Bağırsak stoması olan hastaların cinsel deneyimleri: nitel çalışma

Amaç: Bağırsak stoması olan bireylerin cinsel deneyimleri sırasında ne yaşadıkları ve hissettiklerinin anlaşılmasıdır.Yöntem: Araştırmada nitel bir yaklaşım benimsenmiştir. Araştırmanın örneklemini, bir üniversite hastanesinin Stomaterapi Ünitesi’nde takip edilen amaçlı örnekleme ile seçilen hastalar oluşturmuştur. Derinlemesine görüşmeler yarı yapılanmış görüşme formatı kullanılarak yapılmıştır. Elde edilen verilerin analizinde içerik analizi yöntemi kullanılmıştır. Araştırmacılar tarafından hazırlanan görüşme rehberi bağırsak stoması olan bireylerin cinsel deneyimleri ile ilgili 7 sorudan oluşmaktadır. Görüşmeler stoma terapi ünitesinde yapılmış olup yaklaşık 45 dakika sürmüş ve ses kayıt cihazına kaydedilmiştir. Görüşme verilerinin analizinde Colaizzi (1978) tarafından geliştirilen analiz yaklaşımından yararlanılmıştır. Katılımcıların cevapları her iki araştırmacı tarafından da ayrı ayrı ve tekrarlı okunarak kodlamalar yapılmış ve temalar oluşturulmuştur.Bulgular: Araştırmaya katılanların yedisi kadın, sekizi erkektir. Görüşmelerden elde edilen veriler cinsel yaşamı etkileyen durumlar, cinsel yaşamı etkileyen eş ile ilgili durumlar ve cinsel yaşam sorunları ile baş etme yolları olmak üzere üç tema altında toplanmıştır.Sonuç: Çalışmaya katılan stomalı bireylerin cinsel yaşamları ile ilgili sorunlar yaşadıkları ve bu sorunları konuşmaya ihtiyaç duydukları görülmüştür. Stomalı hastaların cinsel yaşamları konusunda eşleri ile birlikte danışmanlık hizmeti alması gerektiği düşünülmektedir.

Anahtar Kelimeler:

stoma, cinsellik, cinsel yaşam, hemşire

Sexual experiences of patients with bowel stoma: qualitative study

Objective: To describe the sexual experiences of individuals with bowel stoma.Methods: A qualitative descriptive approach was adopted in the study. The sample of the study consisted of patients who were selected with the purposive sampling followed in the Stomatherapy Unit of a university hospital. In-depth interviews were conducted using semi-structured interview format. Content analysis method was used in the analysis of the obtained data. The interview guide prepared by the researchers consists of 7 questions about sexual experiences of individuals with intestinal stoma. The interviews were carried out in the stoma therapy unit and lasted for approximately 45 minutes and recorded on a voice recorder. The analysis approach developed by Colaizzi (1978) was used to analyze the interview data. The answers of the participants were separately and repetitively read and coded and themes were created by both researchers.Results: Seven of the participants were female and eight were male. The data gathered from the interviews were collected under three themes: situations affecting sex life, partner-related situations that affect sex life, and ways of coping with sexual life problems.Conclusion: It was seen that individuals with stoma who participated in the study had problems related to their sexual life and they needed to talk about these problems. It is thought that patients with stoma should receive counseling services with their husbands about their sexual lives.

Keywords:

ostomy, sexuality, sexual life, nursing,

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