Assessment of subjective well-being and quality of life in patients with intestinal stoma

Journal of Coloproctology - Tập 35 - Trang 168-174 - 2015
Geraldo Magela Salomé1, Sergio Aguinaldo de Almeida2, Bruno Mendes1, Maiume Roana Ferreira de Carvalho1, Marcelo Renato Massahud Junior1
1Universidade do Vale do Sapucaí (UNIVÁS), Pouso Alegre, MG, Brazil
2Hospital Municipal Dr. Arthur Ribeiro de Saboya, São Paulo, SP, Brazil

Tóm tắt

AbstractObjective To investigate the subjective well-being and quality of life in patients with intestinal stoma.Method This study was conducted at Ostomized People's Pole of Pouso Alegre. Data were collected in the period between December 2012 and May 2013, after approval by the Ethics Committee of the Universidade do Vale do Sapucaí under opinion No. 23,277. The participants were selected by a convenience non-probability sampling. The following instruments were used: a questionnaire on demographics and stoma; a Subjective Well-being Scale; and a Quality Outcome Scale.Results Regarding the Flanagan Quality of Life Scale, 16–22 points were obtained, indicating that these patients suffered changes in their quality of life. Regarding the scale of subjective well-being in three domains: positive affect – 43 (61.40%) individuals; negative affect – 31 (44.30%) individuals; and life satisfaction – 54 (77.10%), all subjects obtained a score of 3, characterizing a negative change in these domains. The mean Flanagan Quality of Life Scale score was 26.16, and the means for the domains included in the Subjective Well-being Scale were: positive affect: 2.51; negative affect: 2.23 and life satisfaction: 2.77, indicating that the intestinal stoma users who participated in the study had negative feelings related to their own self-esteem and to the loss of quality of life.Conclusion Patients with intestinal stoma who participated in this study had a change in their quality of life and in subjective well-being.

Tài liệu tham khảo

Tosato, 2006, Conhecimento do indivíduo ostomizado em relação ao autocuidado, Rev Conexao UEPG, 1, 33 Costa, 2014, Assessing the body image and subjective wellbeing of ostomists living in Brazil, Gastrointest Nurs, 12, 37, 10.12968/gasn.2014.12.5.37 Salomé, 2014, Association of sociodemographic and clinical factors with the self-image and self-esteem of individuals with intestinal stoma, J Coloproctol, 34, 159, 10.1016/j.jcol.2014.05.005 Oliveira, 2010, Impacto da estomia: sentimentos e habilidades desenvolvidos frente à nova condição de vida, Rev Estima, 8, 18 Barros, 2008, Rede social de apoio às pessoas idosas estomizadas à luz da complexidade, Acta Paul Enferm, 21, 595, 10.1590/S0103-21002008000400010 Lessmann, 2006, A nursing academic perspective concerning the care environment within the complexity paradigm – a descriptive study, Online Braz J Nurs, 5, 10.5935/1676-4285.20060174 Cesaretti, 2000, O cuidar de enfermagem na trajetória do ostomizado: pré & trans & pós-operatório, 113 de Gouveia Santos, 2006, Quality of life and coping of persons with temporary and permanent stomas, J Wound Ostomy Continence Nurs, 33, 503, 10.1097/00152192-200609000-00008 Petuco, 2006, Quase como antes. A ressignificação da identidade da pessoa estomizada com câncer, Mundo saúde São Paulo [online], 30, 52 Santos, 2008, Crianças com câncer: desvelando o significado do adoecimento atribuído por suas mães, Rev Enferm UERJ, 16, 224 Matheus, 2004, Compartilhando o cuidado da pessoa ostomizada Gemelli, 2002, A interpretação do cuidado com o ostomizado na visão do enfermeiro: um estudo de caso, Rev Latinoam Enferm, 10, 34, 10.1590/S0104-11692002000100006 Albuquerque, 2004, Desenvolvimento de uma escala de bem-estar subjetivo, Psic Teor e Pesq, 20, 153, 10.1590/S0102-37722004000200008 Flangan, 1982, Measurement of quality of life: currente of art state, Arch Phys Med Rehabil, 23, 56 Zimnicki, 2013, Preoperative stoma site marking in the general surgery population, J Wound Ostomy Continence Nurs, 40, 501, 10.1097/WON.0b013e3182a42b9f Nakagawa, 2013, Stoma location requires special consideration in selected patients, J Wound Ostomy Continence Nurs, 40, 565, 10.1097/01.WON.0000436434.42526.9e Nakagawa, 2013, Effect of stoma location on the incidence of surgical site infections in colorectal surgery patients, J Ostomy Continence Nurs, 40, 287, 10.1097/WON.0b013e31828002ef Salles, 2014, The influence of time on the quality of life of patients with intestinal stoma, J Coloproctol, 34, 73, 10.1016/j.jcol.2014.02.007 Melotti, 2013, Characterization of patients with ostomy treated at a public municipal and regional reference center, J Coloproctol, 33, 70, 10.1016/j.jcol.2013.04.003 Zilberstein, 2001, 104 Ministério da Saúde (Brasil), Secretaria de Atenção à Saúde, 2009 Fernandes, 2011, Perfil da clientela estomizada residente no município de Ponte Nova, Minas Gerais, Rev Bras Coloproctol, 30, 385, 10.1590/S0101-98802010000400001 Santos, 2007, Perfil do Paciente Ostomizado e Complicações Relacionadas ao Estoma, Rev Bras Coloproctol, 27, 16, 10.1590/S0101-98802007000100002 Aguiar, 2011, Complicaciones del Estoma y de la Piel Periestomal com Pacientes com Estomas Intestinales, Rev Estima, 9, 22 Cesaretti, 2010, Quality of life of the colostomized person with or without use of methods of bowel control, Rev Bras Enferm, 63, 16, 10.1590/S0034-71672010000100003 Oliveira, 2007, Identificação do nível de conhecimento de pacientes com colostomias para a prevenção de possíveis complicações, Rev Estima, 5, 26 Moraes, 2009, Characterization of enterostomal people assisted by the Municipal General Office of Health of Divinópolis-MG, Rev Estima, 7, 31 Chilida, 2007, Complicações mais frequentes em pacientes atendidos em um polo de atendimento ao paciente com estoma no interior do Estado de São Paulo, Rev Estima, 5, 31 Sonobe, 2002, A visão do colostomizado sobre o uso da bolsa de colostomia, Rev Bras Cancerol, 48, 341, 10.32635/2176-9745.RBC.2002v48n3.2180 Santos, 2000 Salomé, 2014, Knowledge of undergraduate nursing course teachers on the prevention and care of peristomal skin, J Coloproctol, 34, 224, 10.1016/j.jcol.2014.05.008 Silva, 2012, Caracterização de Pessoas Estomizadas atendidas em Consulta de Enfermagem do Serviço de Estomaterapia do Município de Belém-PA, Rev Estima, 10, 12 Habr-Gama, 2000, Estomas Intestinais: aspectos conceituais e técnicos, 39 Salomé, 2014, Quality of life and self-esteem of patients with intestinal stoma, J Coloproctol, 34, 231, 10.1016/j.jcol.2014.05.009 Joia, 2007, Life satisfaction among elderly population in the city of Botucatu, Southern Brazil, Rev Saude Publica, 41, 131, 10.1590/S0034-89102007000100018 Guedea, 2006, Relação do bem-estar subjetivo, estratégias de enfrentamento e apoio social em idosos, Psicol Reflex Crit, 19, 301, 10.1590/S0102-79722006000200017 Batista Mdo, 2011, Self-image of clients with colostomy related to the collecting bag, Rev Bras Enferm, 64, 1043 Santo, 2013, Evaluation of depression levels in individuals with chronic wounds, Rev Bras Cir Plast, 28, 665 Balsanelli, 2011, Assessment of hope in patients with chronic illness and their family or caregivers, Acta Paul Enferm, 24, 354, 10.1590/S0103-21002011000300008 Lourenço, 2014, Quality of life and self-esteem in patients with paraplegia and pressure ulcers: a controlled cross-sectional study, J Wound Care, 23, 331, 10.12968/jowc.2014.23.6.331 Luz, 2009, Caracterização dos pacientes submetidos a estomas intestinais em um hospital público de Teresina-PI, Texto Contexto Enferm, 18, 140, 10.1590/S0104-07072009000100017 Salomé, 2015, Profile of ostomy patients residing in Pouso Alegre city Perfil dos pacientes estomizados residentes no município de Pouso Alegre, J Coloproctol, 35, 106, 10.1016/j.jcol.2015.02.002