Hubbard, G;
Taylor, C;
Munro, J;
Dames, N;
Goodman, W;
Oliphant, R;
Beeken, R;
(2019)
Experiences of support garments following bowel stoma formation: Analysis of free-text responses in a cross-sectional survey.
BMJ Open Gastroenterology
, 6
(1)
, Article e000291. 10.1136/bmjgast-2019-000291.
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Abstract
Aim To explore the experiences of support garments when adjusting to bodily change following bowel stoma formation. Design Thematic analyses of free-text responses in a cross-sectional survey of the stoma population in 2018. Methods Free-text responses were invited so that respondents could describe their experiences in more detail. A process of induction was chosen to allow for themes to emerge directly from the data. The concept a €a embodiment' was used as a theoretical framework during interpretation. Results 1425 people with a bowel stoma responded to the survey, of whom 598 provided free-text responses. Four themes about experiences of support garments in the context of changed bodily experiences following stoma formation were identified: body complications, which is about experiences of using support garments to prevent or self-manage parastomal hernia; body appearance, which is about hiding the stoma and stoma appliance; body function, which is about managing stoma appliance complications; and body sensation, which is mainly about negative experiences of ill-fitting garments. Conclusion Support garments can be understood as items that are used by people during an ongoing process of adjusting to bodily changes following stoma formation and as part of an ongoing process of reconstructing new embodied selves. Impact This is the first study to explore people's experiences of support garments following bowel stoma formation. Support garments are used in the self-management of body complications, appearance, function and sensations. Stoma nurses may draw on the findings of this study to advise patients about the benefits of garments for adjusting to bodily change, and garment suppliers should address people's negative experiences by improving garments.
| Type: | Article |
|---|---|
| Title: | Experiences of support garments following bowel stoma formation: Analysis of free-text responses in a cross-sectional survey |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/bmjgast-2019-000291 |
| Publisher version: | https://doi.org/10.1136/bmjgast-2019-000291 |
| Language: | English |
| Additional information: | This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10077081 |
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