Analysis of the impact f the ostomies on the sexual function of women treated in a University Hospital
DOI:
https://doi.org/10.33448/rsd-v11i14.35886Keywords:
Ostomy; Sexuality; Women.Abstract
The objective was to analyze the impact of ostomies on the sexual function of ostomized women. Analytical, cross-sectional, quantitative study carried out at the Stomatherapy Outpatient Clinic of the University Hospital of the Federal University of Maranhão. The sample consisted of 44 women with temporary or permanent elimination stomas. Two questionnaires were used, one with sociodemographic, economic, clinical, housing and lifestyle data prepared by the authors, and the second with the Female Sexual Quotient (QS-F) to assess sexual activity. The Shapiro Wilk tests were used to verify the normality of continuous variables, Student's t test for analysis of dichotomous variables, the Anova Oneway factor or the Kruskal Wallis nonparametric test for polytomous variables and Pearson's linear correlation for continuous variables. Results with p < 0.05 were considered statistically significant. Few women had a good or excellent sexual pattern (15.91%). The sample's mean QS-F score was 39.13 (±29.37). Regarding associations, older age (r -0.32, p = 0.029), arterial hypertension (t = -21.39, p = 0.017), diabetes (t = -29.85, p = 0.025) and alcohol consumption alcoholics (t = -24.44, p = 0.039) had lower QS-F scores. A low level of women's sexual performance and the presence of sexual dysfunctions were found. An inverse relationship between age and sexual function was observed. The variables arterial hypertension, diabetes and drinking habits were significantly associated with impairment in the participants' sexual performance.
References
Albuquerque A. F. L. L, Pinheiro A. K. B, Linhares F. M. P, &¨Guedes T. G. (2016). Tecnologia para o autocuidado da saúde sexual e reprodutiva de mulheres estomizadas. Rev Bras Enferm. 2016;69(6):1164–71.
Alves R, Moreira K, Franco C, &¨Oliveira D. A (2013). percepção do paciente portador de ostomia com relação a sua sexualidade. R Interd. 2013;6(3):26–35.
Cardoso D. B. R, Almeida C. E, Santana M. E, Carvalho D. S de, Sonobe H. M, &¨Sawada N. O. (2015). Sexuality of people with intestinal ostomy. Rev da Rede Enferm do Nord. 2015;16(4):57
Cunha R. R, Backes V. M. S, &¨Heidemann I. T. S. B. (2012). Critical unveiling of people with stomas: The continuing health education program in action. ACTA Paul Enferm. 2012;25(2):296–301.
Gozuyesil E, Taylan S, Manav A .I, &¨Akil Y. (2017). The Evaluation of Self-Esteem and Sexual Satisfaction of Patients with Bowel Stoma in Turkey: Self-Esteem Sexual Satisfaction in Patients with Bowel Stoma. Sex Disabil. 2017;35(2):157–69.
Grant M, McMullen C. K, Altschuler A, Mohler M. J, Hornbrook M. C, Herrinton L. J, et al. (2011). Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum. 2011;38(5):587–96.
Helena C, Abdo N. (2009). Quociente sexual feminino: um questionário brasileiro para avaliar a atividade sexual da mulher. Diagn Trat. 2009;14(2):89–1.
Kiliç E, Taycan O, Belli A, K, &¨Özmen M. T (2007). The effect of permanent ostomy on body image, self-esteem, marital adjustment, and sexual functioning. Turk Psikiyatr Derg. 2007;18(4):1–8.
Kimura C. A, Kamada I, Guilhem D. B, De Abreu B S de A, Fortes R. C, &¨Santos W. L dos. (2017). The sexuality of a colostomized person as a major component of quality of life and nursing care. J Nurs Educ Pract. 2017;7(8):104.
Marques, A. D. B., Nascimento, L. C., Nery, I. S., & Luz, M. H. B. A. (2014). A vivência da sexualidade da mulher estomizada. Enfermagem em Foco, 5(3/4), 82-86.
Moreira W.C, Vera S. O da, Sousa G. N de, Araújo S. N. M, Damasceno C. K. C. S, &¨Andrade E. M. L. R. (2017). Sexualidade de pacientes com estomias intestinais de eliminação Sexuality of patients with bowel elimination ostomy. Rev Pesqui Cuid é Fundam Online. 2017;9(2):495.
Mota M, Silva C, &¨Gomes G. (2016). Vida e sexualidade de mulheres estomizadas: subsídios à enfermagem. Rev Enferm do Centro-Oeste Min. 2016;6(2):2169–79.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.
Polizer A. A, &¨Alves T. M. B. (2009). Perfil da satisfação e função sexual de mulheres idosas. Fisioter mov. 2009;22(2):151–8.
Ribeiro W. A, Fassarella B. P. A, Neves K do C, Oliveira R.L.A de, Cirino H.P, &¨Santos J.A.M. (2019). Estomias Intestinais: Do contexto histórico ao cotidiano do paciente estomizado. Rev Pró-UniverSUS. 2019;10(2):59–63.
Santos M. de O. (2018). Estimativa 2018: Incidência de Câncer no Brasil. Rev Bras Cancerol. 2018;64(1):119–20.
Santos S. R dos, Medeiros A .L de, Cabral R. W. D. L, Anselmo M das N. S, &¨Souza M. C. D. J. (2013). Sexualidade de portadoras de estoma intestinal definitivo: percepção de mulheres. Enferm em Foco. 2013;4(2):119.
Sprunk E, &¨Alteneder R. R. (2000). The impact of an ostomy on sexuality. Clin J Oncol Nurs. 2000;4(2):85–8.
Stumm E. M. F, Oliveira E .R. A de, &¨Kirschner R. M. (2008). Perfil de pacientes ostomizados. Sci med. 2008;26–30.
Sutsunbuloglu E, &¨Vural F. (2018). Evaluation of Sexual Satisfaction and Function in Patients Following Stoma Surgery: A Descriptive Study. Sex Disabil. 2018;36(4):349–61.
Thyø A, Elfeki H, Laurberg S, &¨Emmertsen K. J. (2019). Female sexual problems after treatment for colorectal cancer – a population-based study. Color Dis. 2019;21(10):1130–9.
Thyø A, Laurberg S, &¨ Emmertsen K. J(2020). Impact of bowel and stoma dysfunction on female sexuality after treatment for rectal cancer. Color Dis. 22:894
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Shirley Santos Martins; Ayanne Stephany Santos Nardini; Tamires Barradas Cavalcante; Matheus Fernandes de Castro; Orlando José dos Santos; Sueli Carneiro
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.
