Individual, social, and programmatic vulnerabilities experienced by people with elimination stomas

a scoping review

Authors

Keywords:

Ostomy, Surgical Stomas, Intestinal Elimination, Vulnerable Populations, Health Vulnerability

Abstract

Objective: To map the scientific literature on individual, social, and programmatic vulnerabilities experienced by people with elimination stomas.

Method: Scoping review, guided by the guidelines of the Joanna Briggs Institute and PRISMA Extension for Scoping Reviews. Original articles were included, with no time or language restrictions. Articles were excluded if they did not address the research question.

Results: Four articles, published in English and Portuguese and conducted in China and Brazil, were included in the final sample and mapped social, individual, and programmatic vulnerabilities in health. Difficulties with hygiene, shame, family disorganization, lack of self-esteem, prejudice, difficulty working, and access to public health services were highlighted.

Conclusion: The experience with elimination stomas exposes the individual to vulnerabilities that impact their quality of life, manifesting from the difficulty of adapting to the changes imposed by the stoma.

Author Biographies

Carla Souza dos Anjos, Federal University of Alagoas. Maceió, AL, Brazil.

Student of the Postgraduate Program in Nursing. Federal University of Alagoas. Maceió, AL, Brazil.

Julye Larisse Lemos Melo, Federal University of Alagoas. Maceió, AL, Brazil.

Master's student in Nursing. Federal University of Alagoas. Maceió, AL, Brazil.

Mariane Cristine Silva Bastos, Federal University of Alagoas. Maceió, AL, Brazil.

Student of the Postgraduate Program in Nursing. Federal University of Alagoas. Maceió, AL, Brazil.

Thaís Honório Lins Bernardo, Federal University of Alagoas. Maceió, AL, Brazil.

Professor at the Federal University of Alagoas. Maceió, AL, Brazil.

 

Amuzza Aylla Pereira dos Santos, Federal University of Alagoas, Maceió, AL, Brazil.

Professor at the Federal University of Alagoas, Maceió, AL, Brazil.

Renise Bastos Farias Dias, Federal University of Alagoas, Maceió, AL, Brazil.

Professor at the Federal University of Alagoas, Maceió, AL, Brazil.

Andrey Ferreira da Silva, Federal University of Alagoas. Maceió, AL, Brazil.

Professor at the Federal University of Alagoas. Maceió, AL, Brazil.

References

1. Soares MR, de Araujo PX, editors. Ostomias de Eliminações Intestinais e o cuidado com paciente ostomizado [Internet]. São Luís: Editora Pascal; 2022. 137 p. Available from: https://editorapascal.com.br/2022/12/31/ostomias-de-eliminacoes-intestinais-e-o-cuidado-com-paciente-ostomizado/

2. Ribeiro WA, do Espírito Santo FH, Souza NVDO, Ribeiro MNS, Silvino ZR, de Sousa JGM, et al. Educational technology for self-care of people with intestinal stoma: construction and methodological validation. Rev Enferm Atual In Derme [internet]. 2025 [cited 2025 Jun 25];99(Suppl 1):e025040. Available from: https://doi.org/10.31011/reaid-2025-v.99-n.supl.1-art.2452

3. Özden D, Ayik C, Cenan D. Ostomy complications, risk factors, and applied nursing care: a retrospective, descriptive study. Wound Manag Prev [Internet]. 2020 [cited 2025 Jun 20];66(9):20-30. Available from: https://doi.org/10.25270/wmp.2020.9.2030

4. Nafees B, Størling ZM, Hindsberger C, Lloyd A. The ostomy leak impact tool: development and validation of a new patient-reported tool to measure the burden of leakage in ostomy device users. Health Qual Life Outcomes [Internet]. 2018 [cited 2025 Jun 20];16:231. Available from: https://doi.org/10.1186/s12955-018-1054-0

5. Bom FB, de Souza BZ, Quaresma AB. Covid-19 Pandemic Increased the number of ostomies performed in the Mid-west of Santa Catarina. J Coloproctol [Internet]. 2024 [cited 2025 Jun 20];44(3):e196-e200. Available from: https://doi.org/10.1055/s-0044-1789221

6. Couto JA, de Sá TS, da Silva KS, Nunes MR. Nursing guidelines for ostomized patients: integrative review. Research, Society and Development [Internet]. 2021 [cited 2025 Jun 20];10(9):e31310918086. Available from: http://dx.doi.org/10.33448/rsd-v10i9.18086

7. Cascais AFMV, Martini JG, Almeida PJS. O impacto da ostomia no processo de viver humano. Texto Contexto Enferm [Internet]. 2007 [cited 2025 Jun 20];16(1):163-7. Available from: https://doi.org/10.1590/S0104-07072007000100021

8. Ayres JRC. Vulnerability, care, and integrality: conceptual reconstructions and current challenges for HIV/AIDS care policies and practices. Saúde Debate [Internet]. 2022 [cited 2025 Jun 20];46(Spec No 7):196-206. Available from: https://doi.org/10.1590/0103-11042022E714

9. Arksey H, O’Malley L. Scoping studies: towards a methodological frameworkInt. J Social Research Methodology [Internet]. 2005 [cited 2025 Jun 20];8(1):19-32. Available from: https://doi.org/10.1080/1364557032000119616

10. de Souza PCM, da Costa VRM, Maruyama SAT, da Costa ALRC, Rodrigues AEC, Navarro JP. As repercussões de viver com uma colostomia temporária nos corpos: individual, social e político. Rev Eletr Enf [Internet]. 2011 [cited 2025 Jun 20];13(1):50-9. Available from: https://revistas.ufg.br/fen/article/view/7928

11. Yang F, Feng F, Gu H, Liang H, Zhang J, Cheng Y, et al. Resilience and vulnerability of post-ostomy patients with early-onset colorectal cancer from the perspective of social-ecological theory: a qualitative study. Front Psychiatry [Internet]. 2025 [cited 2025 Jun 20];15:1497428. Available from: https://doi.org/10.3389/fpsyt.2024.1497428

12. Paczek RS, Duarte ERM, Lima GO, Davi RL, Domansky RC. The context of homeless people who live with ostomies. ESTIMA, Braz J Enterostomal Ther [Internet]. 2024 [cited 2025 Jun 20];22:e1445. Available from: https://doi.org/10.30886/estima.v22.1445_IN

13. Zacarin CFL, Alvarenga WA, de Souza RODS, Borges DCS, Dupas G. Vulnerabilidade da família de crianças com estomia intestinal. Rev Eletr Enf [Internet]. 2014 [cited 2025 Jun 20];16(2):426-33. Available from: https://doi.org/10.5216/ree.v16i2.26639

14. da Silva CRR, Sousa F, Lima JLMV, Pinto MC, Brito MAC, Cruz IM. Living with an ileostomy: a case study on the transition process. Rev Enf Ref [Internet]. 2017 [cited 2025 Jun 20];ser 4(14):111-20. Available from: https://doi.org/10.12707/RIV17015

15. Maruyama SAT. A experiência da colostomia por câncer como ruptura biográfica na visão dos portadores, familiares e profissionais de saúde: um estudo etnográfico [thesis on the Internet]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo; 2004 [cited 2025 Jun 20]. 286 p. Available from: http://www.teses.usp.br/teses/disponiveis/22/22132/tde-19052004-195459/

16. Cesaretti IUR, Santos VLCG, Schiftan SS, Vianna LAC. Colostomy irrigation: review of a number of technical aspects. Acta Paul Enferm [Internet]. 2008 [cited 2025 Jun 20];21(2):338-44. Available from: https://doi.org/10.1590/S0103-21002008000200017

17. Maruyama SAT, Barbosa CS, Bellato R, Pereira WR, Navarro JP. Auto-irrigação -estratégia facilitadora para a reinserção social de pessoas com colostomia. Rev Eletr Enf [Internet]. 2009 [cited 2025 Jun 20];11(3):665-73. Available from: https://doi.org/10.5216/ree.v11.47203

18. Mauricio VC, Souza NVDO, Lisboa MTL. Determinantes biopsicossociais do processo de inclusão laboral da pessoa estomizada. Rev Bras Enferm [Internet]. 2014 [cited 2025 Jun 20];67(3):415-21. Available from: https://www.scielo.br/j/reben/a/Z8gqgSY3dCNVkTLHtLkjZ7R/?format=html&lang=pt

19. Saraiva ES, Gomes GC, Barros EJL, Minasi ASA, Biscaglia TA, Gomes LC. Perfil sociodemográfico das pessoas com estomia de eliminação em um Serviço de Estomaterapia em um Hospital Universitário no Sul do Brasil. Res, Soc Dev [Internet]. 2022 [cited 2025 Jun 20];11(14): e83111435973. Available from: http://dx.doi.org/10.33448/rsd-v11i14.35973

Downloads

Published

2025-11-19

How to Cite

dos Anjos, C. S., Melo, J. L. L., Bastos, M. C. S., Bernardo, T. H. L., dos Santos, A. A. P., Dias, R. B. F., & da Silva, A. F. (2025). Individual, social, and programmatic vulnerabilities experienced by people with elimination stomas: a scoping review. Cogitare Enfermagem, 30. Retrieved from https://revistas.ufpr.br/cogitare/article/view/100172

Issue

Vol. 30 (2025)

Section

REVIEW

License

Copyright (c) 2025 Carla Souza dos Anjos, Julye Larisse Lemos Melo, Mariane Cristine Silva Bastos, Thaís Honório Lins Bernardo, Amuzza Aylla Pereira dos Santos, Renise Bastos Farias Dias, Andrey Ferreira da Silva

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Cogitare Enfermagem reserves the right to make normative, orthographic, and grammatical changes to the published article to maintain the cultured standard of the language, while respecting the authors' style.

The published study is the sole responsibility of the author(s), and Cogitare Enfermagem is exclusively responsible for evaluating the manuscript as a scientific publication vehicle. Revista Cogitare Enfermagem is not responsible for any violations of Law No. 9,610/1998, the Brazilian Copyright Law.

Cogitare Enfermagem allows the author to hold the copyright of articles accepted for publication, without restrictions.

The articles published are licensed under the Creative Commons license CC BY 4.0 Creative Commons - Attribution 4.0 International - CC BY 4.0 - The attribution adopted by Cogitare Enfermagem is permitted:

  • Share - copy and redistribute the material in any media or format.
  • Adapt - remix, transform and build upon the material for any purpose, even commercially.
  • Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do this in any reasonable way, but not in a way that suggests that the licensor endorses it or approves of its use.
  • No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing something that the license allows.