Coping and acceptance: the greatest challenge for veterans with intestinal stomas.
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.
Krouse
Robert S
RS
Southern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA. robert.krouse@va.gov
Grant
Marcia
M
Rawl
Susan M
SM
Mohler
M Jane
MJ
Baldwin
Carol M
CM
Coons
Stephen Joel
SJ
McCorkle
Ruth
R
Schmidt
C Max
CM
Ko
Clifford Y
CY
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*