A study on the interaction for patients whose body image has been altered by surgery, and their families

由于手术造成的排泄系统和患者外表的改变，造口会给患者及其家属带来压力。家庭是由几个个体通过相互约束而结合在一起的系统。如果一个家庭成员出现问题，可能会成为整个家庭的问题，并可能造成危机。为了阐明造口者及其家庭对造口的认知差异，并调查造口者对家庭关系的影响，我们共向114名受试者发送了问卷，其中包括57名在过去3年内造过永久性造口的患者（造口者）和57名家庭成员。注意到造口者及其配偶对其婚姻关系的看法存在差异。研究发现，造口者觉得自己不能充分履行自己的性别角色，并且对自己与家人的关系有一种辞职感。年轻一代的家庭成员被发现对他们的婚姻关系感到反感。1 .老一代的人在性生活缺乏的情况下仍然感到满意，并且有一种辞职感。气孔抬担架的人持有的负面形象与心理痛苦看着气孔时,失望有气孔,气孔一个保密的欲望,拥有管理气孔的负担感,和未能适当地回应他们配偶的爱,另一方面,负面形象由家庭成员包括焦虑如何日常生活,保持气孔一个秘密的欲望,强烈的自卑感,疏离感，日常生活受到限制的感觉，对婚姻关系的反感，对婚姻关系的不满。对造口的反应在造口者和他们的家庭之间是不同的。当造口者对自己的造口做出反应时，家庭成员的反应往往集中在家庭关系和日常生活上。对造口者及其家人为对付造口而采取的行动的审查显示，一半的答复者在其家庭内部对付这个问题，而一半的答复者寻求在其家庭之外对付这个问题的措施。他们采取的行动被发现是相似的。少

Stomas, which are associated with surgically created changes in the excretory system and patients' appearance can become a cause of stress for patients and their families. The family is a system of several individuals held together by mutual binding. If one member of a family has a problem, it may become a problem for the entire family and may create a crisis, To elucidate differences in the perception of the stoma by stoma bearers and their families, and to investigate the influence of stomas on family relationships, we sent questionnaires to a total of 114 subjects, consisting of 57 patients who had permanent stomas created within the preceding 3 years (stoma bearers) and 57 family members.1. A difference was noted in the perception of the stoma bearers and their spouses concerning their conjugal relationship. The stoma bearers were found to feel that they could not fulfill their sexual role adequately, and to have a sense of resignation regarding their relationship with their family … More . Family members in the younger generation were found to feel antipathy toward their conjugal relationship. Those in the older generation were found to be satisfied despite the lack of sexual relations, and to have a sense of resignation.2. Negative images held by the stoma bearers were associated with psychological pain when they looked at the stoma, disappointment about having a stoma, a desire to keep the stoma a secret, the sense of burden of having to manage the stoma, and a sense of failure to appropriately respond to their spouse's love, On the other hand, negative images held by family members included anxiety about how to go about their daily lives, a desire to keep the stoma a secret, feelings of inferiority, feelings of alienation, feelings that their daily life was restricted, antipathy toward their conjugal relationship, and dissatisfaction with their conjugal relationship. Reactions to the stoma were found to differ between the stoma bearers and their families. While the stoma bearers responded to their stomas, the reactions of family members tended to focus on the family relationship and daily living.3. A review of the actions the stoma bearers and their families took in order to cope with the stoma revealed that half of the respondents coped with the problem within their family, while a half of the respondents sought measures to cope with the problem outside of their family. The actions they took were found to be similar. Less