The Experiences of Chinese Colorectal Cancer Survivors in Marital Intimacy After Ostomy Creation: A Qualitative Study

Overview

Journal Belitung Nurs J

Date 2024 May 1

PMID 38690303

Authors

Xixi Du

Suchira Chaiviboontham

Bualuang Sumdaengrit

Affiliations

Soon will be listed here.

Abstract

Background: Colorectal cancer (CRC) ranks as the third most prevalent cancer globally. The disease and its treatment significantly impact marital intimacy, particularly among individuals who have undergone ostomy creation. Therefore, it is necessary to explore their experiences.

Objective: This study aimed to explore the experiences of colorectal cancer survivors in marital intimacy after ostomy creation and clarify the domain and sub-domain of marital intimacy in CRC survivors with ostomy.

Method: This study used a qualitative descriptive design, and participants were selected by purposive sampling from two hospitals in Henan province, China. Sixteen patients participated in this research, and the data were collected through an in-depth interview from June 27 to September 27, 2023. Colaizzi's method was used to analyze the data.

Results: Five themes emerged from data analysis, including physical intimacy, psychological intimacy, social intimacy, spiritual intimacy, and operational intimacy.

Conclusion: By profiling the experiences of CRC survivors in marital intimacy after ostomy creation, the domain and sub-domain of marital intimacy were clarified in this cohort and revealed that ostomy had a severe effect on marital intimacy among colorectal cancer survivors. The results from this study could be used by nurses, midwives, and other healthcare professionals to design specific interventions covering all aspects of marital intimacy. Also, the findings will guide the development of a particular instrument for marital intimacy in CRC survivors with ostomy.

References

Garcia-Rodriguez M, Barreiro-Trillo A, Seijo-Bestilleiro R, Gonzalez-Martin C . Sexual Dysfunction in Ostomized Patients: A Systematized Review. Healthcare (Basel). 2021; 9(5). PMC: 8145568. DOI: 10.3390/healthcare9050520. View

Shin J, Choi J . [Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy]. J Korean Acad Nurs. 2021; 51(3):334-346. DOI: 10.4040/jkan.21019. View

Albaugh J, Tenfelde S, Hayden D . Sexual Dysfunction and Intimacy for Ostomates. Clin Colon Rectal Surg. 2017; 30(3):201-206. PMC: 5498165. DOI: 10.1055/s-0037-1598161. View

Ayaz-Alkaya S . Overview of psychosocial problems in individuals with stoma: A review of literature. Int Wound J. 2018; 16(1):243-249. PMC: 7948730. DOI: 10.1111/iwj.13018. View

Sung H, Ferlay J, Siegel R, Laversanne M, Soerjomataram I, Jemal A . Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021; 71(3):209-249. DOI: 10.3322/caac.21660. View

Jakubiak B, Feeney B . Affectionate Touch to Promote Relational, Psychological, and Physical Well-Being in Adulthood: A Theoretical Model and Review of the Research. Pers Soc Psychol Rev. 2016; 21(3):228-252. DOI: 10.1177/1088868316650307. View

Bulkley J, McMullen C, Hornbrook M, Grant M, Altschuler A, Wendel C . Spiritual well-being in long-term colorectal cancer survivors with ostomies. Psychooncology. 2013; 22(11):2513-21. PMC: 4105015. DOI: 10.1002/pon.3318. View

Wiltink L, Chen T, Nout R, Meershoek-Klein Kranenbarg E, Fiocco M, Laurberg S . Health-related quality of life 14 years after preoperative short-term radiotherapy and total mesorectal excision for rectal cancer: report of a multicenter randomised trial. Eur J Cancer. 2014; 50(14):2390-8. DOI: 10.1016/j.ejca.2014.06.020. View

Ji Z, Yan E . Psycho-Social Factors Associated with Intimacy Needs in Divorced and Widowed Older Chinese Women. Int J Environ Res Public Health. 2022; 19(19). PMC: 9564901. DOI: 10.3390/ijerph191912360. View

10.

Smith J, Spiers J, Simpson P, Nicholls A . The psychological challenges of living with an ileostomy: An interpretative phenomenological analysis. Health Psychol. 2016; 36(2):143-151. DOI: 10.1037/hea0000427. View

11.

Sandelowski M . What's in a name? Qualitative description revisited. Res Nurs Health. 2009; 33(1):77-84. DOI: 10.1002/nur.20362. View

12.

Zeng H, Chen W, Zheng R, Zhang S, Ji J, Zou X . Changing cancer survival in China during 2003-15: a pooled analysis of 17 population-based cancer registries. Lancet Glob Health. 2018; 6(5):e555-e567. DOI: 10.1016/S2214-109X(18)30127-X. View

13.

Altschuler A, Ramirez M, Grant M, Wendel C, Hornbrook M, Herrinton L . The influence of husbands' or male partners' support on women's psychosocial adjustment to having an ostomy resulting from colorectal cancer. J Wound Ostomy Continence Nurs. 2009; 36(3):299-305. PMC: 2806676. DOI: 10.1097/WON.0b013e3181a1a1dc. View

14.

Makela J, Niskasaari M . Stoma care problems after stoma surgery in Northern Finland. Scand J Surg. 2006; 95(1):23-7. DOI: 10.1177/145749690609500105. View

15.

Korstjens I, Moser A . Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. Eur J Gen Pract. 2017; 24(1):120-124. PMC: 8816392. DOI: 10.1080/13814788.2017.1375092. View

16.

Aktas D, Gocman Baykara Z . Body Image Perceptions of Persons With a Stoma and Their Partners: A Descriptive, Cross-sectional Study. Ostomy Wound Manage. 2015; 61(5):26-40. View

17.

Vural F, Harputlu D, Karayurt O, Suler G, Durmaz Edeer A, Ucer C . The Impact of an Ostomy on the Sexual Lives of Persons With Stomas: A Phenomenological Study. J Wound Ostomy Continence Nurs. 2016; 43(4):381-4. DOI: 10.1097/WON.0000000000000236. View

18.

Silva A, Monteiro P, Sousa J, Vianna A, Oliveira P . Partners of patients having a permanent colostomy should also receive attention from the healthcare team. Colorectal Dis. 2014; 16(12):O431-4. DOI: 10.1111/codi.12737. View

19.

Zewude W, Derese T, Suga Y, Teklewold B . Quality of Life in Patients Living with Stoma. Ethiop J Health Sci. 2022; 31(5):993-1000. PMC: 8843156. DOI: 10.4314/ejhs.v31i5.11. View

20.

Manne S, Kissane D, Nelson C, Mulhall J, Winkel G, Zaider T . Intimacy-enhancing psychological intervention for men diagnosed with prostate cancer and their partners: a pilot study. J Sex Med. 2011; 8(4):1197-209. PMC: 3070795. DOI: 10.1111/j.1743-6109.2010.02163.x. View