Adaptive responses of colostomy patients before and after using an occlude

Abstract

Objective

To understand the adaptive responses of colostomy patients before and after using an occluder.

Methods

This is a qualitative study with 19 colostomy patients who met the criteria for occluder recommendation. Data collected were through two interviews at different times, analyzed by the IRaMuTeQ software, proceeding with thematic content analysis from the perspective of Calilsta Roy’s Adaptation Model.

Results

Before the use of an occluder, colostomy patients felt embarrassed, the collection bag triggered changes in daily activities, nutrition and the fear of leaks provided shame, isolation and reduction of religious activities. After using an occluder, there was a new expectation of living, of interacting. The changes occurred in the rescue of positive behavior in daily activities, such as dressing, rest and the satisfaction of resuming activities that were performed before colostomy.

Conclusion

It was found that the responses were ineffective before use and effective after using an occluder.

Adaptation; Ostomy; Colostomy; Rehabilitation; Health promotion; Nursing care