title: Experience of living with an enterocutaneous fistula.
abstract: OBJECTIVE
  The purpose of this study was to describe patients' experiences of living with an enterocutaneous fistula.
  
  
  BACKGROUND
  An enterocutaneous fistula is a complex and serious illness that usually occurs as a complication from surgery or spontaneously as a result of an underlying disease. The illness is demanding both physically and mentally and causes substantial medical and nursing problems for the afflicted individual.
  
  
  METHODS
  A descriptive design with a qualitative approach.
  
  
  METHODS
  In-depth interviews were performed with nine participants who had experiences of living with an enterocutaneous fistula. The analysis was conducted using descriptive phenomenology according to Giorgi.
  
  
  RESULTS
  The essence of this study was that living with an enterocutaneous fistula is about handling an illness that causes several limitations in daily life and the following five themes emerged from the data: restrictions in daily life, approaches to illness, emotions, dependence and need of support. A constant fear of leakage from the fistula appliance, being dependent on intravenous fluids and being dependent on health care professionals caused isolation and social restriction.
  
  
  CONCLUSIONS
  The participants had many strategies for handling their illness. By being well trained, engaged and having a positive and understanding approach, health care professionals can encourage hope, motivation and self-care. This can lead to decreased dependence and help the patient to better handle their illness.
  
  
  CONCLUSIONS
  The competence of health care professionals is essential in the care of patients with an enterocutaneous fistula.
authors.affiliation: Department of Surgery, Linköping University, Linköping, Sweden.
authors.forename: Karolina
authors.initials: K
authors.lastname: Härle
authors.affiliation: Department of Medical and Health Science, Division of Nursing Science, Linköping University, Linköping, Sweden.
authors.forename: Margareta
authors.initials: M
authors.lastname: Lindgren
authors.affiliation: Department of Surgery, Linköping University, Linköping, Sweden.|Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
authors.forename: Olof
authors.initials: O
authors.lastname: Hallböök
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007412:Intestinal Fistula / Q000451:nursing / Q000523:psychology*; D008875:Middle Aged; D011788:Quality of Life; D012648:Self Care; D013548:Sweden
keywords: Sweden; enterocutaneous fistula; experience; nursing; phenomenology