Innovación tecnológica a la bolsa de colostomía: estudio cuasi-experimental

Reis, Bianca Leal; Brandão, Euzeli da Silva; Lanzillotti, Regina Serrão; Cavalcanti, Ana Carla Dantas; Silva, Liliane Faria da

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Revista Gaúcha de Enfermagem

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Sumário

Original Article - Knowledge translation and advances in health and nursing practices • Rev. Gaúcha Enferm. 43 (spe) • 2022 • https://doi.org/10.1590/1983-1447.2022.20210169.en copiar

Innovación tecnológica a la bolsa de colostomía: estudio cuasi-experimental

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo

Verificar el efecto de la bolsa con válvula de irrigación sobre elpatrón de (in)comodidad de la persona colostomizada.

Método

Estudio cuasi-experimental, con un solo grupo, a través de pre y post-test, realizado de junio a septiembre/2020 con 33 pacientes de colostomía de un centro de rehabilitación municipal de Río de Janeiro, Brasil. El patrón de (des)confort se analizó mediante fuzzylogic, considerando los atributos de limpieza de bolsas, eliminación de gases y control de olores.

Resultados

Al analizar la dificultad presentada en cada atributo antes (T₀) y después de la intervención (T₁), se observó una reducción en relación a “limpiar la bolsa” para 17 (56,7%) participantes; en “control de olores”, para 24 (80,0%) y “eliminación de gases” para 16 (53,3%) participantes. Al cruzar los tres atributos en los dos momentos, 21 (69,9%) participantes indicaron una reducción de la (des)comodidad en T₁.

Conclusión

Hubo una reducción en el patrón de malestar con el uso de la bolsa con válvula de irrigación en comparación con la bolsa de colostomía tradicional.

Palabras clave
Enfermería; Estomía; Colostomía; Reservorios cólicos; Tecnología biomédica

Difficulty at momentT₀							Discomfort Pattern at moment T₀
P	Bag cleaning (W3)	Pert	Odor control (W2)	Pert	Gas removal (W1)	Pert	Result	Weighted Pert
2	Maximum	1.00	Maximum	0.28	Maximum	1.00	Maximum	0.76
4	Maximum	1.00	Maximum	0.19	Maximum	1.00	Maximum	0.73
5	Maximum	1.00	Maximum	0.22	Maximum	1.00	Maximum	0.74
6	Maximum	1.00	Maximum	1.00	Maximum	1.00	Maximum	1.00
7	MM	0.22	Maximum	0.24	MM	0.19	MM	0.22
8	Maximum	1.00	Maximum	1.00	Maximum	1.00	Maximum	1.00
9	Maximum	1.00	Maximum	0.22	Maximum	1.00	Maximum	0.74
10	Moderate	1.00	Maximum	1.00	Moderate	1.00	MM	1.00
11	MM	0.28	MM	1.00	MM	0.27	MM	0.52
12	Maximum	1.00	Maximum	1.00	SM	0.25	Maximum	0.88
13	MM	0.22	Maximum	0.22	MM	0.30	MM	0.23
14	Maximum	1.00	Maximum	1.00	SM	0.25	Maximum	0.88
15	Maximum	1.00	Maximum	0.24	SM	0.25	Maximum	0.62
16	MM	0.27	Maximum	1.00	MM	0.22	MM	0.51
17	SM	0.28	Maximum	1.00	SM	0.25	Moderate	0.52
18	Moderate	1.00	Maximum	0.25	Moderate	1.00	MM	0.75
19	Moderate	1.00	Maximum	0.09	Moderate	1.00	MM	0.70
20	SM	0.06	Maximum	0.06	SM	0.13	Moderate	0.07
21	Moderate	1.00	Maximum	0.09	Moderate	1.00	MM	0.70
22	MM	0.31	Maximum	0.22	Moderate	1.00	MM	0.40
24	Maximum	1.00	Maximum	1.00	SM	0.38	Maximum	0.90
25	Moderate	1.00	Maximum	0.35	SM	0.09	MM	0.63
26	MM	0.25	Maximum	0.09	MM	0.25	MM	0.20
27	MM	0.38	Maximum	0.38	MM	0.44	MM	0.39
28	SM	0.13	MM	1.00	SM	0.16	MM	0.43
29	Maximum	1.00	Maximum	0.19	Maximum	1.00	Maximum	0.73
30	Maximum	1.00	Maximum	0.13	SM	0.16	Maximum	0.57
31	MM	0.06	Maximum	1.00	MM	0.13	MM	0.39
32	SM	0.09	Maximum	0.13	SM	0.41	Moderate	0.16
33	Maximum	1.00	Maximum	1.00	Maximum	1.00	Maximum	1.00

Difficulty at moment T₁							Discomfort Pattern at moment T₁
P	Bag cleaning (W3)	Pert	Odor control (W2)	Pert	Gas removal (W1)	Pert	Result	Weighted Pert
2	Minimum	1.00	MM	0.28	Moderate	1.00	SM	0.76
4	MM	0.22	SM	0.19	MM	0.19	MM	0.21
5	MM	0.25	SM	0.22	SM	0.22	MM	0.24
6	Maximum	1.00	Moderate	1.00	MM	0.25	Maximum	0.88
7	MM	0.24	MM	0.24	MM	0.27	MM	0.25
8	MM	0.25	Moderate	1.00	MM	0.32	MM	0.51
9	MM	0.24	MM	0.22	MM	0.31	MM	0.25
10	MM	0.25	Maximum	1.00	MM	0.24	MM	0.50
11	MM	0.27	Moderate	1.00	Moderate	1.00	MM	0.64
12	Maximum	1.00	Moderate	1.00	Maximum	1.00	Maximum	1.00
13	Moderate	1.00	MM	0.22	Moderate	1.00	Moderate	0.74
14	MM	0.25	Maximum	1.00	MM	0.25	MM	0.50
15	Moderate	1.00	MM	0.24	Moderate	1.00	Moderate	0.75
16	Moderate	1.00	Moderate	1.00	Moderate	1.00	Moderate	1.00
17	SM	0.25	Maximum	1.00	Moderate	1.00	Moderate	0.63
18	Moderate	1.00	Moderate	0.25	MM	0.27	Moderate	0.63
19	MM	0.22	MM	0.09	SM	0.10	MM	0.16
20	SM	0.25	MM	0.06	SM	0.38	Moderate	0.21
21	Moderate	1.00	MM	0.09	Moderate	1.00	Moderate	0.70
22	MM	0.09	MM	0.22	MM	0.38	MM	0.18
24	Maximum	1.00	Maximum	1.00	Moderate	1.00	Maximum	1.00
25	Moderate	1.00	MM	0.35	Moderate	1.00	Moderate	0.78
26	MM	0.09	MM	0.09	MM	0.09	MM	0.09
27	Moderate	1.00	MM	0.38	Moderate	1.00	Moderate	0.79
28	Moderate	1.00	Maximum	1.00	Moderate	1.00	MM	1.00
29	MM	0.28	MM	0.19	MM	0.44	MM	0.28
30	MM	0.09	MM	0.13	Moderate	1.00	MM	0.26
31	MM	0.13	Moderate	1.00	MM	0.06	MM	0.41
32	Moderate	1.00	MM	0.13	Moderate	1.00	Moderate	0.71
33	MM	0.16	Maximum	1.00	MM	0.16	MM	0.44

Moment T₀			Moment T₁
Participant	Discomfort	Weighted pertinence	Discomfort	Weighted pertinence
2	Maximum	0.76	SM	0.76
4	Maximum	0.73	MM	0.21
5	Maximum	0.74	MM	0.24
6	Maximum	1.00	Maximum	0.88
7	MM	0.22	MM	0.25
8	Maximum	1.00	MM	0.51
9	Maximum	0.74	MM	0.25
10	MM	1.00	MM	0.50
11	MM	0.52	MM	0.64
12	Maximum	0.88	Maximum	1.00
13	MM	0.23	Moderate	0.74
14	Maximum	0.88	MM	0.50
15	Maximum	0.62	Moderate	0.75
16	MM	0.51	Moderate	1.00
17	Moderate	0.52	Moderate	0.63
18	MM	0.75	Moderate	0.63
19	MM	0.70	MM	0.16
20	Moderate	0.07	Moderate	0.21
21	MM	0.70	Moderate	0.70
22	MM	0.40	MM	0.18
24	Maximum	0.90	Maximum	1.00
25 26	MM MM	0.63 0.20	Moderate MM	0.78 0.09
27	MM	0.39	Moderate	0.79
28	MM	0.43	MM	1.00
29	Maximum	0.73	MM	0.28
30	Maximum	0.57	MM	0.26
31	MM	0.39	MM	0.41
32	Moderate	0.16	Moderate	0.71
33	Maximum	1.00	MM	0.44

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[1] Corresponding author
Bianca Leal Reis E-mail: bianca.reis@unirio.br