Feelings and expectations of permanent colostomy patients
Journal of Nursing Education and Practice
Objective: Original article, based on field research that sought to describe the challenges that persons face when adapting to a permanent colostomy. Design: Data were collected through a semi-structuralized interview and analyzed using the technique of Content Analysis proposed by Bardin. Subjects and Setting: five participants in the Ostomy Program of the City Health Department of Capão do Leão, Brasil. Methods: Qualitative descriptive study, conducted from July to September of 2005, in the
... r of 2005, in the city of Capão do Leão, State of Rio Grande does Sul/Brazil. Results: The categorization of the data led to identification of three thematic units. The first we described as "Experiencing the consequences of illness as a disorder". The second was "Restoring a sense of order to life", and the third was "Living with the new condition". Reflections illuminated by the complex thought were pointed out as possibilities of a care for the human being, capable of making choices and of actively participating of its process of health and illness. Conclusion: We concluded that a having permanent ostomy was difficult for the subjects and restoring the sense of an orderly life was complex. Disorder not only opposes order, it cooperates with it to create organization. The disorder present in the origin of the organizations threatens them incessantly with disintegration. Therefore, the self-organization behaves as a permanent process of disorganization, which is transformed in a permanent process of reorganization [6, 11] . The implantation of a ostomy provokes diverse alterations in the lives of the ostomized, related to the gastro-intestinal physiology, the corporal image and the self-esteem, which end up influencing and conditioning the affective, family and labor life of these individuals, as already evidenced also by other studies [2, 4, 5, 12, 13] . Dialogue is a vital part of the complex care needed to help ostomy patients regain a sense of control and order in their lives. The dialogue doesn't make the difficulties go away, but it does help the patient evolve principle of coping with their new reality  . In face of the countless limitations experienced by the ostomized, family support and professional medical support become fundamentally necessary, essential for the acceptance of the ostomy, a faster and more efficient rehabilitation and a good adaptation of the person to his/her new condition [2, 4, 5] .