Qualidade de vida de pessoas com estomias intestinais
Ostomy is an open surgical origin, when it is necessary to deviate temporarily or permanently, the normal transit of food and / or deletions. The patient with ostomy disposal is faced with changes in their physiology, also emerging on the need to care collection bag. This study aimed to analyze t...
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| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/20809 |
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| Resumo: | Ostomy is an open surgical origin, when it is necessary to deviate temporarily or
permanently, the normal transit of food and / or deletions. The patient with ostomy
disposal is faced with changes in their physiology, also emerging on the need to care
collection bag. This study aimed to analyze the quality of life (QOL) of people living
with ostomy Intestinal (EI), who attended the Pediatric and Adult Rehabilitation Center
of Rio Grande do Norte (CRI / CRA-RN). It is an analytical study with cross-sectional
design and quantitative approach, accomplished with 89 people who had EI. The study
was approved by the Ethics Committee of the Federal University of Rio Grande do
Norte (CEP / UFRN), CAAE: 19866413.3.0000.5537. Held data collection in the period
January-March 2015 using two instruments: an adapted general questionnaire covering
socio-demographic, clinical and self-care and a specific instrument for assessing QOL
of people with stoma titled as City of Hope Quality of Life - Ostomy Questionnaire
(COH-QOL-Q), validated and adapted to Portuguese in 2010, composed of four areas,
namely: Welfare Body (BEF), Welfare Psychological (BEP), Welfare (BES ) and
Spiritual Well-Being (BEE). The collected data were entered into a database in
Microsoft Excel 2007 spreadsheet application and processed in computerized software
for descriptive and inferential analysis. The results showed that 83.1% had a colostomy
and ileostomy 16.9%. Sociodemographic characteristics prevailed in males (57.3%),
over 50 (57.3%), mulatto (46.1%), with presence of companion / a (57.3%), retired /
beneficiaries (50.5%), monthly income above the minimum wage (68.5%) and who
have studied up to elementary school (67.4%). Regarding clinical aspects, it was
observed that the main cause that led to the making of the stoma was the neoplasm
(59.6%) followed by trauma (21.3%). The sample showed people with stoma for more
than six months (79.8%) of permanently (57.3%), in use sink equipment piece drainable
(68.5%) of flat base (82.0%). With respect to self-care, 93.3% emptied and washed the
bag alone (care related to hygiene) and 75.3% fixed the new exchange on the skin
during the exchange (care related to the stock). Patients with more than six months of
ostomy and had no partner (a) had higher averages of self-care related hygiene and
purse. The average of respondents QoL scores was 68.90% for General QOL; 68.03%
for the BEF; 68.38% for the BEP; 66.46% for BES and 75.41% for BEE. Among the
aspects that influenced QOL included: physical strength, pain, suffering and gases
(physical domain); appearance, care of the stoma and adaptation to new condition
(psychological domain); isolation, interference in personal relationships and social
activities (social domain) and going to church or synagogue, spiritual activities and
positive change after ostomy (spiritual realm). Based on these results, it is concluded
that this was a predominantly adult sample / elderly (between 50 and 70 years), with
low education and the cause motivating the stoma, neoplasms. However, such findings
did not pass at low percentage levels on the self-care capacity to deliver even at low
QOL scores. |
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