title: Coping and acceptance: the greatest challenge for veterans with intestinal stomas.
abstract: OBJECTIVE
  Intestinal stomas (ostomies) create challenges for veterans. The goal of this qualitative analysis was to understand better patients' perspectives regarding their greatest challenge.
  
  
  METHODS
  Ostomates at three Veterans Affairs locations were surveyed using the modified City of Hope Quality of Life-Ostomy questionnaire that contained an open-ended request for respondents to describe their greatest challenge. The response rate was 51% (239 of 467); 68% (163 of 239) completed the open-ended item. Content analysis was performed by an experienced qualitative research team.
  
  
  RESULTS
  Coping and acceptance were the most commonly addressed themes. The most frequently expressed issues and advice were related to a need for positive thinking and insight regarding adjustment over time. Coping strategies included the use of humor, recognition of positive changes resulting from the stoma, and normalization of life with an ostomy.
  
  
  CONCLUSIONS
  Coping and acceptance are common themes described by veterans with an intestinal stoma. Health-care providers can assist veterans by utilizing ostomate self-management strategies, experience, and advice.
authors.affiliation: Southern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA. robert.krouse@va.gov
authors.forename: Robert S
authors.initials: RS
authors.lastname: Krouse
authors.forename: Marcia
authors.initials: M
authors.lastname: Grant
authors.forename: Susan M
authors.initials: SM
authors.lastname: Rawl
authors.forename: M Jane
authors.initials: MJ
authors.lastname: Mohler
authors.forename: Carol M
authors.initials: CM
authors.lastname: Baldwin
authors.forename: Stephen Joel
authors.initials: SJ
authors.lastname: Coons
authors.forename: Ruth
authors.initials: R
authors.lastname: McCorkle
authors.forename: C Max
authors.initials: CM
authors.lastname: Schmidt
authors.forename: Clifford Y
authors.initials: CY
authors.lastname: Ko
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000523:psychology*; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000523:psychology*; D055809:Illness Behavior; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology; D011795:Surveys and Questionnaires; D014728:Veterans / Q000523:psychology*