Adriana Pelegrini dos Santos Pereira

Associations among socio-demographic and clinical factors and the quality of life of ostomized patients

This study identifies the socio-demographic and clinical factors of patients with irreversible colostomy secondary to colorectal cancer and correlates them with quality of life (QOL). It is a cross-sectional study. Socio-demographic and clinical data were collected through interviews and the WHOQOL-bref to assess QOL. The sample comprised 60 patients. Most of the patients were male, elderly individuals, half were married and half did not have a sexual partner, with complete primary education, receiving up to two times the minimum wage, carried a stoma for three months on average, were instructed they would carry a stoma, but did not have their stoma marked prior to surgery. The average QOL score was 75.500, while the psychological, social and physical domains were the most affected. No statistically significant differences were found in QOL in relation to the following socio-demographic and clinical factors: female gender, low income, no sexual partners, and lack of instruction. The patients with an intestinal stoma presented a satisfactory QOL.Os objetivos deste estudo foram identificar os fatores sociodemograficos e clinicos dos pacientes com estoma intestinal definitivo, secundario ao câncer colorretal, e correlaciona-los a qualidade de vida (QV). Como metodos usaram-se o estudo transversal, utilizando a entrevista como instrumento de coleta de dados sociodemograficos e clinicos, e, para avaliacao da QV, o WHOQOL-bref. A amostra foi composta por 60 pacientes. Como resultados tem-se que a maioria dos pacientes era do sexo masculino, idoso, casado, sem parceiro sexual, com ensino fundamental completo, recebia ate dois salarios-minimos, tempo medio de estoma de tres meses, foram orientados que portariam um estoma, mas nao foi demarcado para a cirurgia. A media da QV foi de 75,00, sendo que os dominios psicologico, social e fisico foram os mais afetados. Os fatores sociodemograficos e clinicos: sexo feminino, baixa renda, nao ter parceiros sexuais e falta de orientacao apresentaram diferencas estatisticas significantes na QV. Conclui-s que os pacientes portadores de estoma intestinal demonstraram QV satisfatoria.

Associação dos fatores sociodemográficos e clínicos à qualidade de vida dos estomizados

This study identifies the socio-demographic and clinical factors of patients with irreversible colostomy secondary to colorectal cancer and correlates them with quality of life (QOL). It is a cross-sectional study. Socio-demographic and clinical data were collected through interviews and the WHOQOL-bref to assess QOL. The sample comprised 60 patients. Most of the patients were male, elderly individuals, half were married and half did not have a sexual partner, with complete primary education, receiving up to two times the minimum wage, carried a stoma for three months on average, were instructed they would carry a stoma, but did not have their stoma marked prior to surgery. The average QOL score was 75.500, while the psychological, social and physical domains were the most affected. No statistically significant differences were found in QOL in relation to the following socio-demographic and clinical factors: female gender, low income, no sexual partners, and lack of instruction. The patients with an intestinal stoma presented a satisfactory QOL.Os objetivos deste estudo foram identificar os fatores sociodemograficos e clinicos dos pacientes com estoma intestinal definitivo, secundario ao câncer colorretal, e correlaciona-los a qualidade de vida (QV). Como metodos usaram-se o estudo transversal, utilizando a entrevista como instrumento de coleta de dados sociodemograficos e clinicos, e, para avaliacao da QV, o WHOQOL-bref. A amostra foi composta por 60 pacientes. Como resultados tem-se que a maioria dos pacientes era do sexo masculino, idoso, casado, sem parceiro sexual, com ensino fundamental completo, recebia ate dois salarios-minimos, tempo medio de estoma de tres meses, foram orientados que portariam um estoma, mas nao foi demarcado para a cirurgia. A media da QV foi de 75,00, sendo que os dominios psicologico, social e fisico foram os mais afetados. Os fatores sociodemograficos e clinicos: sexo feminino, baixa renda, nao ter parceiros sexuais e falta de orientacao apresentaram diferencas estatisticas significantes na QV. Conclui-s que os pacientes portadores de estoma intestinal demonstraram QV satisfatoria.

Health care service for ostomy patients: profile of the clientele

The study aimed to identify the profile of ostomy patients in a Health Care Service in Sao Jose do Rio Preto, Sao Paulo, Brazil. This is an exploratory, descriptive and retrospective study. Data were obtained by registration forms of patients assisted from January 1st, 2000, to December 31st, 2010. Out of the 252 ostomy patients, 51.1% were females and 48.9% were males; the age group with the highest concentration was from 68 to 78 years old (26.3%) for both genders, with mean age of 73 years old. The main reason for making the stoma was rectal (35.0%) and colon neoplasm (14.1%). The prevalent stoma was temporary colostomy (41.4%) and the period of permanence of the collecting equipment was longer than 36 months. Even though the service provides full assistance to the ostomy patients, it is necessary to review human resources aspects to provide appropriate assistance to its clientele.

CLINICAL AND SOCIODEMOGRAPHIC ASPECTS OF PEOPLE WITH A TEMPORARY INTESTINAL STOMA

This study aimed to characterize sociodemographic and clinical aspects of people with a temporary intestinal stoma seen by care service targeted at ostomates. This is a quantitative, cross-sectional descriptive study, including 117 people with a temporary intestinal stoma. Data were collected through medical chart review and a structured interview. Sixty-four patients (5.7%) were male, with a mean age of 62.9 years, 59.8% were married, 74.4% were Catholic and 70.9% had up to eight years of study. Most (52.9%) had a paid labor activity, 60 of which (51.3%) had discontinued their work activities, and 44.4% had not returned, receiving a social security leave. Of the 57 (48.7%) that had not interrupted their work activities, 33.3% were retired, 13.6% performed unpaid activities and 1.7% were self-employed without the possibility of having a leave. Most had a family income of up to two minimum wages (67.5%). Neoplasias were the major cause of indication of stoma (47.9%), followed by acute abdomen (31.6%). Colostomies were the most frequent stomas (75.2%), the mean duration of stoma implantation was 5.3 years (median 3 years, minimum 6 months and maximum 25 years). Knowledge of the characteristics of the attended population contribute for care planning according to the real needs of people with a stoma, thereby enabling greater effectiveness of the service and consequently greater user satisfaction.

Percepções dos estomizados intestinais sobre o estoma após cirurgia/Perceptions of ostomy patients concerning stoma after surgery

The purpose of this study was to understand perceptions about stoma of ostomized patients after after surgery. This descriptive study with a qualitative approach used three guiding questions and the testimonies of 13 ostomized patients cared for in a coloprotoctology outpatient clinical of a university hospital in the interior of Sao Paulo, Brazil were submitted to Andre’s Prose Analysis. Four themes emerged: experienced feelings, difficulties experienced after the stoma, sexual life after stoma, and future expectations. Another ten topics were identified: anger, resignation, faith, difficulties faced to self-care, social re-insertion, apparel changes, sex with loss, support from family members, healing, and improved quality of life. The studied perceptions led to the conclusion that the teaching-learning process of self-care and stimulus for social re-insertion enabled by the nurse and team consists the central focus of care provided to ostomized patients.

Asociación de los factores sociodemográficos y clínicos a la calidad de vida de los ostomizados

This study identifies the socio-demographic and clinical factors of patients with irreversible colostomy secondary to colorectal cancer and correlates them with quality of life (QOL). It is a cross-sectional study. Socio-demographic and clinical data were collected through interviews and the WHOQOL-bref to assess QOL. The sample comprised 60 patients. Most of the patients were male, elderly individuals, half were married and half did not have a sexual partner, with complete primary education, receiving up to two times the minimum wage, carried a stoma for three months on average, were instructed they would carry a stoma, but did not have their stoma marked prior to surgery. The average QOL score was 75.500, while the psychological, social and physical domains were the most affected. No statistically significant differences were found in QOL in relation to the following socio-demographic and clinical factors: female gender, low income, no sexual partners, and lack of instruction. The patients with an intestinal stoma presented a satisfactory QOL.Os objetivos deste estudo foram identificar os fatores sociodemograficos e clinicos dos pacientes com estoma intestinal definitivo, secundario ao câncer colorretal, e correlaciona-los a qualidade de vida (QV). Como metodos usaram-se o estudo transversal, utilizando a entrevista como instrumento de coleta de dados sociodemograficos e clinicos, e, para avaliacao da QV, o WHOQOL-bref. A amostra foi composta por 60 pacientes. Como resultados tem-se que a maioria dos pacientes era do sexo masculino, idoso, casado, sem parceiro sexual, com ensino fundamental completo, recebia ate dois salarios-minimos, tempo medio de estoma de tres meses, foram orientados que portariam um estoma, mas nao foi demarcado para a cirurgia. A media da QV foi de 75,00, sendo que os dominios psicologico, social e fisico foram os mais afetados. Os fatores sociodemograficos e clinicos: sexo feminino, baixa renda, nao ter parceiros sexuais e falta de orientacao apresentaram diferencas estatisticas significantes na QV. Conclui-s que os pacientes portadores de estoma intestinal demonstraram QV satisfatoria.