Revealing Strategies for Sexual Adjustments Among Ostomates in Indonesia.

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Title: Revealing Strategies for Sexual Adjustments Among Ostomates in Indonesia.
Authors: Afiyanti, Yati, Fitch, Margaret I., Helen, Helen, Andjarwati, Ria, Rudi, Rudi, Prawesti, April D., Juliastuti, Dyah
Source: Sexuality & Disability. Jun2023, Vol. 41 Issue 2, p275-287. 13p. 1 Chart.
Subjects: Surgical stomas, Culture, Social support, Human sexuality, Research methodology, Interviewing, Ostomy, Attitudes toward sex, Patients' attitudes, Physical activity, Phenomenology, Qualitative research, Descriptive statistics, Research funding, Patient care, Judgment sampling, Thematic analysis
Geographic Terms: Indonesia
Abstract: As the fourth highest cancer in Indonesia, colorectal cancer (CRC) is one paramount cancer issue that requires urgent healthcare management. Most CRC survivors must undergo ostomy surgery to prevent malignancy and death. The stoma formation negatively impacts the ostomates' quality of life as it predominantly affects these people's sexual function, satisfaction, and social life. This study explores in-depth sexual experiences and perspectives of people living with a stoma and their physical, psychological, and cultural influences. This phenomenological qualitative study involved 12 female and male ostomates recruited purposively from the National Cancer Centre Hospital in Indonesia. Qualitative data were collected through semi-structured interviews, managed using Nvivo 12, and analysed thematically. The contextual findings highlighted four significant themes: sexual disruptions, revealing strategies for sexual adjustments, support from the marital partner, and limited support from the healthcare professionals. An interdisciplinary team supporting the sexual needs of the ostomates is necessary to improve strategies for adjusting to the sexual disruptions after CRC therapy. Pre- and post-stoma surgery counselling is recommended for CRC patients and their partners. [ABSTRACT FROM AUTHOR]
Copyright of Sexuality & Disability is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: As the fourth highest cancer in Indonesia, colorectal cancer (CRC) is one paramount cancer issue that requires urgent healthcare management. Most CRC survivors must undergo ostomy surgery to prevent malignancy and death. The stoma formation negatively impacts the ostomates' quality of life as it predominantly affects these people's sexual function, satisfaction, and social life. This study explores in-depth sexual experiences and perspectives of people living with a stoma and their physical, psychological, and cultural influences. This phenomenological qualitative study involved 12 female and male ostomates recruited purposively from the National Cancer Centre Hospital in Indonesia. Qualitative data were collected through semi-structured interviews, managed using Nvivo 12, and analysed thematically. The contextual findings highlighted four significant themes: sexual disruptions, revealing strategies for sexual adjustments, support from the marital partner, and limited support from the healthcare professionals. An interdisciplinary team supporting the sexual needs of the ostomates is necessary to improve strategies for adjusting to the sexual disruptions after CRC therapy. Pre- and post-stoma surgery counselling is recommended for CRC patients and their partners. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Sexuality & Disability is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s11195-023-09793-z
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 275
    Subjects:
      – SubjectFull: Surgical stomas
        Type: general
      – SubjectFull: Culture
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Ostomy
        Type: general
      – SubjectFull: Attitudes toward sex
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Phenomenology
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research funding
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      – SubjectFull: Patient care
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Indonesia
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      – TitleFull: Revealing Strategies for Sexual Adjustments Among Ostomates in Indonesia.
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              M: 06
              Text: Jun2023
              Type: published
              Y: 2023
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