The effect of ostomy surgery between the ages of 6 and 12 years on psychosocial development during childhood, adolescence, and young adulthood.
The effect of ostomy surgery between the ages of 6 and 12 years on psychosocial development during childhood, adolescence, and young adulthood.
复制标题
DOI：
10.1016/s1071-5754(99)90018-9
复制
发表时间：
1999-03-01
期刊：
影响因子：
--
通讯作者：
Erwin-Toth, P
中科院分区：
文献类型：
--
作者：
Erwin-Toth, P
目的：调查的影响造口术手术之间的6和12岁的心理社会发展在随后的童年，青春期和青年adult.Design：人种学。设置和对象：6名女性和4名男性（平均年龄30.7岁）谁回应了通知，在一个章节通讯的联合Ostomy Association.METHODS：Spradley的人种学采访格式被用于本研究。在为期4周的时间内，对每位举报人进行了一次访谈，并对2名被确定为关键举报人的受试者进行了第二次更详细的访谈。访谈录音和转录，和成绩单进行了分析，以检测共享模式在线人的language.INSTRUMENTS：人种学计算机软件程序被用来作为一种援助，在分析访谈transcriptions.Main结果measurements：线人的主观经验，在儿童期，青春期，和年轻的adulthy.RESULTS：9的10个线人调整以及在手术后的第一年。良好调整的关键因素是家庭的支持和对“正常”的看法，包括管理自己的造口护理。所有受访者都报告说，他们的造口术对他们在青春期的生活产生了负面影响，他们会感谢与其他面临同样困境的青少年接触。在这一年龄的线人接受造口手术并没有影响的困难，在adolescent.CONCLUSION：造口手术进行6至12岁之间的心理社会发展的长期影响。护士应促进正常化，在手术后尽快教授造口的自我护理，并酌情将儿童和父母介绍给相互支持的团体。
OBJECTIVE: To investigate the effect of ostomy surgery performed between the ages of 6 and 12 years on psychosocial development during subsequent childhood, adolescence, and young adulthood.DESIGN: Ethnographic.SETTING AND SUBJECTS: Six women and 4 men (mean age 30.7 years) who responded to a notice in a chapter newsletter of the United Ostomy Association.METHODS: Spradley's Ethnographic interview format was used for this study. One interview was conducted with each informant over a 4-week period, and a second, more detailed interview was conducted with 2 subjects who were identified as key informants. The interviews were audiotaped and transcribed, and the transcripts were analyzed to detect shared patterns in the informants' language.INSTRUMENTS: The Ethnograph computer software program was used as an aid in analyzing the interview transcripts.MAIN OUTCOME MEASURES: The informants' subjective experiences during childhood, adolescence, and young adulthood.RESULTS: Nine of the 10 informants adjusted well in the first years after surgery. Key factors in good adjustment were support from family and a perception of "normalcy," including managing one's own ostomy care. All informants reported that their ostomy had a negative impact on their lives during adolescence and that they would have appreciated contact with other teens facing the same dilemma. The age at which an informant underwent ostomy surgery did not influence the difficulties reported during adolescence.CONCLUSION: Ostomy surgery performed between the ages of 6 and 12 years can have long-term effects on psychosocial development. Nurses should promote normalization, teach self-care of the ostomy as soon as possible after surgery, and refer children and parents to mutual support groups as appropriate.