The invisible wall: experiences of social isolation in colorectal cancer patients with ostomy-a qualitative meta-synthesis.

aimTo synthesize qualitative evidence on the experiences and perceptions of social isolation in colorectal cancer patients with ostomy.

methodsA systematic qualitative meta-synthesis was conducted. Nine electronic databases (PubMed, Web of Science, EBSCO, Cochrane, Scopus, CNKI, Wanfang, VIP, and CBM) were searched from inception to November 2024. Qualitative studies exploring experiences of social isolation in ostomy patients were included. Methodological quality was assessed using the CASP checklist. Data were analyzed via a meta-aggregative approach.

resultsEleven studies were included. Four synthesized findings were identified: (1) antecedents and multidimensional perceptions of social isolation, (2) social relationship rupture and structural transformation, (3) psychological distress and self-identity crisis, and (4) multidimensional support needs and positive adaptation. Social isolation arose from physiological limitations, self-care challenges, and stigma, leading to behavioral withdrawal, family tension, and emotional distress. Support and self-adjustment were found to facilitate coping.

conclusionsSocial isolation in ostomy patients is a multifaceted phenomenon shaped by individual, relational, and environmental factors. A comprehensive support framework involving healthcare providers, families, and communities is essential to mitigate social isolation and promote social reintegration. Future interventions should adopt dyadic or systemic approaches to address communal challenges. IMPLICATIONS FOR CANCER SURVIVORS: Ostomy patients may experience significant social isolation influenced by complex factors. Holistic, needs-based support from multiple stakeholders is crucial to facilitate adaptation and improve quality of life.