frequently expressed issues and advice were related to a need for positive thinking and insight regarding adjustment over time. Coping strategies included the use of humor, recognition of positive changes resulting from the stoma, and normalization of life with an ostomy. Conclusions: Coping and acceptance are common themes described by veterans with an intestinal stoma. Health-care providers can assist veterans by utilizing ostomate self-management strategies, experience, and advice.

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Coping and acceptance: The greatest challenge for veterans with intestinal stomas

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Keywords

ASJC Scopus subject areas

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