Patient Decision-Making About Emergency and Planned Stoma Surgery for IBD: A Qualitative Exploration of Patient and Clinician Perspectives

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This study by Dibley et al (2018) considered use of stoma in Inflammatory Bowel Disease (IBD) patients.

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Patient Decision-Making About Emergency and Planned Stoma Surgery for IBD: A Qualitative Exploration of Patient and Clinician Perspectives

Patient Decision-Making About Emergency and Planned Stoma Surgery for IBD: A Qualitative Exploration of Patient and Clinician Perspectives

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Summary

The authors suggested that patients worry about Stoma-Forming Surgery (SFS), sometimes enduring poor bowel-related quality of life to avoid it. This qualitative study explored influences on patients’ SFS decision-making and compared preoperative concerns with postoperative outcomes. This nurse-led study found that early multidisciplinary team dialogue about SFS and contact with others living well with a stoma, could enable informed decision-making. Ongoing specialist nursing support aids recovery and adjustment.