Article Text
Abstract
Aim To explore the experiences of support garments when adjusting to bodily change following bowel stoma formation.
Design Thematic analyses of free-text responses in a cross-sectional survey of the stoma population in 2018.
Methods Free-text responses were invited so that respondents could describe their experiences in more detail. A process of induction was chosen to allow for themes to emerge directly from the data. The concept ‘embodiment’ was used as a theoretical framework during interpretation.
Results 1425 people with a bowel stoma responded to the survey, of whom 598 provided free-text responses. Four themes about experiences of support garments in the context of changed bodily experiences following stoma formation were identified: body complications, which is about experiences of using support garments to prevent or self-manage parastomal hernia; body appearance, which is about hiding the stoma and stoma appliance; body function, which is about managing stoma appliance complications; and body sensation, which is mainly about negative experiences of ill-fitting garments.
Conclusion Support garments can be understood as items that are used by people during an ongoing process of adjusting to bodily changes following stoma formation and as part of an ongoing process of reconstructing new embodied selves.
Impact This is the first study to explore people’s experiences of support garments following bowel stoma formation. Support garments are used in the self-management of body complications, appearance, function and sensations. Stoma nurses may draw on the findings of this study to advise patients about the benefits of garments for adjusting to bodily change, and garment suppliers should address people’s negative experiences by improving garments.
- colorectal
- inflammatory bowel disease
- ileostomy
- colostomy
- body image
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
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Footnotes
Collaborators Professor Angus Watson, Consultant colorectal surgeon, NHS Highland helped to design the study.
Contributors GH planned the study. JM conducted the survey. GH and CT conducted the analyses. RB, WG, RO and ND made substantial contribution to drafting the manuscript.
Funding Vanilla Blush, which is a registered UK commercial supplier of support garments, funded the study.
Competing interests VB, a registered UK commercial supplier of support garments, funded the study. ND, the CEO, is a coauthor because she was involved in designing the study.
Patient consent for publication Obtained.
Ethics approval Ethics committee approval for the study was obtained from University of the Highlands and Islands.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement Data are available upon reasonable request.