Life experiences of people with elimination ostomies: Discourses from an adaptation perspective
DOI:
https://doi.org/10.21527/2176-7114.2026.51.16833Keywords:
Ostomy, Adaptation, Psychological, Nursing TheoryAbstract
Introduction: In light of the biopsychosocial challenges posed by elimination ostomies, it is necessary to understand the adaptive processes associated with the use of these medical devices. Objective: To explore the narratives of people with elimination ostomies in order to understand, from the perspective of Roy’s Adaptation Model, the stimuli and adaptive mechanisms constructed in response to this new reality. Method: This qualitative, descriptive, and exploratory study was conducted using lexical analysis of narratives provided by people with ostomies, supported by IRaMuTeQ software and Callista Roy’s Adaptation Theory. Results: the analysis resulted in three thematic axes: “People with elimination ostomies and perceived stimuli,” “Reported adaptive mechanisms,” and “The phenomenon of adaptation and the elements of this process.” With the aid of word cloud and similarity graphs, these axes demonstrated perceived adaptive elements, such as stimuli, adaptive modes, and the self-perceived effectiveness of adaptation processesThese findings revealed the impact of factors such as the need for adjustments in diet, clothing, physical effort, social relationships, and work. This process contributes to effective adaptation, which is influenced by individual cognitive patterns, sociocultural constructs, and perceived social support. Conclusion: Based on this analysis, some understandings regarding elimination ostomies were explored, revealing the complexity of the adaptive process and the congruence of these representations with Roy’s concepts of Adaptation.
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