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Academic Journal of Medicine & Health Sciences, 2026, 7(3); doi: 10.25236/AJMHS.2026.070301.

Exercise Experiences of Patients with Temporary Stomas before Reversal: A Qualitative Study

Author(s)

Zhang Jieqiong1, Qiao Lina2, Li Min2, Wang Huijun2, Li Danqi3, Jin Xianzhen1

Corresponding Author:
Jin Xianzhen
Affiliation(s)

1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, 712000, Shaanxi, China

2Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, 710061, Xi'an, Shaanxi, China

3School of Nursing, Yan'an University, Yan'an, 716000, Shaanxi, China

Abstract

This descriptive qualitative study explores the multifaceted factors influencing physical activity experiences during the pre-reversal stage in patients with temporary intestinal stomas to provide evidence for targeted exercise guidance. Semi-structured interviews were conducted with 13 patients who underwent colorectal cancer surgery with temporary stoma formation, and the data were analyzed using qualitative content analysis. The findings identified four primary themes: physical activity cognition, characterized by health belief–driven initiative but insufficient awareness of pre-reversal exercise value; dual physical and psychological burden, including symptom distress and stoma-related concerns; insufficient social support, manifested as economic strain and lack of assistance; and a significant deficit in professional guidance despite a high demand for stage-specific exercise protocols. The results indicate that physical activity in this population is shaped by complex interactions between cognitive, physical, social, and professional factors. Clinical practice should prioritize rehabilitation management during the pre-reversal interval by strengthening health education and providing structured, stage-based exercise guidance. Integrating family and social support is essential to foster active participation in physical activity, thereby optimizing preoperative functional reserve and facilitating successful stoma reversal and long-term recovery.

Keywords

Temporary intestinal stoma; Pre-reversal stage; Physical activity; Qualitative research

Cite This Paper

Zhang Jieqiong, Qiao Lina, Li Min, Wang Huijun, Li Danqi, Jin Xianzhen. Exercise Experiences of Patients with Temporary Stomas before Reversal: A Qualitative Study. Academic Journal of Medicine & Health Sciences (2026), Vol. 7, Issue 3: 1-6. https://doi.org/10.25236/AJMHS.2026.070301.

References

[1] J. Ferlay, M. Colombet, I. Soerjomataram, T. Dyba, G. Randi, M. Bettio, A. Gavin, O. Visser, F. Bray. Cancer Incidence and Mortality Patterns in Europe: Estimates for 40 Countries and 25 Major Cancers in 2018. Eur J Cancer. 2018, 103: 356-387

[2] Y. Wu, H. Zheng, T. Guo, A. Keranmu, F. Liu, Y. Xu. Temporary Diverting Stoma Improves Recovery of Anastomotic Leakage after Anterior Resection for Rectal Cancer. Sci Rep. 2017, 7 (1): 15930

[3] A. Dinnewitzer, T. Jäger, C. Nawara, S. Buchner, H. Wolfgang, D. Öfner. Cumulative Incidence of Permanent Stoma after Sphincter Preserving Low Anterior Resection of Mid and Low Rectal Cancer. Dis Colon Rectum. 2013, 56 (10): 1134-1142

[4] M. McGettigan, C.R. Cardwell, M.M. Cantwell, M.A. Tully. Physical Activity Interventions for Disease-Related Physical and Mental Health During and Following Treatment in People with Non-Advanced Colorectal Cancer. Cochrane Database Syst Rev. 2020, 5 (5): Cd012864

[5] G. Hubbard, C. Taylor, A.J.M. Watson, J. Munro, W. Goodman, R.J. Beeken. A Physical Activity Intervention to Improve the Quality of Life of Patients with a Stoma: A Feasibility Study. Pilot Feasibility Stud. 2020, 6: 12

[6] Zhou X D, Zhou H Y. Analysis of Physical Activity Status and Influencing Factors in Colorectal Cancer Patients with Enterostomy [J]. Chinese Journal of General Practice, 2021, 19 (10): 1673-1676. 

[7] Xu H L, Yue L X, Huang Z H, Wang Z X, Wang F J, Guo L S. Research Progress on the Status of Physical Activity in Patients with Enterostomy [J]. Journal of Nursing Administration, 2018, 18 (11): 808-811, 815.

[8] C.L. Rock, C. Thomson, T. Gansler, S.M. Gapstur, M.L. McCullough, A.V. Patel, K.S. Andrews, E.V. Bandera, C.K. Spees, K. Robien, S. Hartman, K. Sullivan, B.L. Grant, K.K. Hamilton, L.H. Kushi, B.J. Caan, D. Kibbe, J.D. Black, T.L. Wiedt, C. McMahon, K. Sloan, C. Doyle. American Cancer Society Guideline for Diet and Physical Activity for Cancer Prevention. CA Cancer J Clin. 2020, 70 (4): 245-271

[9] Liu X, Wang W C, Ma C Y. Analysis of Influencing Factors of Physical Activity in Colorectal Cancer Patients with Permanent Enterostomy Based on the Health Promotion Model [J]. Journal of Nursing (China), 2022, 29 (11): 59-64.

[10] Expert Group of Chinese Enhanced Recovery After Surgery (ERAS). Guidelines for Clinical Practice of Enhanced Recovery After Surgery in China (2021) (I) [J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12 (05): 624-631.

[11] R.S. Krouse, C.S. Wendel, D.O. Garcia, M. Grant, L.K.F. Temple, S.B. Going, M.C. Hornbrook, J.E. Bulkley, C.K. McMullen, L.J. Herrinton. Physical Activity, Bowel Function, and Quality of Life among Rectal Cancer Survivors. Qual Life Res. 2017, 26 (11): 3131-3142

[12] Lei W A, Gu Y H, Yue Y, Xie C T. Current Status and Influencing Factors of Self-Care Agency in Patients with Temporary Ileostomy [J]. Tianjin Nursing, 2022, 30 (01): 6-9.

[13] Z. Xi, C.M. Rong, L.J. Ling, Z.P. Hua, G. Rui, H.G. Fang, W. Long, Z.H. Zhen, L. Hong. The Influence of Stigma and Disability Acceptance on Psychosocial Adaptation in Patients with Stoma: A Multicenter Cross-Sectional Study. Front Psychol. 2022, 13: 937374

[14] F.Z. Aker, E. Karazeybek. Relationship between Perceived Social Support and Stoma Self-Efficacy in Permanent Colostomy Patients: A Correlational Study. J Eval Clin Pract. 2025, 31 (1): e14117

[15] A.V. Mena-Jiménez, C.A. Rodríguez-Suárez, H. González-de la Torre. Return to Physical Activity in Individuals with Surgical Stomas: A Scoping Review. Sports (Basel). 2024, 12 (10)

[16] L.K. Janet, L. Tracy, O. Kristen. Adults’ and Their Care Partners’ Perspectives of Living with a Stoma: A Qualitative Descriptive, Community-Based Inquiry. WCET Journal - Chinese Edition. 2025, 45 (1)

[17] S. Russell. Physical Activity and Exercise after Stoma Surgery: Overcoming the Barriers. Br J Nurs. 2017, 26 (5): S20-s26

[18] J.L. Teo, Z. Zheng, S.R. Bird. Identifying the Factors Affecting 'Patient Engagement' in Exercise Rehabilitation. BMC Sports Sci Med Rehabil. 2022, 14 (1): 18

[19] K. Shiozaki, M. Asaeda, T. Hashimoto, Y. Umemoto, H. Ito, T. Takahashi, Y. Nishimura, F. Tajima. Effects of Physiatrist and Physiotherapist-Supervised Therapeutic Exercise on Physical Function in Frail Older Patients with Multimorbidity. Prog Rehabil Med. 2023, 8: 20230012