Quality of life evaluation in ostomized patients attended at Centro de Atenção à Saúde de Sergipe
DOI:
https://doi.org/10.33448/rsd-v10i13.20881Keywords:
Ostomy; Health; Quality of Life; Colostomy bag.Abstract
Objective: Evaluate epidemiological profile and quality of life (QF) of patients with intestinal ostomy. Methodology: Transversal and quantitative research, from january to may 2021, compound by ostomized patients older than 50 years attended at the Centro de Atenção à Saúde de Sergipe in Aracaju/SE. A sociodemographic questionnaire was applied, including ostomy data and life quality evaluation tool (Stoma-QoL-Brazilian variant), about physical, psychological, enviromental, social and sexual relationships domains. The Shapiro-Wilk and Mann-Whitney test was used (p≤0.05). Results: 100 patients were evaluated, 54 males, 70% older than 50 years, married, brown skin, avareage income R$2573,00 and schooling between 1st to 4th grade. 93% were colostomized and 53% in permanent condition, mostly because of colorectal cancer treatment. It was identified that 58% do not see themselves as sexually attractive and 45% get anxious about bag filling. Patients who denied feeling negative symptons after stoma have better QF in comparison to who felt, 20% reported psychological support and 75% of those have had improvement in their QF. Having family and friends support are good predictors related to better QF. Conclusion: It was not observed difference between the gender, most of them were married, with low income and low schooling. Definitive colostomy by colorectal cancer predominated. In general, patients presented good life quality, agreeing with their self-perspective, despite of sexual dissatisfaction and mechanical issues regarding the colostomy bag. Specialized treatment, psychological support and participation in groups improve the coping related to this condition and contributes with knowledge about self-caring, reducing negative impacts in QF.
References
Aguiar, F. A. S., Pinheiro de Jesus, B., Cardoso Rocha, F., Barbosa Cruz, I., de Andrade Neto, G. R., Meira Rios, B. R., ... & Batista Andrade, D. L. (2019). COLOSTOMY AND SELF-CARE: MEANINGS FOR OSTOMIZED PATIENTS. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 13(1).
Batista, M. D. R. D. F. F., Rocha, F. C. V., Silva, D. M. G. D., & Silva Júnior, F. J. G. D. (2011). Autoimagem de clientes com colostomia em relação à bolsa coletora. Revista Brasileira de enfermagem, 64, 1043-1047.
Borges, E. C., Camargo, G. C., Souza, M. O., Pontual, N. A., & de Sá Novato, T. (2007). Qualidade de vida em pacientes ostomizados: uma comparação entre portadores de câncer colorretal e outras patologias* Quality of life in patients stomized: a comparison between carriers of colorectal neoplasms and other pathologies. Rev Inst Ciênc Saúde, 25(4), 357-63.
Cascais, A. F. M. V., Martini, J. G., & Almeida, P. J. D. S. (2007). O impacto da ostomia no processo de viver humano. Texto & Contexto-Enfermagem, 16, 163-167.
Dabirian, A., Yaghmaei, F., Rassouli, M., & Tafreshi, M. Z. (2011). Quality of life in ostomy patients: a qualitative study. Patient preference and adherence, 5, 1.
Dulk, M. D., Marijnen, C. A. M., Collette, L., Putter, H., Påhlman, L., Folkesson, J., ... & Van De Velde, C. J. H. (2009). Multicentre analysis of oncological and survival outcomes following anastomotic leakage after rectal cancer surgery. Journal of British Surgery, 96(9), 1066-1075.
Doughty, D. (2005). Principles of ostomy management in the oncology patient. The Journal of Supportive Oncology, 3(1), 59-69.
Dunn, O. J. (1964). Multiple comparisons using rank sums. Technometrics, 6(3), 241-252.
Faria, F. L., Labre, M. M., de Sousa, I. F., & de Almeida, R. J. (2018). Avaliação da qualidade de vida em pacientes com estomia intestinal. Arquivos de Ciências da Saúde, 25(2), 8-14.
Ferreira, E. D. C., Barbosa, M. H., Sonobe, H. M., & Barichello, E. (2017). Self-esteem and health-related quality of life in ostomized patients. Revista brasileira de enfermagem, 70, 271-278.
Kiliç, E., Taycan, O., & Bellı, A. K. (2007). The Effect of Permanent Ostomy on Body Image, Self-Esteem, Marital Adjustment, and Sexual Functioning. Turkish journal of psychiatry, 18(4).
Kimura, C. A., Kamada, I., Guilhem, D., & Monteiro, P. S. (2013). Quality of life analysis in ostomized colorectal cancer patients. Journal of Coloproctology (Rio de Janeiro), 33, 216-221.
Kruskal, W. H., & Wallis, W. A. (1952). Use of ranks in one-criterion variance analysis. Journal of the American statistical Association, 47(260), 583-621.
Landmann, R. G. (2019). Ileostomy or colostomy care and complications.
Luz, A. L. D. A., Luz, M. H. B. A., Antunes, A., Oliveira, G. S. D., Andrade, E. M. L. R., & Miranda, S. M. (2014). Perfil de pacientes estomizados: revisão integrativa da literatura.
Mann, H. B., & Whitney, D. R. (1947). On a test of whether one of two random variables is stochastically larger than the other. The annals of mathematical statistics, 50-60.
Maruyama, S. A. T., & Zago, M. M. F. (2005). O processo de adoecer do portador de colostomia por câncer. Revista Latino-Americana de Enfermagem, 13, 216-222.
Mendonça, R. S., Valadão, M., Castro, L., & Camargo, T. C. (2007). A importância da consulta de enfermagem em pré-operatório de ostomias intestinais. Revista Brasileira de Cancerologia, 53(4), 431-435.
Mols, F., Lemmens, V., Bosscha, K., van den Broek, W., & Thong, M. S. (2014). Living with the physical and mental consequences of an ostomy: a study among 1–10‐year rectal cancer survivors from the population‐based PROFILES registry. Psycho‐Oncology, 23(9), 998-1004.
Nascimento, C. D. M. D. S., Trindade, G. L. B., Luz, M. H. B. A., & Santiago, R. F. (2011). Vivência do paciente estomizado: uma contribuição para a assistência de enfermagem. Texto & Contexto-Enfermagem, 20, 557-564.
Oliveira, A. L. (2017). Qualidade de vida relacionada à saúde e perfil nutricional de portadores de derivação intestinal–colostomia e íleostomia. Juiz de Fora (MG): Universidade Federal de Juiz de Fora.
Paula, M. A. B. D., Takahashi, R. F., & Paula, P. R. D. (2009). Os significados da sexualidade para a pessoa com estoma intestinal definitivo. Revista Brasileira de Coloproctologia, 29(1), 77-82.
Prieto, L., Thorsen, H., & Juul, K. (2005). Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy. Health and Quality of Life Outcomes, 3(1), 1-10.
Rocha, F. C., da Silva, D. M., & Júnior, F. J. (2011). Self-image of clients with colostomy related to the collecting bag. Revista brasileira de enfermagem, 64(6), 1043-1047.
Sales, C. A., Violin, M. R., Waidman, M. A. P., Marcon, S. S., & Silva, M. A. P. D. (2010). Sentimiento de las personas ostomizadas: comprensión existencial. Revista da Escola de Enfermagem da USP, 44(1), 221-227.
Salomé, G. M., & Almeida, S. A. D. (2014). Association of sociodemographic and clinical factors with the self-image and self-esteem of individuals with intestinal stoma. Journal of Coloproctology (Rio de Janeiro), 34, 159-166.
Sampaio, F. A. A., Aquino, P. D. S., Araújo, T. L. D., & Galvão, M. T. G. (2008). Nursing care to an ostomy patient: application of the Orem s theory. Acta Paulista de Enfermagem, 21, 94-100.
Santos, O. J., Sauaia, E. N., Barros, A. K. D., Desterro, V. S., Silva, T., Venicius, M., ... & Santos Sauaia, C. H. (2016). Children and adolescents ostomized in a reference hospital. Epidemiological profile. Journal of Coloproctology (Rio de Janeiro), 36, 75-79.
Shapiro, S. S., & Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52(3/4), 591-611.
Silva, E. S. D., Castro, D. S. D., Garcia, T. R., Romero, W. G., & Primo, C. C. (2016). Tecnologia do cuidado à pessoa com colostomia: diagnósticos e intervenções de enfermagem. Revista Mineira de Enfermagem, 20.
Silva, D. G., Bezerra, A. L. Q., Siqueira, K. M., Paranaguá, T. T. D. B., & Barbosa, M. A. (2010). Influência dos hábitos alimentares na reinserção social de um grupo de estomizados.
Siegel, S., & Castellan Jr, N. J. (1975). Estatística não-paramétrica para ciências do comportamento. Artmed Editora.
Sousa, C. F., Brito, D. C., & Branco, M. Z. P. C. (2012). Depois da colostomia… vivências das pessoas portadoras. Enfermagem em Foco, 3(1), 12-15.
Souza, P. C. M., da Costa, V. R. M., Maruyama, S. A. T., da Costa, A. L. R. C., Rodrigues, A. E. C., & Navarro, J. P. (2011). As repercussões de viver com uma colostomia temporária nos corpos: individual, social e político. Revista Eletrônica de Enfermagem, 13(1), 50-9.
Tan, W. S., Tang, C. L., Shi, L., & Eu, K. W. (2009). Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer. Journal of British Surgery, 96(5), 462-472.
Team, R. C. (2013). R: A language and environment for statistical computing.
Torres, C. R. D., Andrade, E. M. L. R., Ribeiro, F. M. S., Gonçalves Neta, F. D. C. C., & Luz, M. H. B. A. (2015). Qualidade de vida de pessoas estomizadas: revisão integrativa. Rev. enferm. UFPI, 117-122.
Wong, S. K., Young, P. Y., Widder, S., & Khadaroo, R. G. (2013). A descriptive survey study on the effect of age on quality of life following stoma surgery. Ostomy Wound Manage, 59(12), 16-23.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Adrielle Almeida de Jesus; Maria Luiza Coelho de Sousa; Jéssica Abreu Silva; Maria Clara do Nascimento Gomes; Mariana Alma Rocha de Andrade; Manuela Naiane Lima Barreto; Victoria Cavalcanti de Souza; Liliane Almeida Santos; Arthur Valido Deda; Vivian Fernandes dos Santos; Renata Lima Batalha de Andrade; Maria Julia Nardelli; Carla Viviane Freitas de Jesus; Sonia Oliveira Lima
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.