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Psychological problems and stomas: a rough guide for community nurses.

Jennie Burch1

  • 1St Mark's Hospital, Harrow, Middlesex. jennie.burch@nwlh.nhs.uk

British Journal of Community Nursing
|June 1, 2005
PubMed
Summary

Approximately 20% of the 100,000 people in the UK with a stoma may experience significant psychological issues post-surgery. This article reviews common challenges and provides management guidance for community nurses.

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Area of Science:

  • Medical-Surgical Nursing
  • Psychological Health
  • Patient Support

Background:

  • An estimated 100,000 individuals in the UK live with a stoma.
  • A significant proportion (around 20%) face clinically significant psychological distress after stoma-forming surgery.
  • The psychological impact of stoma surgery requires focused attention and management strategies.

Purpose of the Study:

  • To examine the most common psychological problems experienced by patients with a stoma.
  • To offer practical management suggestions for community nurses caring for these patients.
  • To improve the psychological well-being of individuals living with a stoma.

Main Methods:

  • Literature review of psychological issues post-stoma formation.
  • Analysis of common psychological challenges reported in stoma patients.

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  • Synthesis of evidence-based recommendations for nursing interventions.

    • Main Results:

    • Identification of prevalent psychological issues such as anxiety, depression, and body image disturbance.
    • Understanding the specific stressors associated with stoma presence and management.
    • Recognition of the crucial role of community nurses in addressing these psychological needs.

    Conclusions:

    • Psychological support is a critical component of stoma care.
    • Community nurses are well-positioned to identify and manage psychological problems in stoma patients.
    • Effective nursing interventions can significantly improve patient outcomes and quality of life.