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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

Att leva med en stomi : – upplevelser av livskvalitet / Living with an ostomy : – experiences of quality of life

Borg, Christin, Spång, Ingela January 2010 (has links)
<p>I Sverige lever cirka 20 000 personer med stomi, vilken är en kirurgiskt anlagd öppning i bukhålan. Emellertid är det många patienter som har svårigheter med att hantera denna nyuppkomna livssituation. I sjuksköterskans dagliga arbete sker inte sällan möten med personer med stomi. Eftersom sjuksköterskans uppgift är att stödja personerna i deras tillfrisknande och återgång till ett normalt liv, är det av vikt att beskriva dessa personers upplevelser av livskvalitet. Således var syftet att beskriva patienters upplevelser av livskvalitet efter en stomioperation. Litteraturstudien genomförs med 13 artiklar som relaterar till syftet. Resultatet från artiklarna sammanställs under två rubriker, vilka belyser upplevelser som leder till minskad eller ökad livskvalitet. Stomin medför en förändring i livet, vilket initialt medför minskad livskvalitet och att det sociala livet kan bli lidande. Dessa upplevelser övergår för många med tiden till en medvetenhet om att stomin räddat deras liv. Många, särskilt de med permanent stomi, lär sig att acceptera sin stomi och att anpassa sig till den, vilket leder till ökad livskvalitet. Forskning om livskvalitet i förhållande till upplevelser relaterat till att leva med en stomi, bör fortgå för att öka sjuksköterskans förståelse i mötet med dessa personer.</p> / <p>In Sweden about 20 000 people live with an ostomy, which is a surgically constructed opening in the abdominal cavity. However, many patients have difficulty in dealing with this newly emerging circumstance in life. Frequently, a nurse’s daily activities will include the caretaking of people with an ostomy. Since the nurse's task is to support people in their recovery and their return to normal patterns in their lives, it is important to describe these people's experiences of quality of life. The purpose of this study was to describe patients’ experiences of quality of life after a surgery with an ostomy. A literature review was carried out with 13 articles related to the purpose. The results from these articles are sorted under two headings, which highlight the experiences that lead to reduced or increased quality of life. The ostomy involves a change in life, which initially leads to a reduction in quality of life and social life may also initially suffer. These experiences will over time transform into an awareness that the ostomy has saved their lives. Many, especially those with a permanent ostomy, learn to accept their ostomy and to adapt to it, resulting in improved quality of life. Research on quality of life in relation to the experiences related to living with an ostomy, should continue to enhance nurses’ understanding when meeting people with an ostomy.</p>
12

Att leva med tarmstomi : en litteraturstudie

Johansson, Mikaela, Örneskog, Emeli January 2009 (has links)
<p><strong>Bakgrund:</strong> En stomi är en konstgjord öppning för att avleda avföring genom bukväggen. Att acceptera stomin och sin nya livssituation kan vara en komplicerad process för patienten. <strong>Syfte:</strong> Syftet med litteraturstudien var att beskriva patienters upplevelser av att leva med tarmstomi. <strong>Metod:</strong> Studien utformades som en allmän litteraturstudie baserad på elva vetenskapliga artiklar, varav åtta var av kvalitativ ansats och tre av kvantitativ. <strong>Resultat:</strong> Det framkom att stomiopererade patienter upplevde fysiska, emotionella och sociala förändringar som påverkade det dagliga livet. Negativa känslor och upplevelser dominerade bland stomibärarna, vilket gjorde anpassningen till stomin besvärlig. Trots svårigheter upplevde stomibärarna ändå en tacksamhet över sina stomier eftersom de slapp tidigare lidande. <strong>Diskussion:</strong> För att stomibärarna ska kunna förbereda sig på hur livet med en stomi kommer att se ut bör de få mer information både inför och efter stomioperationen. Informationen bör vara anpassad efter stomibärarens behov. Genom att stomibärarna får samtalsstöd kan de få hjälp med att övervinna sina psykiska hinder och anpassa sig till livet med stomi, samt få ökat välbefinnande. <strong>Slutsats:</strong> Om stomibärarna får mer hjälp i sitt dagliga liv och om vårdpersonalen stöttar dem, skulle fler uppleva positiva erfarenheter av sina stomier.</p> / <p><strong>Background:</strong> An ostomy is an artificial opening to drain faeces through the abdominal wall. Accepting the ostomy and the new life situation is a complicated process for the patient. <strong>Aim:</strong> The aim of this study was to describe patient's experiences of living with an ostomy. <strong>Method:</strong> The study was designed as a literature review based on eleven scientific articles, of which eight had a qualitative approach and three, a quantitative. <strong>Results:</strong> The findings of the review indicate that ostomypatients experienced physical, emotional and social changes which affected patient's daily life. Negative feelings and experiences dominated, which made adjustment to the ostomy difficult. The patients experienced gratefulness to their ostomies because they avoided previous suffering, despite difficulties in their daily lives. <strong>Discussion:</strong> The patients need more information both before and after a stoma surgery to prepare for the life with an ostomy. The information should be adapted for patient's needs. They can overcome their psychological problems if they participate in support groups. The patients can then adapt to their ostomies and increase their wellbeing. <strong>Conclusion:</strong> If ostomypatients get more support from nursing staff in their daily lives, many of them would have positive experiences of their ostomies.</p>
13

Utvärdering av den information och utbildning patienter som nyligen genomgått en stomioperation får från stomiterapeut

Drevin, Jennifer, Olofsson, Anna Unknown Date (has links)
<p>The study aimed to evaluate the information and training the stoma therapist at Uppsala University Hospital has given to patients who have recently undergone stoma surgery. The study was a descriptive cross-sectional study using qualitative and quantitative design. A total of 22 patients who completely or partially took care of their stomas and recently had undergone stoma surgery participated by answering a questionnaire. At discharge most of them experienced they were relatively well-informed but they wanted more information. Before the revisit they weren’t especially safe or comfortable. The participants felt they were better informed and more safe and comfortable three weeks to six months after surgery. Whether the patients had undergone a planned or acute surgery did not influence how wellinformed, safe and comfortable in stoma management they were. No differences were found regarding how safe and comfortable in stoma management the patients were related to how long time ago they underwent the operation. Patients wanted additional information about diet, intestinal function and stoma care and more practice in changing stoma materials. Recently operated stoma patients need information and training until they feel sufficiently well-informed, safe and comfortable in order to better manage their stoma at home after discharge.</p> / <p>Studien syftade till att utvärdera den information och utbildning som stomiterapeuten vid Akademiska sjukhuset har gett till patienter som nyligen genomgått en stomioperation. Studien var en deskriptiv tvärsnittsstudie med såväl kvalitativ som kvantitativ design. Sammanlagt 22 patienter som helt eller delvis skötte sin stomi och nyligen genomgått en stomioperation deltog i studien genom att svara på ett frågeformulär. Vid utskrivning upplevde de flesta av deltagarna att de var relativt välinformerade men de önskade mer information. Innan återbesöket var de varken särskilt säkra eller trygga med stomiskötseln. Patienterna upplevde att de var mer välinformerade, trygga och säkra tre veckor till sex månader efter operation. Huruvida de hade genomgått en planerad eller akut operation påverkade inte hur välinformerade, trygga och säkra på stomiskötseln de var. Det kunde inte heller påvisas någon skillnad mellan hur trygga och säkra på stomiskötseln patienterna var relaterat till hur länge sedan de genomgick operationen. Patienterna önskade ytterligare träning på att byta stomimaterial samt mer information kring kost, tarmens funktion samt stomiskötsel innan utskrivning. Nyopererade stomipatienter skulle behöva information och utbildning tills de känner sig tillräckligt välinformerade, trygga och säkra för att bättre kunna sköta sin stomi i hemmet efter utskrivning.</p>
14

Att leva med en stomi : – upplevelser av livskvalitet / Living with an ostomy : – experiences of quality of life

Borg, Christin, Spång, Ingela January 2010 (has links)
I Sverige lever cirka 20 000 personer med stomi, vilken är en kirurgiskt anlagd öppning i bukhålan. Emellertid är det många patienter som har svårigheter med att hantera denna nyuppkomna livssituation. I sjuksköterskans dagliga arbete sker inte sällan möten med personer med stomi. Eftersom sjuksköterskans uppgift är att stödja personerna i deras tillfrisknande och återgång till ett normalt liv, är det av vikt att beskriva dessa personers upplevelser av livskvalitet. Således var syftet att beskriva patienters upplevelser av livskvalitet efter en stomioperation. Litteraturstudien genomförs med 13 artiklar som relaterar till syftet. Resultatet från artiklarna sammanställs under två rubriker, vilka belyser upplevelser som leder till minskad eller ökad livskvalitet. Stomin medför en förändring i livet, vilket initialt medför minskad livskvalitet och att det sociala livet kan bli lidande. Dessa upplevelser övergår för många med tiden till en medvetenhet om att stomin räddat deras liv. Många, särskilt de med permanent stomi, lär sig att acceptera sin stomi och att anpassa sig till den, vilket leder till ökad livskvalitet. Forskning om livskvalitet i förhållande till upplevelser relaterat till att leva med en stomi, bör fortgå för att öka sjuksköterskans förståelse i mötet med dessa personer. / In Sweden about 20 000 people live with an ostomy, which is a surgically constructed opening in the abdominal cavity. However, many patients have difficulty in dealing with this newly emerging circumstance in life. Frequently, a nurse’s daily activities will include the caretaking of people with an ostomy. Since the nurse's task is to support people in their recovery and their return to normal patterns in their lives, it is important to describe these people's experiences of quality of life. The purpose of this study was to describe patients’ experiences of quality of life after a surgery with an ostomy. A literature review was carried out with 13 articles related to the purpose. The results from these articles are sorted under two headings, which highlight the experiences that lead to reduced or increased quality of life. The ostomy involves a change in life, which initially leads to a reduction in quality of life and social life may also initially suffer. These experiences will over time transform into an awareness that the ostomy has saved their lives. Many, especially those with a permanent ostomy, learn to accept their ostomy and to adapt to it, resulting in improved quality of life. Research on quality of life in relation to the experiences related to living with an ostomy, should continue to enhance nurses’ understanding when meeting people with an ostomy.
15

Utvärdering av den information och utbildning patienter som nyligen genomgått en stomioperation får från stomiterapeut

Drevin, Jennifer, Olofsson, Anna January 2010 (has links)
The study aimed to evaluate the information and training the stoma therapist at Uppsala University Hospital has given to patients who have recently undergone stoma surgery. The study was a descriptive cross-sectional study using qualitative and quantitative design. A total of 22 patients who completely or partially took care of their stomas and recently had undergone stoma surgery participated by answering a questionnaire. At discharge most of them experienced they were relatively well-informed but they wanted more information. Before the revisit they weren’t especially safe or comfortable. The participants felt they were better informed and more safe and comfortable three weeks to six months after surgery. Whether the patients had undergone a planned or acute surgery did not influence how wellinformed, safe and comfortable in stoma management they were. No differences were found regarding how safe and comfortable in stoma management the patients were related to how long time ago they underwent the operation. Patients wanted additional information about diet, intestinal function and stoma care and more practice in changing stoma materials. Recently operated stoma patients need information and training until they feel sufficiently well-informed, safe and comfortable in order to better manage their stoma at home after discharge. / Studien syftade till att utvärdera den information och utbildning som stomiterapeuten vid Akademiska sjukhuset har gett till patienter som nyligen genomgått en stomioperation. Studien var en deskriptiv tvärsnittsstudie med såväl kvalitativ som kvantitativ design. Sammanlagt 22 patienter som helt eller delvis skötte sin stomi och nyligen genomgått en stomioperation deltog i studien genom att svara på ett frågeformulär. Vid utskrivning upplevde de flesta av deltagarna att de var relativt välinformerade men de önskade mer information. Innan återbesöket var de varken särskilt säkra eller trygga med stomiskötseln. Patienterna upplevde att de var mer välinformerade, trygga och säkra tre veckor till sex månader efter operation. Huruvida de hade genomgått en planerad eller akut operation påverkade inte hur välinformerade, trygga och säkra på stomiskötseln de var. Det kunde inte heller påvisas någon skillnad mellan hur trygga och säkra på stomiskötseln patienterna var relaterat till hur länge sedan de genomgick operationen. Patienterna önskade ytterligare träning på att byta stomimaterial samt mer information kring kost, tarmens funktion samt stomiskötsel innan utskrivning. Nyopererade stomipatienter skulle behöva information och utbildning tills de känner sig tillräckligt välinformerade, trygga och säkra för att bättre kunna sköta sin stomi i hemmet efter utskrivning.
16

Att leva med tarmstomi : en litteraturstudie

Johansson, Mikaela, Örneskog, Emeli January 2009 (has links)
Bakgrund: En stomi är en konstgjord öppning för att avleda avföring genom bukväggen. Att acceptera stomin och sin nya livssituation kan vara en komplicerad process för patienten. Syfte: Syftet med litteraturstudien var att beskriva patienters upplevelser av att leva med tarmstomi. Metod: Studien utformades som en allmän litteraturstudie baserad på elva vetenskapliga artiklar, varav åtta var av kvalitativ ansats och tre av kvantitativ. Resultat: Det framkom att stomiopererade patienter upplevde fysiska, emotionella och sociala förändringar som påverkade det dagliga livet. Negativa känslor och upplevelser dominerade bland stomibärarna, vilket gjorde anpassningen till stomin besvärlig. Trots svårigheter upplevde stomibärarna ändå en tacksamhet över sina stomier eftersom de slapp tidigare lidande. Diskussion: För att stomibärarna ska kunna förbereda sig på hur livet med en stomi kommer att se ut bör de få mer information både inför och efter stomioperationen. Informationen bör vara anpassad efter stomibärarens behov. Genom att stomibärarna får samtalsstöd kan de få hjälp med att övervinna sina psykiska hinder och anpassa sig till livet med stomi, samt få ökat välbefinnande. Slutsats: Om stomibärarna får mer hjälp i sitt dagliga liv och om vårdpersonalen stöttar dem, skulle fler uppleva positiva erfarenheter av sina stomier. / Background: An ostomy is an artificial opening to drain faeces through the abdominal wall. Accepting the ostomy and the new life situation is a complicated process for the patient. Aim: The aim of this study was to describe patient's experiences of living with an ostomy. Method: The study was designed as a literature review based on eleven scientific articles, of which eight had a qualitative approach and three, a quantitative. Results: The findings of the review indicate that ostomypatients experienced physical, emotional and social changes which affected patient's daily life. Negative feelings and experiences dominated, which made adjustment to the ostomy difficult. The patients experienced gratefulness to their ostomies because they avoided previous suffering, despite difficulties in their daily lives. Discussion: The patients need more information both before and after a stoma surgery to prepare for the life with an ostomy. The information should be adapted for patient's needs. They can overcome their psychological problems if they participate in support groups. The patients can then adapt to their ostomies and increase their wellbeing. Conclusion: If ostomypatients get more support from nursing staff in their daily lives, many of them would have positive experiences of their ostomies.
17

Sjukdomsbloggar om stomi / Illness blogs about ostomy

Lindgren, Daniella, Tellberg, Susanne January 2011 (has links)
Bakgrund: I Sverige lever ca 20 000 personer med stomi. En stomi medför en kroppslig förändring som individen måste förhålla sig till. Både kroppen och dess funktioner som tidigare tagits för givna medvetandegörs. Det finns en oro för vad andra ska tycka och att stomin ska hindra i det dagliga livet. Empowerment sågs som en röd tråd i bloggarna och växte fram som referensram under arbetets gång. Syfte: Att belysa vad som skrevs om stomi i sjukdomsbloggar där stomiopererade skriver om sin vardag. Metod: Studien var en empirisk studie av sjukdomsbloggar. Fem sjukdomsbloggar om stomi valdes ut för manifest innehållsanalys med induktiv ansats. Resultat: I resultatet framgick vad personerna som skrev bloggarna upplevde som viktigt för att kunna hantera livet med stomi. I resultatet framkom de tre kategorierna stöd, självkännedom och egenvård. Slutsats: Empowerment kan hjälpa de stomiopererade att få tillbaka kontrollen över sitt liv efter stomioperationen. / Background: Around 20 000 people are currently living with ostomy in Sweden today. An ostomy involves a physical change that the individual has to relate to. It raises awareness of the body and its functions which were previously taken for granted. There is a concern for what others will think and also a concern that the ostomy will prevent them from living a normal life. Empowerment could be seen as a common theme in the blogs that were studied and emerged as the framework during the working process. Aim: To study what was written about ostomy in illness blogs where ostomates writes about their daily life. Method: The study was an empirical study of illness blogs. Five illness blogs about ostomy was selected for a manifest content analysis with an inductive approach. Results: The results showed what the people who wrote the blogs perceived as important in order to be able to handle a life with ostomy. The results of the study revealed the three main categories - support, self-knowledge and self-care. Conclusion: Empowerment can help the ostomates to regain control of their life after the ostomy surgery.
18

Sexual awareness, body image, and self-esteem of individuals who have ostomies

Salisbury, Michelle. January 2004 (has links)
Thesis (M.S.)--Medical College of Ohio, 2004. / "In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Dianne Smolen. Includes abstract. Document formatted into pages: vii, 75 p. Title from title page of PDF document. Bibliography: pages 54-56.
19

Método para a moda complementado por metodologias de design de produto : aplicação no desenvolvimento de produtos de moda praia para estomizadas / Inclusive design : beachwear for women with intestinal and /or urinary stoma, developed through an adapted method

Collet, Jessica Andressa January 2016 (has links)
Diversas vezes, como artifício de cura de algumas doenças do aparelho intestinal ou do trato urinário, um procedimento cirúrgico nomeado por estomia é uma técnica médica utilizada para manter o paciente em vida. Este procedimento acarreta em uma série de questões físicas e psicológicas para o estomizado, cuja falta de informação e de produtos modernos disponíveis no mercado podem agravar a situação. Através destas constatações, surgiu a intenção de criar produtos de moda, no segmento moda praia, para mulheres que passaram pela cirurgia em questão. Mas o intuito de desenvolvimento de tais produtos fez surgir, ainda, a constatação de outro problema: a carência de um método específico da moda que levasse em consideração as necessidades reais do usuário em questão. Enquanto as metodologias de design de produto têm focado no usuário, os métodos de projeto de moda costumam ignorar a pesquisa e as necessidades humanas, identificando o desenvolvimento com o estilo de quem o projeta. A possibilidade da constatação de necessidades reais do usuário, em projetos de moda, pode ser um caminho promissor se forem considerados os princípios do design. Sendo assim, o presente estudo teve como objetivo geral: desenvolver um método adaptado, embasado em métodos já consagrados do design e da moda, destinado para a criação de produtos de moda que possam atender às necessidades reais do usuário. Neste caso, para a criação de produtos no segmento moda praia que contemplem os anseios de mulheres com estoma. A criação e a aplicação da referida adaptação propiciou o desenvolvimento facilitado dos produtos pretendidos. Pretende-se que o método gerado seja válido para projetos de moda que, assim como este, possuam uma problemática bem definida e uma verificação de necessidade do usuário, assim como acontece nos projetos de design. / In the curing process of many diseases of the intestinal or urinary system, several times a surgical procedure known as ostomy is the only way to keep the patient alive. This procedure includes a series of physical and psychological issues, whose the lack of information and modern products available on the market can aggravate the situation. Through these findings, the intention was to create fashion products, in the beachwear segment, for women with stoma. But the development of these products led to the discovery of another problem: the lack of a specific fashion method that takes into account the real needs of the user. While product design methodologies have focused on the user, fashion design methods have ignored research and human needs. So, the development is identified in the style of the designer. The possibility of verifying the user's real needs in fashion projects can be a promising way if the designer considers the principles of design. Therefore, the present study aimed to develop an adapted method, based on methods of design and fashion, aimed at the creation of fashion products that can meet the real needs of the user - in this case, for the creation of products in the beachwear segment that contemplate the desires of women with stoma. The creation and implementation of this adaptation has facilitated the further development of products. It was intended that the method created be valid for fashion projects that, like this one, have a well-defined problem and a user need, as well as in the design projects.
20

Características sociodemográficas e clínicas que afetam a qualidade de vida em pacientes estomizados intestinais / Sociodemographic and clinical characteristics that affect the quality of life in intestinal ostomy patients

Crepalde, Patrícia Aparecida Francelino [UNESP] 02 March 2016 (has links)
Submitted by PATRICIA APARECIDA FRANCELINO CREPALDE null (patyfrancelino@hotmail.com) on 2016-04-25T18:37:18Z No. of bitstreams: 1 Dissertação final 25042016.pdf: 2555633 bytes, checksum: 7dd6dc7e149f14d20c4a3b7468c1c711 (MD5) / Approved for entry into archive by Felipe Augusto Arakaki (arakaki@reitoria.unesp.br) on 2016-04-27T20:05:32Z (GMT) No. of bitstreams: 1 crepalde_paf_me_bot.pdf: 2555633 bytes, checksum: 7dd6dc7e149f14d20c4a3b7468c1c711 (MD5) / Made available in DSpace on 2016-04-27T20:05:32Z (GMT). No. of bitstreams: 1 crepalde_paf_me_bot.pdf: 2555633 bytes, checksum: 7dd6dc7e149f14d20c4a3b7468c1c711 (MD5) Previous issue date: 2016-03-02 / Introdução: O estomizado é o indivíduo submetido à cirurgia de desvio do trânsito intestinal, que consiste na abertura da parede abdominal de um segmento, desviando os efluentes para o meio externo. Objetivo: Avaliar a qualidade de vida dos estomizados assistidos em serviço especializado e estudar a associação destes desfechos com as características sociodemográficas e clínicas. Método: Trata-se de um estudo transversal analítico. Este estudo foi realizado no Núcleo de Assistência ao Ostomizado, do Hospital das Clínicas de Botucatu, no período de outubro de 2014 a agosto de 2015, e aprovado pelo Comitê de Ética e Pesquisa da Faculdade de Medicina de Botucatu-Unesp, por meio do protocolo nº 291.707/2013. A amostra foi composta de 60 pacientes. Para a coleta de dados utilizou-se dois instrumentos, sendo o primeiro um formulário, compreendido pelas etapas: caracterização sociodemográficas e clínicas, aspectos fisiológicos, psicossociais, nutricionais e legais; e para a avaliação da QV, utilizou-se o instrumento WHOQOL-bref, composto por 2 questões gerais de QV e 24 facetas, que se referem a quatro domínios: físico, psicológico, relações sociais e meio ambiente. Resultados: Do total de 60 pacientes estomizados predominou o sexo feminino (51,7%), idade acima de 61 anos (60%), da cor branca (93,3%), residentes em Botucatu (53,3%), vivem com companheiro (55%), têm renda familiar entre 1 a 3 salários mínimos (78,3%), são aposentados (63,3%) e o ensino fundamental, com (61,7%). Referente ao tempo de estomizado (71,7%), está em média há 6 anos. O motivo que levou a confecção do estoma foi câncer (61,7%) e o agravo crônico que prevaleceu entre os indivíduos estomizados foi a hipertensão arterial sistêmica (31,7%). Quanto à derivação, evidenciaram-se as colostomias descendentes, com (53,3%). O seguimento médico regular é evidente em (90%) dos indivíduos. No que diz respeito ao dispositivo coletor, (80%) utiliza de uma peça drenável, variando de 25 a 102 milímetros de diâmetro; com relação à troca do dispositivo, (33,3%) troca a cada três dias e relata ter “muita” dificuldade no autocuidado com o estoma (65%) e com a bolsa coletora (61,7%). Quanto à presença da insônia, (35%) referiu insônia após a estomia. A atividade sexual foi mantida pela minoria, (31,5%), após a presença do estoma. Referente aos aspectos emocionais de dependência (50%) evidenciou ser fato, após o estoma. A respeito da ajuda recebida após estomia, (100%) relata ter a família como suporte. Quanto às orientações recebidas no pós-operatório, (96,7%) dos indivíduos relataram ter recebido orientação. Do total de 60 pacientes estomizados, (80%) relatou que os dispositivos são suficientes no mês e apenas (20%) dos indivíduos estomizados conhecem os seus direitos legais. O domínio psicológico apresentou a média mais elevada, 70,8, evidenciando que mesmo a autoimagem podendo estar prejudicada pela confecção de um estoma, esse domínio teve uma avaliação melhor, comparada com outros domínios da QV. Considerando p>0,10, as seguintes associações, foram realizadas: ter diabetes mellitus, fazer seguimento médico regularmente, sentir dependência após estomia, ter atividade sexual após estomia, visitar os amigos após estomia, índice de massa corporal ser mais elevado e conhecer os direitos legais. As variáveis que associaram negativamente na QV no domínio físico foram “diabetes mellitus” (p=0,021) e “sente dependência após a estomia” (p=0,016). Nos domínios físico e psicológico, a variável “faz seguimento médico regularmente” (p=0,007 e p=0,062) melhorou a QV, respectivamente. A variável “visitar os amigos após estomia” (p=0,000 e p=0,007) associou positivamente nos domínios psicológico e social. Ainda no domínio psicológico, a variável “ter atividade sexual após estomia” (p=0,035) contribui para uma melhor QV. A variável “conhecer os direitos” (p=0,001), no domínio ambiental, associou positivamente na QV do indivíduo estomizado. Como produto deste estudo foi construído uma cartilha com a descrição de conceitos sobre o estoma e suas causas, o fluxo de atendimento nos diferentes níveis de atenção à saúde, e as diretrizes legais que subsidiam a assistência do indivíduo estomizado. Conclusão: Portanto, pode-se concluir que os indivíduos estomizados deste estudo, avaliaram a QV de maneira positiva e que com a aquisição de novos conhecimentos dos direitos legais, poderá haver uma melhora da QV. / Introduction: An ostomized individual is the one who underwent an intestinal transit bypass surgery, which consists of opening the abdominal wall of a segment to diverting the effluent to the outside. Objective: To evaluate the quality of life of ostomized patients assisted in specialized service and study the association of those outcomes with the sociodemographic and clinical characteristics. Method: This is an analytical cross-sectional study. This study was conducted at the Ostomized Patients Assistance Center of Botucatu Clinical Hospital, from October 2014 to August 2015, and approved by the Research Ethics Committee of Botucatu - Unesp Medical School, through protocol No. 291,707 / 2013. The sample consisted of 60 patients. To collect the data we used two instruments: first, a form consisting of sociodemographic and clinical characterization, physiological, psychosocial, nutritional and legal aspects. To evaluating their quality of life, we used the WHOQOL -BREF instrument , consisting of two general questions of quality of life and 24 facets, which relate to four realms: physical, psychological, social relationships and environmental. Results: Of the 60 ostomized prevalences were: females (51.7%) , above the age of 61 years (60%), white (93.3%), living in Botucatu (53.3%), living with partner (55%), family income between 1-3 minimum wages (78.3%), retired (63.3%) and elementary schooling (61.7%). Referring to a colostomy time, (71.7%) had been ostomized for 6 years on average. The reason that led to the stoma was cancer (61.7%) and the chronic aggravation that prevailed among the ostomized individuals was hypertension (31.7%). As for the derivation, the descending colostomies stood out (53.3%). Regular medical follow-up is evident in (90%) of the individuals. With respect to pickup device 80 uses a draining % workpiece, ranging from 25 to 102 mm diameter; regarding the device exchange, (33.3%) changed every three days and reports having "a lot of of" difficulty in self-care of the stoma and 65% with the collection bag (61.7%). For the presence of insomnia, (35%) reported insomnia after ostomy. Sexual activity was maintained by the minority (31.5%) after the presence of stoma. Referring to the emotional aspects of dependence, (50%) showed to be real. Regarding the aid received after ostomy, (100%) reported having help in the family. The Guidelines received in the postoperative period, (96.7%) reported having received guidance. Of the total 60 ostomized patients, (80%) reported that the devices are sufficient in the month and only (20%) knew their legal rights. The psychological domain had the highest average (70.8%), showing that even the self-image can be impaired by making a stoma, this area had a better evaluation, compared with other areas of quality of life. Associations were made, but only a few were associated ( p> 0.10) , as having diabetes mellitus, regular medical follow-up, dependency feeling after ostomy, sexual activity after ostomy , visit friends after ostomy, body mass index being higher and knowledge of legal rights. The variables that negatively associated quality of life in the physical domain were "diabetes mellitus" (p = 0.021) and "feels dependence after stoma" (p = 0.016). The physical and psychological domains, the variable" makes regular medical follow-up" (p = 0.007 and p = 0.062) improved quality of life, respectively. The variable visiting friends after stoma" (p = 0.000, p = 0.007) positively associated in the psychological and social domains. Even in the psychological domain, the variable "sexual activity after stoma" (p = 0.035) contributes to a better quality of life. The variable "know your rights" (p = 0.001), in the environmental field, associated positively on the quality of life of ostomized patients individual. As a product of this study a booklet was made, with descriptions of concepts about the stoma and its causes, the flow of care at different levels of health care, and legal guidelines that support the care of ostomized individuals. Conclusion: Therefore, we can conclude that the ostomized individuals in this study evaluated their quality of life in a positive way and that, with the acquisition of new knowledge of their legal rights, there can be a better quality of life.

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