Qualitative exploration of home life experiences and care needs among elderly patients with temporary intestinal stomas

BACKGROUND This study employed a phenomenological research approach within qualitative research to explore the challenges encountered by elderly individuals with temporary colostomies in managing their daily lives and care needs.Protecting the anus surgery combined with temporary colostomy has emerged as a prevalent treatment modality for low rectal cancer.However,the ileostomy is susceptible to peri-stoma skin complications,as well as fluid,electrolyte,and nutritional imbalances,posing challenges to effective management.The successful selfmanagement of patients is intricately linked to their adjustment to temporary colostomy;nonetheless,there remains a dearth of research examining the factors influencing self-care among temporary colostomy patients and the obstacles they confront.AIM To investigate the lived experiences,perceptions,and care requirements of temporary colostomy patients within their home environment,with the ultimate goal of formulating a standardized management protocol.METHODS Over the period of June to August 2023,a purposive sampling technique was utilized to select 12 patients with temporary intestinal stomas from a tertiary hospital in Shanghai,China.Employing a phenomenological research approach,a semi-structured interview guide was developed,and qualitative interviews were conducted using in-depth interview techniques.The acquired data underwent coding,analysis,organization,and summarization following Colaizzi’s seven-step method.RESULTS The findings of this study revealed that the experiences and needs of patients with temporary intestinal stomas can be delineated into four principal themes:Firstly,Temporary colostomy patients bear various burdens and concerns about the uncertainty of disease progression;secondly,patients exhibit limited self-care capabilities and face information deficits,resulting in heightened reliance on healthcare professionals;thirdly,patients demonstrate the potential for internal motivation through proactive self-adjustment;and finally,patients express a significant need for emotional and social support.CONCLUSION Home-living patients with temporary intestinal stomas confront multifaceted challenges encompassing burdens,inadequate self-care abilities,informational deficits,and emotional needs.Identifying factors influencing patients’self-care at home and proposing strategies to mitigate barriers can serve as a foundational framework for developing and implementing nursing interventions tailored to the needs of patients with temporary intestinal stomas.

A Probe into Ernest Hemingway's Suicide Enigma Through His Works and Life Experiences

Ernest Hemingway, one of the brightest stars on the literary stage of both American and the whole world literature in the twentieth century, had gained an everlasting reputation by the image of"the tough man"he created in lots of his works.Hence, to readers, Hemingway must be a strong man both physically and mentally. Though Hemingway had passed away, he left us an inestimable literary treasure, and we can draw some lessons from his suicide tragedy. To modern people who are

The Relationship between Flow Experience in Leisure and Life Satisfaction in Undergraduates

Objective:To understand the current situation of undergraduates’flow experience in leisure and life satisfaction,and to explore the relationship between the two.Methods:A stratified random sampling method was used to select 781 undergraduates(377 males and 410 females)from 7 colleges and universities in Guangdong Province.They were investigated using the Flow Experience in Leisure Questionnaire(FELQ)and the Youth Life Satisfaction Scale(YLSS).Results:The total scores of FELQ and YLSS of the students in this group are(161.73±19.81)and(174.45±26.50).FELQ’s unity of knowledge and action,challenge and skill balance,concentration,grade ranking,family economic status are positively related to YLSS’life satisfaction(β=.227,.115,.098,.158,.082,P<.05);“Like to sleep during leisure”is negatively correlated with life satisfaction of YLSS(β=-.097,P<.05);FELQ’s unity of knowledge and action,concentration,grade ranking and family economic status are positively related to YLSS’s self-satisfaction(β=.286,.126,.194,.096,P<.01);“Like to sleep during leisure”is negatively correlated with YLSS’s self-satisfaction(β=-.091,P<.01);FELQ’s unity of knowledge and action,challenge and skill balance,father’s occupation,“like self-study in leisure”are positively related to YLSS’environmental satisfaction(β=.198,.131,.075,.073,P<.05);“Like to sleep during leisure”,gender and YLSS environment satisfaction negatively correlated(β=-.094,-.091,P<.01).Conclusion:Flow experience in leisure,types of leisure activities,gender,grade ranking and family factors(family economic status and father’s occupation)may be related factors for the development of college students’life satisfaction.

Study of O'Neill's Tragic View in the Light of his Life Experience

O’Neill’s tragedy deeply rooted in his own life experience and his family heredity.He is an offspring of Irish immi grants,his homelessness as a child,his early education in the catholic school and his later break with religion,his foreign expedi tion,life on the sea and his three marriages all influenced his life and his career and his theme decisively.

Unsecured Life: The Experience of the Veteran Posttraumatic Stress Disorder Wives

Introduction: Disputativeness and incitement are one of the consequences of the posttraumatic stress disorder which causes intimacy reduction in veteran wives. This study was done with the aim of expressing the veteran posttraumatic stress disorder wives. Method: This qualitative study was done by qualitative content analysis method and 14 participants took part in this study who were all PTSD veteran wives in Golestan province in Iran. Data was gathered by semi-structured interview and by purposive sampling and was continued to the data well saturated. Data analysis was continuously done at the same time as collecting the data. Findings: The main theme and the eleven subtheme included: 1) Entanglement with wife condition: Not willing to have medicine treatment, frequent hospitalized, increasing the problems as the age goes up medicine, dependency on taking medicine, unpredictable wife behavior;2) life erosion: Living along with fear, lost life;3) stressful atmosphere in the house: Physical fight, unsecured feeling in the house, sensitive to noise;4) being worry about future: Hopelessness, spoiled life. These were the main points of this study which cause the unsecured atmosphere for the families. Conclusion: Veteran in ability in controlling their anger causes emotional problems, intimacy decreasing and marriage dissatisfaction, anxiousness and being worry about future. Social and family supports such as consulting services, informative and educational systems have an important role in wives compatibility and life promotion.

Family Sport as a Positive Approach to Life： Concept, Reality and Experience

Inclusion starts in the family, but families with disabled children often live with the experience to be handicapped. Therefore, in 1982, the Institute of Sport Science at the State University of Wtirzburg in Germany started the project Family Sport as a weekly event in cooperation with an organization founded by parents called ＂Lebenshilfe＂. From 1985 on, vacation activities both in summer and winter have been organized as well. After nearly 30 years, 79 participating families out of three cities took the chance to report on their experiences and benefits which they gained in and with the project via a questionnaire. The project was carried out as a long-term pilot study （project leader： P. Kapustin） on the basis of an action research approach.

Experience Free Life in Ancient lown Yangliuqing

Different from the gentle and graceful style of Jiangnan ancient town,Yangliuqing has a more straightforward and heroic character?The architectural style of the town is open and the lines are straight and clear,which is especially clean and neat.

The Impacts of Lower Population Growth on the Quality of Life and Economic Development：China＇s Experience

China is the most populous country in the world.The total Population on the mainland of China has in-creased from 540 million in 1949 to 1.18 billion by the end of 1993.China adopted a population policy by namc of"controlling population growth and im-proving the quality of the human resources',which has been deeply rooted in the hearts of the Chinese pcoplc.The overw helming majority of the Chinese people have recognized the necessity for implementing the family planning programme not only for the sustained devel-opment of the country,but also for the benefits of their own familie cs.

Patient Life Experience and Activity of Daily Living before and after Total Knee Arthroplasty

Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total Knee Arthroplasty (TKA) patients’ views about life experiences and difficulty in daily life before and after the surgery. Methods: In this study, in-depth interview with interview guideline was used to analyze patients’ experience by using a qualitative research method, and questionnaires were used to collect quantity data. Results: 1) A total of 20 participants were recruited. Average age was 75.15 (SD = 6.468). Eighteen of the participants were female and the other two were male. The majority of participants indicated that their home facilities were convenient or very convenient. 2) Motivations of the participants to undergo TKA were joint pain, limited joint range of motion, and weakness in legs. Participants’ expectations after surgery were no more pain and ease in walking, and able to manage daily life. 3) Depending on the time after surgery, joint pain and walking ability had improved to some extent. The joint range of motion increased, but kneeling remained difficult, and the participants’ mood and exercise capacity were improved. Conclusions: The finding can be as a reference for clinical practitioner to provide preoperative education for total knee arthroplasty patients.

Life Experience Method of Application Writing under the Internet+ Field

Network virtual social life and social life of the intimate contact, gaining experience through the network are growing acceptance of a new kind of practice writing behavior. In this paper, closely related to the new direction of life experience of the Internet age forms, and characteristics of practical writing life experience development under the network environment and study of teaching strategy analysis, think the Internet+ provided by the social forms life mirror, fits the practical writing “material needs” obtaining through the network to the indirect way to gain life experience of social forms, and has become a new kind of practical writing teaching methods. Network life experience is not only a practical writing, and also will use literature writing, news writing, such as writing behavior.

An Uploaded Experience Too many tourists are experiencing life through a lens

REMEMBER the days when people used to have a phone, a computer and a camera？ I do - simply because it wasn＇t that long ago. However, as technology hurtles along at the speed of light, it might have escaped some people＇s attention that all these three devices now come together in the form of a smartphone, There＇s no need to carry all three devices when visiting a tourist site or monument - your handy smartphone can take a picture, log on to the Internet to post your picture on social media, and then use the calling function to tell your friends about the pictures you＇ve just posted.

基于Second Life的情境体验式教学模式设计

从情境认知理论和沉浸理论出发,在深入剖析Second Life构成要素的基础上,利用Second Life的情境性和交互性的优势,设计Second Life环境中的情境体验式教学模式。

Real life efficacy and safety of direct-acting antiviral therapy for treatment of patients infected with hepatitis C virus genotypes 1, 2and 3 in northwest China

BACKGROUND Regimens involving direct-acting antiviral agents(DAAs)are recommended for the treatment of infection with hepatitis C virus(HCV)genotypes 1,2 and 3.But real-world data is still not enough,especially in Asia.AIM To investigate the efficacy and safety of DAA-based regimens in a real-life setting in China.METHODS This study included 366 patients infected with HCV genotypes 1,2 and 3,with or without cirrhosis,who were observed between May 2015 and December 2018.They were treated with ledipasvir and sofosbuvir(SOF)(genotype 1)with or without ribavirin(RBV),SOF and RBV(genotype 2),or SOF and daclatasvir(genotype 3),with or without RBV,for 12 or more wk.The participants’sustained virological responses(SVR)at post-treatment week 12(SVR12)was the primary endpoint.The occurrence of adverse events and drug-drug interactions were recorded.RESULTS In the 366 patients,genotype 1(59.0%)was the most common genotype,followed by genotypes 2(34.4%)and 3(6.6%).Liver cirrhosis was diagnosed in 154(42.1%)patients.Fifty(13.7%)patients were treatment-experienced.Intention-to-treat analysis revealed that SVR12 was 86.3%(316/366).For modified intention-totreat analysis,SVR12 was achieved in 96.6%of overall patients(316/327),96.3%in patients with genotype 1,97.5%in those with genotype 2,and 95.0%in those with genotype 3.Most of the treatment failures were due to lack of follow-up(3cases had non-responses,1 had virological breakthrough,11 relapsed and 36 did not participate in the follow-up).There was no significant difference in SVR between different genotypes and liver statuses(P<0.05).Patients with lower alanine aminotransferase levels at baseline who achieved an end of treatment response were more likely to achieve SVR12(P<0.05).High SVR was observed regardless of age,gender,liver status,alpha-fetoprotein,HCV RNA levels or history of antiviral therapy(P>0.05 for all).The cumulative hepatocellular carcinoma occurrence and recurrence rate after using the DAAs was 0.9%.Most of the adverse events were mild.We found two cases of special adverse events.One case involved facial and bilateral lower extremity edema,and the other case showed an interesting change in lipid levels while on medication.No severe adverse events were noted.CONCLUSION The DAA-based regimens tested in this study have excellent effectiveness and safety in all patients infected with HCV genotypes 1,2 and 3,including those with cirrhosis.

Psychosocial Experience of Parents of Children, Adolescents and Young Adults with Type 1 Diabetes in Brazzaville

Type 1 diabetes is one of the main chronics pathologies in children. Efficient care requires a good knowledge of the disease by the parents, and an exploration of psychosocial experience of the parents, who are on the front lines of the support. Objectives: Assess the impact of parents’ level of knowledge, from their psychosocial experience and from the quality of life on the glycemic control of children, adolescents and young adults with type 1 (DT1) diabetes in Brazzaville. Patients and Methods: This was an analytical cross-sectional study with prospective data collection during 7 months at Brazzaville University Hospital CHU, involving 103 parents. We studied socio-demographic variables, the balance of children’s diabetes by glycated hemoglobin, parents’ knowledge of diabetes by questionnaire “Michigan Diabetes Research and Training Center’s Revised Diabetes Knowledge Test”. The assessment of anxiety and depression through the “Hospital Anxiety and Depression” (HAD) score. Parental stress was assessed by the “Pediatric Inventory for Parents” (PIP). Results: We reported certain anxiety symptomatology in 60 parents (58.3%). Certain depression was reported in 63 parents (61.2%), and a lesser degree of parental distress. These psychosocial disorders in the parents did not influence the glycemic balance of the children. Low socio-economic level of the family (p = 0.001), poor knowledge about diabetes (p = 0.046) and poorer quality of life (p Conclusion: Psychosocial disorders were well observed in parents of DT1 children.

Influence of Early Life Stress on Alcohol and Crack Dependents

Background: Early life stress is a significant public health problem associated with increased rates of psychiatric disorders, especially those related to drug abuse. Objective: To identify the prevalence of early life stress in drug users, to compare the intensity of trauma in alcohol and crack users, and to relate the power of injury to the severity of drug dependence. Method: Cross-sectional analytical study with a sample of 105 alcohol and crack users treated by an outpatient service. The instruments for data collection were sociodemographic data questionnaire, the Mini-International Neuropsychiatric Interview, and the Severity of Dependence Scale. The categorical variables association was analyzed using the Chi-squared test, considering p Results: High prevalence of early stress and severity of dependence were identified, with higher rates among crack users. The early stress revealed in the Alcohol group high rates of emotional (88.7%) and physical (94.3%) neglect and in the Crack group significant frequency of physical (61.5%) emotional abuse (51.9%), sexual (46.2%), and emotional (78.8%) and physical (90.4%) neglect. Crack users are 2.6 times more likely to have been emotionally abused, and 2.1 times more likely to have been sexually abused during childhood when compared to the alcohol group. Conclusion: Early stress was prevalent with significant intensity in drug users, and evaluation of this problem is essential for a better understanding of these disorders.

Characterizing the patient experience during neoadjuvant therapy for pancreatic ductal adenocarcinoma:A qualitative study

BACKGROUND Neoadjuvant therapy(NT)has increasingly been utilized for patients with localized pancreatic ductal adenocarcinoma(PDAC).It is the recommended approach for borderline resectable(BR)and locally advanced(LA)cancers and an increasingly utilized option for potentially resectable(PR)disease.Despite its increased use,little research has focused on patient-centered metrics among patients undergoing NT,including patient experiences,preferences,and recommendations.A better understanding of all aspects of the patient experience during NT may identify opportunities to design interventions aimed at improving quality of life;it may also facilitate the completion of NT and receipt of surgery,ultimately optimizing long-term outcomes.AIM To understand the experience of patients initiating and receiving NT to identify opportunities to improve neoadjuvant cancer care delivery.METHODS Semi-structured interviews of patients with localized PDAC during NT were conducted to explore their experience initiating and receiving NT.Interviews took place between August 2020 and October 2021.Due to the descriptive nature of the research,questions were open ended.Interviews were conducted over the phone,audio recorded and then transcribed.All interviews were coded by two independent researchers using NVivo 12,iteratively identifying themes until thematic saturation was achieved.An integrative approach to qualitative analysis was used,utilizing both inductive and deductive methods.RESULTS A total of 12 patients with localized PDAC were interviewed.Patients with BR(n=7),PR(n=2),and LA(n=3)cancers participated in the study.All patients indicated that choosing NT was the doctor’s recommendation,while most reported not being familiar with the concept of NT(n=11)and that NT was presented as the only option(n=8).Five themes describing the patient experience emerged:physical symptoms,emotional symptoms,coping mechanisms,access to care,and life factors.The most commonly cited recommendation for improving the experience of NT was improved education before and during NT(n=7).Patients highlighted the need for more information on the rationale behind choosing NT prior to surgery,the anticipated surgery and its likelihood of surgery occurring after NT,as well as general information prior to starting NT treatment.The need for seeing different members of the healthcare team,including ancillary services was also frequently cited as a recommendation for improving the experience of NT(n=5).CONCLUSION This study provides a framework to allow for a better understanding of the PDAC patient experience during NT and highlights opportunities to improve quality and quantity of life outcomes.

Living Kidney Donation – Subjective Experiences of Donors before and Two Years after Donation

Little is known about long-term quality of life of kidney donors. We studied subjective experiences of donors before and two years after kidney donation using in-depth interviews of eleven subjects. Interviews were audiotaped, transcribed, and analyzed by qualitative content analysis (grounded theory). Resulting categories of this process were grouped in order to construct ideal types of subjective experiences after kidney donation. Of our donors, 64% were female, mean age was 40.4 years. Donors reported that they had had no medical problems after donation. Most displayed psychological problems, e. g. difficulties adjusting to the new situation, hypochondriacal complaints, and fear of rejection of the recipient’s kidney. Psychological complaints were particularly troublesome in case of complications of the recipient. All donors wished extended counselling after kidney donation. Identifying problems of kidney donors may be easier when doctors are trained in typical experiences. This may also guide the tailoring of individual psychological interventions.

Adult Education and Training in Portugal： A Multi-case Study Focused on Autobiographical Experiences

In our actual framework of constant social and cultural changing, we are witnessing a transformation of the adults＇ patterns and pathways of life. Currently, people＇s lives cannot be analyzed using a macro-perspective, marked by partitioning phases, but the various stages we undergo from childhood to the third age are being overlapped and this is reflected with particular relevance in the field of learning, where the notion of lifelong learning is present in our personal, social and professional everyday contexts, in Portugal, the New Opportunities Initiative is building new and innovative education and training pathways, which privilege the autobiographical methods, where adults, from their life stories, are challenged to resort to new ways of valuing their experiences, potentiating the acquisition of new skills, in a logic of personal, social and professional empowerments. This formative/training logic has shown to be the promoter of a growing autonomy from the adults. We will present, here, the qualitative multi-case study we are developing in this area, which is centered on adults＇/professionals＇ autobiographies and focuses on the understanding of adult education, lifelong learning and on the analysis of the mediation figures associated with them.

The Support of Religious Emotion to Religious Life

The reason why religion can exist is that it provides a sense of absolute dependence, which is the ultimate emotion based on the belief of cosmic and human harmony. In a sense, it can be said that religion is absolute piety and humility, which stems from the experience of God＇ s power.

Research of Surface Coating Influence on Loose Life of Bolt

The rust⁃proof ability relate to the reliability of bolt connection,and the painting is the most simple and effective rust⁃proof method in industry.Because of lacking general standard,there are different coating thicknesses painted on the surface of workpieces,which influences the loose life of connecting bolt.For the longer loose life,Three kinds of applied coatings(primer coating,primer+top⁃coat coating,primer+intermediate⁃coat+top⁃coat coating)in industry are tested in the experiment,and the best coating is found.All the conclusions gotten by analyzing the testing phenomenon of every coating shown in experiment,have profound meaning for practical industry application.