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Preparing for loop ileostomy surgery: women's accounts from a qualitative study.

Joy Notter1, Philip Burnard

  • 1Professor of Community Health Care Studies, University of Central England, UK. joy.notter@uce.ac.uk

International Journal of Nursing Studies
|May 24, 2005
PubMed
Summary

Restorative proctocolectomy is a key surgery for ulcerative colitis and familial adenomatous polyposis. This study highlights the immediate post-operative challenges faced by women, emphasizing pain and body image concerns.

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Area of Science:

  • Surgical innovation and patient outcomes
  • Gastroenterology and Colorectal Surgery
  • Nursing and Patient Care

Background:

  • Restorative proctocolectomy is a preferred surgical option for ulcerative colitis and familial adenomatous polyposis.
  • The procedure often involves staged surgeries, including the creation of a loop ileostomy.
  • Limited research exists on the immediate post-operative experiences of patients undergoing this surgery.

Purpose of the Study:

  • To explore the lived experiences of female patients during the immediate post-operative period following restorative proctocolectomy.
  • To understand patient preparation and experiences related to staged surgical treatment.
  • To identify implications for nursing education and patient support.

Main Methods:

  • Descriptive phenomenology was employed to explore patient experiences.

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  • A total of 50 women participated in the study.
  • Data were collected on preparation for and experiences of restorative proctocolectomy.

    • Main Results:

    • The surgical period was a pivotal and often traumatic time for patients.
    • Key concerns included pain management, body image changes, and issues with the loop ileostomy.
    • Despite challenges, most patients expressed a strong determination to preserve their ileo-anal pouch.

    Conclusions:

    • The immediate post-operative period significantly impacts patients' quality of life.
    • There are critical implications for enhancing nurse education and training in managing patients undergoing restorative proctocolectomy.
    • Improved support is needed to address the physical and psychological challenges faced by these patients.