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Positive and negative aspects of colostomy irrigation : a patient and WOC nurse perspective

Carlsson, Eva; Gylin, Meta; Nilsson, Laila; Svensson, Katarina; Alverslid, Ingrid and Persson, Eva LU (2010) In Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society 37(5). p.511-516
Abstract

PURPOSE: Colostomy irrigation (CI) is an effective method to achieve fecal continence in selected persons with a colostomy. The primary aims of the study were to find out to what extent the WOC nurses used CI in their practice and what kind of information the WOC nurses gave patients if they provided explanations and potential solutions when irrigation was not successful in preserving continence. A further aim was to find out, from a patients' perspective, the positive and negative aspects of practicing CI and how they perform CI.

METHODS: The study employed a mixed quantitative and qualitative approach. Data from WOC nurses were obtained by means of a structured questionnaire and by means of structured telephone interviews with... (More)

PURPOSE: Colostomy irrigation (CI) is an effective method to achieve fecal continence in selected persons with a colostomy. The primary aims of the study were to find out to what extent the WOC nurses used CI in their practice and what kind of information the WOC nurses gave patients if they provided explanations and potential solutions when irrigation was not successful in preserving continence. A further aim was to find out, from a patients' perspective, the positive and negative aspects of practicing CI and how they perform CI.

METHODS: The study employed a mixed quantitative and qualitative approach. Data from WOC nurses were obtained by means of a structured questionnaire and by means of structured telephone interviews with patients who performed CI.

SUBJECTS AND SETTING: Questionnaires were sent out to 89 WOC nurses in Sweden, and 61 (69%) questionnaires were returned. Thirty-nine patients, median age 67 years, from 5 hospitals participated in the interview study.

RESULTS: Sixty-four percent of the WOC nurse respondent always informed patients about CI. Forty-four percent of patients did not remember all the information they had been given by the WOC nurse regarding CI before starting with the procedure. Eighty-seven percent reported changing routines from how they initially performed CI over the years. Almost all (97%) of the respondents described positive aspects of CI. The 2 primary positive aspects described by participants were (1) feeling secure and (2) having an empty pouch.

CONCLUSION: Persons living with a colostomy who regularly performed CI reported positive benefits associated with the procedure including a feeling of security and having an empty pouch. Despite these potential benefits, not all patients with a colostomy who are appropriate candidates for CI are offered information about the method from the WOC nurses.

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author
publishing date
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Contribution to journal
publication status
published
keywords
Aged, Attitude of Health Personnel, Colostomy, Fecal Incontinence, Female, Humans, Male, Middle Aged, Nurse-Patient Relations, Patient Education as Topic, Patient Satisfaction, Quality of Life, Self Care, Skin Care, Specialties, Nursing, Surveys and Questionnaires, Sweden, Therapeutic Irrigation, Journal Article, Research Support, Non-U.S. Gov't
in
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
volume
37
issue
5
pages
511 - 516
publisher
Lippincott Williams and Wilkins
external identifiers
  • scopus:77957734747
ISSN
1071-5754
DOI
10.1097/WON.0b013e3181edaf84
language
English
LU publication?
no
id
ea36de8c-0187-4e14-8220-e67878393788
date added to LUP
2017-03-14 16:34:34
date last changed
2018-05-29 12:24:57
@article{ea36de8c-0187-4e14-8220-e67878393788,
  abstract     = {<p>PURPOSE: Colostomy irrigation (CI) is an effective method to achieve fecal continence in selected persons with a colostomy. The primary aims of the study were to find out to what extent the WOC nurses used CI in their practice and what kind of information the WOC nurses gave patients if they provided explanations and potential solutions when irrigation was not successful in preserving continence. A further aim was to find out, from a patients' perspective, the positive and negative aspects of practicing CI and how they perform CI.</p><p>METHODS: The study employed a mixed quantitative and qualitative approach. Data from WOC nurses were obtained by means of a structured questionnaire and by means of structured telephone interviews with patients who performed CI.</p><p>SUBJECTS AND SETTING: Questionnaires were sent out to 89 WOC nurses in Sweden, and 61 (69%) questionnaires were returned. Thirty-nine patients, median age 67 years, from 5 hospitals participated in the interview study.</p><p>RESULTS: Sixty-four percent of the WOC nurse respondent always informed patients about CI. Forty-four percent of patients did not remember all the information they had been given by the WOC nurse regarding CI before starting with the procedure. Eighty-seven percent reported changing routines from how they initially performed CI over the years. Almost all (97%) of the respondents described positive aspects of CI. The 2 primary positive aspects described by participants were (1) feeling secure and (2) having an empty pouch.</p><p>CONCLUSION: Persons living with a colostomy who regularly performed CI reported positive benefits associated with the procedure including a feeling of security and having an empty pouch. Despite these potential benefits, not all patients with a colostomy who are appropriate candidates for CI are offered information about the method from the WOC nurses.</p>},
  author       = {Carlsson, Eva and Gylin, Meta and Nilsson, Laila and Svensson, Katarina and Alverslid, Ingrid and Persson, Eva},
  issn         = {1071-5754},
  keyword      = {Aged,Attitude of Health Personnel,Colostomy,Fecal Incontinence,Female,Humans,Male,Middle Aged,Nurse-Patient Relations,Patient Education as Topic,Patient Satisfaction,Quality of Life,Self Care,Skin Care,Specialties, Nursing,Surveys and Questionnaires,Sweden,Therapeutic Irrigation,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  month        = {09},
  number       = {5},
  pages        = {511--516},
  publisher    = {Lippincott Williams and Wilkins},
  series       = {Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society},
  title        = {Positive and negative aspects of colostomy irrigation : a patient and WOC nurse perspective},
  url          = {http://dx.doi.org/10.1097/WON.0b013e3181edaf84},
  volume       = {37},
  year         = {2010},
}