Isabel Umbelina Ribeiro Cesaretti

Qualidade de vida de pessoas colostomizadas com e sem uso de métodos de controle intestinal

OBJECTIVE To evaluate and to compare the quality of life (QoL) of colostomy people, using or not using the bowel control methods (BCM), in other words, the colostomy irrigation and the plug system, considering the hypothesis that people who used them had better QoL. METHOD This study was carried out in the Heliópolis Hospital Outpatient Department, after the project approval for the Ethical and Research Committee, using the WHOQoL-bref. The sample was constituted of two groups: 50 colostomy people with BCM and 50, without BCM. RESULTS The Group with BCM had a QoL significantly higher, being this observed in all the Domains and in the Overall QoL, than those of the Group without BCM. CONCLUSION The study confirmed the hypothesis that the QoL of the Group with BCM is better than the Group without BCM.

Quality of life of the colostomized person with or without use of methods of bowel control

OBJECTIVE To evaluate and to compare the quality of life (QoL) of colostomy people, using or not using the bowel control methods (BCM), in other words, the colostomy irrigation and the plug system, considering the hypothesis that people who used them had better QoL. METHOD This study was carried out in the Heliópolis Hospital Outpatient Department, after the project approval for the Ethical and Research Committee, using the WHOQoL-bref. The sample was constituted of two groups: 50 colostomy people with BCM and 50, without BCM. RESULTS The Group with BCM had a QoL significantly higher, being this observed in all the Domains and in the Overall QoL, than those of the Group without BCM. CONCLUSION The study confirmed the hypothesis that the QoL of the Group with BCM is better than the Group without BCM.

Irrigação da colostomia: revisão acerca de alguns aspectos técnicos

Objective: Performing a literature review about four technical aspects related to the colostomy irrigation: volume of water to be infused, postoperative moment to start the method’s training sessions, maintenance of a 24-hour interval between the colostomy irrigations, and time spent for the execution of the procedure, aiming to contribute for the most adequate systematization of the method. Methods: After searching in the designated sources, sixty-three articles were identified. Results: It was observed that there is no consensus among the several authors: the volume of infused water varied from 500ml to 1500ml, although, in the clinical practice, the average infused volume is 1000ml; the postoperative moment to start the training sessions varied from five days to six months; the maintenance time of a 24-hour interval between the colostomy irrigations varied from two weeks to six months; time spent in the execution of the procedure varied from 20 to 90min. Conclusion: The knowledge of these results may be an encouragement to the nurses, especially stomatherapists, to reevaluate their practice, in order to standardize the technical aspects related to the procedure, having as basis the specialized assistance.

Colostomy irrigation: review of a number of technical aspects

Objective: Performing a literature review about four technical aspects related to the colostomy irrigation: volume of water to be infused, postoperative moment to start the method’s training sessions, maintenance of a 24-hour interval between the colostomy irrigations, and time spent for the execution of the procedure, aiming to contribute for the most adequate systematization of the method. Methods: After searching in the designated sources, sixty-three articles were identified. Results: It was observed that there is no consensus among the several authors: the volume of infused water varied from 500ml to 1500ml, although, in the clinical practice, the average infused volume is 1000ml; the postoperative moment to start the training sessions varied from five days to six months; the maintenance time of a 24-hour interval between the colostomy irrigations varied from two weeks to six months; time spent in the execution of the procedure varied from 20 to 90min. Conclusion: The knowledge of these results may be an encouragement to the nurses, especially stomatherapists, to reevaluate their practice, in order to standardize the technical aspects related to the procedure, having as basis the specialized assistance.

Novas tecnologias e novas técnicas no cuidado dos estomas

The effective nurse role, stomatherapist or not, to select the devices used by the ostomy patient is only possible with the support of advanced technological improvements reached by the specific collecting systems in the stoma care and which are commercially available. With technological advances reached and associated with the proportional technical evolution, it is possible to give greater care to the stomas which will be ultimately reflected in the ostomy patient quality of life. Considering the technique in stoma care, we emphasise that the nurse, stomatotherapist or not, must be familiar with the collecting systems commercially available in order to make an adequate selection for the ostomy patient. Technological advances as well as technical evolution in the stoma care are responsible for the harmony of the triad ostomy/peristomal skin/collecting system used, facilitating self-care, improving quality of life and giving support not only to the physical rehabilitation but also to the ostomy patient psychological and social life.The effective nurse role, stomatherapist or not, to select the devices used by the ostomy patient is only possible with the support of advanced technological improvements reached by the specific collecting systems in the stoma care and which are commercially available. With technological advances reached and associated with the proportional technical evolution, it is possible to give greater care to the stomas which will be ultimately reflected in the ostomy patient quality of life. Considering the technique in stoma care, we emphasise that the nurse, stomatotherapist or not, must be familiar with the collecting systems commercially available in order to make an adequate selection for the ostomy patient. Technological advances as well as technical evolution in the stoma care are responsible for the harmony of the triad ostomy/peristomal skin/collecting system used, facilitating self-care, improving quality of life and giving support not only to the physical rehabilitation but also to the ostomy patient psychological and social life.

Calidad de vida de personas colostomizadas con o sin uso de métodos de control intestinal

OBJECTIVE To evaluate and to compare the quality of life (QoL) of colostomy people, using or not using the bowel control methods (BCM), in other words, the colostomy irrigation and the plug system, considering the hypothesis that people who used them had better QoL. METHOD This study was carried out in the Heliópolis Hospital Outpatient Department, after the project approval for the Ethical and Research Committee, using the WHOQoL-bref. The sample was constituted of two groups: 50 colostomy people with BCM and 50, without BCM. RESULTS The Group with BCM had a QoL significantly higher, being this observed in all the Domains and in the Overall QoL, than those of the Group without BCM. CONCLUSION The study confirmed the hypothesis that the QoL of the Group with BCM is better than the Group without BCM.

Irrigación de la colostomía: revisión sobre algunos aspectos técnicos

Objective: Performing a literature review about four technical aspects related to the colostomy irrigation: volume of water to be infused, postoperative moment to start the method’s training sessions, maintenance of a 24-hour interval between the colostomy irrigations, and time spent for the execution of the procedure, aiming to contribute for the most adequate systematization of the method. Methods: After searching in the designated sources, sixty-three articles were identified. Results: It was observed that there is no consensus among the several authors: the volume of infused water varied from 500ml to 1500ml, although, in the clinical practice, the average infused volume is 1000ml; the postoperative moment to start the training sessions varied from five days to six months; the maintenance time of a 24-hour interval between the colostomy irrigations varied from two weeks to six months; time spent in the execution of the procedure varied from 20 to 90min. Conclusion: The knowledge of these results may be an encouragement to the nurses, especially stomatherapists, to reevaluate their practice, in order to standardize the technical aspects related to the procedure, having as basis the specialized assistance.