Survivor to thriver: identifying and overcoming the psychological effects of a stoma.

Marie McGrogan, Chris Proctor
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Abstract

Stoma-forming surgery can have extensive, negative impacts on a patient's psychological wellbeing. Although this has been known for several decades, little progress has been made in addressing the issue. Several areas of concern have been repeatedly identified in the literature: loss of control; reduced self-esteem; psychosexual issues; and the impact of enhanced recovery on psychological outcomes. While these issues have the potential to significantly affect patients undergoing stoma-forming surgery, they can be mitigated against. While identifying and addressing psychological morbidity at an early stage is the most effective approach, additional interventions can also be useful. The promotion of self-care and independence can minimise the feeling of loss of control, the selection of discreet, leak-proof products can help address self-esteem issues, and open, honest conversation can significantly improve a patient's feelings regarding sexuality and intimacy.

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从幸存者到成功者:识别并克服造口带来的心理影响。
造口手术会对患者的心理健康产生广泛的负面影响。虽然几十年前人们就已经知道这一点,但在解决这一问题方面进展甚微。文献中反复提到了几个值得关注的方面:失去控制;自尊心下降;性心理问题;以及加强康复对心理结果的影响。虽然这些问题有可能对接受造口手术的患者产生重大影响,但它们是可以减轻的。虽然在早期阶段发现并解决心理疾病是最有效的方法,但额外的干预措施也很有用。促进自我护理和独立可以最大限度地减少失去控制的感觉,选择隐蔽、防漏的产品有助于解决自尊问题,而开诚布公的谈话可以显著改善患者对性和亲密关系的感受。
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Big changes to the NHS patient safety landscape expected in 2025. Engaging and inspiring the next generation. Enhancing patient outcomes through proactive stoma care. Ensuring future-proofing through collaboration. Essential principles to apply when approaching a new job.
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