Table 2.

Summary of themes and subthemes identified from the studies

Major themes	Studies	Subthemes
Physical Problems	Alwi F et al. (2018), Ceylan H, Vural F (2017), Thorpe G et al. (2016), Shaffy et al. (2014), Danielsen A K et al. (2013), Danielsen A K et al. (2013), Dabirian A et al. (2010), Honkala S et al. (2009), Nicholas DB et al. (2008), Annells M (2006), Persson E., Hellstrom AL (2002)	Limitation in physical and recreational activities Alteration in body image Issues in travelling Sleep disturbance Nutritional issues Alteration in clothing style Complications of stoma
Psychological Issues	Alwi F et al. (2018), Thorpe G et al. (2016), Danielsen A K et al (2013), Shaffy et al. (2014), Dabirian A et al. (2010), Honkala S et al. (2009), Annells M (2006)	Impaired psychological wellbeing Comparison with normal people
Social Relations	Alwi F et al. (2018), Ceylan H, Vural F (2017), Thorpe G et al. (2016), Shaffy et al. (2014), Danielsen AK et al. (2013), Dabirian A et al. (2010), Annells M (2006), Nicholas DB et al. (2008), Persson E., Hellstrom AL (2002)	Marital and sexual relationship Relationship with family friends and others
Environmental Impact	Alwi F et al. (2018), Ceylan H, Vural F (2017), Thorpe G et al. (2016), Shaffy et al. (2014), Danielsen AK et al. (2013), Dabirian A et al. (2010), Honkala S et al. (2009)	Financial burden Lack of tailored counselling services
Coping and adaptation	Alwi F et al. (2018), Ceylan H, Vural F (2017) Danielsen A K et al. (2013), Dabirian A et al. (2010), Honkala S et al. (2009), Barnabe NC et al. (2008), Nicholas DB et al (2008), Annells M (2006)	Use of problem-solving coping strategies Learning in group