Kroppsuppfattning och sexualliv vid stomi

Abstract

Background: Studies have shown that body image changes in connection to stomasurgery and that many worries about how the sexlife may be affected. It has also emerged that nurses finds it difficult to talk about sex with patients. Despite the development related to stoma equipment, many patients pull away from social activities and intimate relationships. Aim: The aim was to describe how body image and sexlife is affected in people with urostomy and intestinal stoma.

Method: General literature review including analysis of both qualitative and quantitative studies. Results: There were both positive and negative sides having a stoma. In some cases, the body image was affected negatively, which led to concern, reduced quality of life, social life and sexlife. Many worried about odour, noise and leakage. Others experienced the stoma as a symbol of freedom. These individuals’ quality of life was improved after surgery. It emerged that the right support from partners made it possible for the patient to resume a sexlife. Discussion: As a nurse, it is important to have the courage to talk about sex in conversations with patients. Preoperative information, practical tools such as stomacaps and contact with other professions are all resources that helps patients in their recovery.