Journal of Japan Academy of Home Care
Online ISSN : 2758-9404
Print ISSN : 1346-9649
Study Articles
Visiting Nursing Practices that Support the Adjustment Process to Life in Recovery of Older Adults with a Stoma and their Families
Miki HasebeMari Tomiyasu
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2022 Volume 26 Issue 1 Pages 111-119

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Abstract

The purpose of this study was to clarify visiting nursing practices to help older adults with a stoma and their families adjust to life in recovery. Semi-structured interviews were conducted with nine certified nurses visiting facilities, and these were analyzed qualitatively and descriptively.

Categories were arranged in chronological order. The beginning stages of life in recovery focused on “identifying the implementation status of stoma care and impeding factors,” “observing the status of stoma care and daily life support provided by family members,” “gauging the distance with family members and building relationships through repeated communication,” and “identifying the emotional relationship between older adults and their families.”

The following categories were derived during life in recovery: “recognizing difficulties in continuing stoma care and encouraging coping,” “provide 24-hour technical support for excrement leakage that occurs during the course of home visits,” “flexibly interpreting the emotional relationship of family members and encouraging change,” “motivating and encouraging the willingness of family members to engage in stoma care,” and “supporting stoma care while considering the emotional burden of families.”

It was suggested that visiting nurses should encourage coping with the difficulties associated with stoma care, improve the family’s ability to respond in consideration of psychological and financial burdens, and support adaptation to life.

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© 2022 Japan Academy of Home Care
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