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Mer än en påse på magen: En litteraturöversikt om patienter med enterostomi och hur de upplever sin sexualitet
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
More than a bag on the belly : A literature review about patients with an enterostomy and how they experience their sexuality (English)
Abstract [sv]

Bakgrund: Det finns många olika tillstånd som kan leda till att en person får en tarmstomi, och detta kan påverka en persons syn på den egna kroppen. En persons kroppsuppfattning är starkt kopplad till sexualiteten som är en viktig del i människors liv. Stomioperationer kan även ge fysiska skador som medför problem i opererade människors sexualliv. Patienter med stomi finns i alla vårdinriktningar, och det är därför viktigt för alla sjuksköterskor att kunna bemöta dem.

Syfte: Syftet var att belysa hur patienter med enterostomi upplever sin sexualitet.

Metod: Metoden var en litteraturöversikt där 15 vetenskapliga artiklar granskades, varav fem var kvalitativa, nio kvantitativa och en använde mixad metod. Artiklarna söktes fram genom kombinationer av olika sökord i databaserna CINAHL Complete och Pubmed med ett tidsspann på år 2008-2017.

Resultat: I resultatet kunde fyra huvudteman och sex underteman identifieras. De huvudteman som hittades var En förändrad kropp, Fysisk sexuell funktion, Ett förändrat sexliv och Stöd från omgivningen. Resultatet visade på att många patienter upplever problem med sin sexualitet relaterat till stomin, både fysiska problem och hinder som följd av patientens egna tankar om sin stomi. Ett ökat behov av stöd och information kunde också identifieras hos patienterna, både från en eventuell partner, men även från sjukvårdens sida.

Diskussion: Resultatet diskuteras med utgångspunkt i Parse's teori om humanbecoming. I diskussionen tas upp teman kring hur stöd och information från vården saknas av patienterna. Även bristen på forskning kring kvinnors sexuella upplevelser med stomi i jämförelse med den forskning som finns kring män diskuteras.

Abstract [en]

Background: There are many reasons as to why a person receives a bowel ostomy, and this can affect the person’s view of their own body. A person's perception of the body is strongly linked to sexuality that is an important part of people's lives. Stoma surgery can also cause physical damage that causes problems in the sex life of the operated person. Patients with stoma will appear in all care settings, and it is therefore important for all nurses to be able to treat them.

Aim: The aim was to illustrate how patients with an ostomy experience their sexuality

Method: The method was a literature review where 15 scientific articles were reviewed, five of which were qualitative, nine quantitative and one used mixed method. The articles were identified through combinations of different keywords in the databases CINAHL Complete and Pubmed with a time span of the years 2008-2017.

Results: In the results four main themes and six sub themes could be identified. The main themes were A Changed Body, Physical Sexual Function, A Changed Sex Life and Support from the Surroundings. The results showed that many patients experience problems with their sexuality related to their stoma, both physical problems and obstacles as a result of the patient's own thoughts about one's stoma. An increased need for support and information was also identified by the patients, both from an eventual partner and from the healthcare.

Discussion: The result is discussed based on Parse's theory of humanbecoming. The discussion addresses topics about the lack of support and information for patients from the healthcare. The lack of research into women's sexual experiences with a stoma in comparison to the research that exists around men is also discussed.

Place, publisher, year, edition, pages
2018. , p. 38
Keywords [en]
Stoma, Sexuality, Sexual Behaviour, Body Image, Attitude to Sexuality, Sexual Satisfaction, Male Sexual Dysfunction, Female Sexual Dysfunction, Sexual Health
Keywords [sv]
Stomi, Sexualitet, Sexuellt beteende, Kroppsuppfattning, Attityd till sexualitet, Sexuell njutning, Manlig sexuell dysfunktion, Kvinnlig sexuell dysfunktion, Sexuell hälsa
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6762OAI: oai:DiVA.org:esh-6762DiVA, id: diva2:1204165
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2018-05-07 Created: 2018-05-07 Last updated: 2018-05-07Bibliographically approved

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