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Previous issue date: 2015-11-23 / Estomia ? uma abertura de origem cir?rgica, quando h? necessidade de desviar, tempor?ria ou permanentemente, o tr?nsito normal da alimenta??o e/ou elimina??es. O paciente com estomia de elimina??o se v? diante de modifica??es em sua fisiologia, surgindo tamb?m ? necessidade de cuidados com a bolsa coletora. Neste estudo, objetivou-se analisar a Qualidade de Vida (QV) de pessoas vivendo com Estomias Intestinais (EI), atendidos no Centro de Reabilita??o Infantil e Adulto do Rio Grande do Norte (CRI/CRA-RN). Trata-se de um estudo anal?tico, com delineamento transversal e abordagem quantitativa, realizado com 89 pessoas que apresentaram EI. O estudo foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte (CEP/UFRN), CAAE: 19866413.3.0000.5537. Realizou-se a coleta de dados no per?odo de janeiro a mar?o de 2015 e se utilizou dois instrumentos: um question?rio geral adaptado abrangendo aspectos sociodemogr?ficos, cl?nicos e de autocuidado e um instrumento espec?fico de avalia??o de QV de pessoas com estoma intitulado como City of Hope Quality of Life - Ostomy Questionnaire (COH-QOL-OQ), validado e adaptado para o portugu?s em 2010, composto de quatro dom?nios, a saber: Bem Estar F?sico (BEF), Bem Estar Psicol?gico (BEP), Bem Estar Social (BES) e Bem Estar Espiritual (BEE). Os dados coletados foram inseridos num banco de dados na planilha do aplicativo Microsoft Excel 2007 e processados em software informatizado para as an?lises descritivas e inferenciais. Os resultados mostraram que 83,1% possu?am colostomia e 16,9% ileostomia. Na caracteriza??o sociodemogr?fica predominaram pessoas do sexo masculino (57,3%), acima de 50 anos (57,3%), de cor parda (46,1%), com presen?a de companheiro/a (57,3%), aposentados/benefici?rios (50,5%), renda mensal acima de um sal?rio m?nimo (68,5%) e que estudaram at? o ensino fundamental (67,4%). Quanto aos aspectos cl?nicos, observou-se que a maior causa que culminou com a confec??o do estoma foi ? neoplasia (59,6%) seguida de trauma (21,3%). A amostra apresentou pessoas com estoma h? mais de 6 meses (79,8%), de car?ter definitivo (57,3%), em uso de equipamento pe?a ?nica dren?vel (68,5%) de base plana (82,0%). Com rela??o ao autocuidado, 93,3% esvaziavam e lavavam a bolsa sozinhos (cuidados relacionados ? higiene), mas apenas 75,3% fixava a nova bolsa na pele, durante a troca (cuidados relacionados ? bolsa). A m?dia dos escores de QV dos pesquisados foi de 296,2 (68,90%) para QV Geral; 74,8 (68,03%) para o BEF; 88,8 (68,38%) para o BEP; 79,7 (66,46%) para o BES e 52,7 (75,41%) para o BEE. Diante dos resultados obtidos, conclui-se que se tratou de uma amostra predominantemente adulta/idosa (entre 50 e 70 anos), com baixa escolaridade e como causa motivadora do estoma, as neoplasias. Entretanto, tais achados n?o repercutiram em baixos ?ndices percentuais acerca da capacidade de realiza??o de autocuidado nem em baixos escores de QV. / 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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20809 |
| Date | 23 November 2015 |
| Creators | Andrade, Rosane Sousa de |
| Contributors | 06605883403, http://lattes.cnpq.br/5903265312273525, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Salvetti, Marina de G?es, 25891299801, http://lattes.cnpq.br/2728892775372573, Costa, Isabelle Katherinne Fernandes |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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