Quality of life of ostomized person: relationship with the care provided in stomatherapy nursing consultation

Miranda, Liliana Sofia Grilo; Carvalho, Amâncio António de Sousa; Paz, Elisabete Pimenta Araújo

doi:10.1590/2177-9465-EAN-2018-0075

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RESEARCH • Esc. Anna Nery 22 (4) • 2018 • https://doi.org/10.1590/2177-9465-EAN-2018-0075 copy

Quality of life of ostomized person: relationship with the care provided in stomatherapy nursing consultation

Calidad de vida de la persona ostomizada: relación con los cuidados prestados en la consulta de enfermería de estomaterapia

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To analyze the relationship between the Quality of Life (QoL) and the stomatherapy nursing consultation.

Method:

Descriptive-correlational study with 100 ostomized adult participants, to whom a form was applied. The data were treated with SPSS software version 20.0.

Results:

Most ostomized (67%) presented a positive perception of QoL. This differed significantly (p < 0.05) between the types of ostomy and previous preparation in the consultation, as the colostomy patients and the individuals who booked the appointment of the stoma previously during the consultation had a better QoL.

Conclusions:

There is a statistical relationship between QoL, the type of ostomy and the participation in the stomatherapy nursing consultation, demonstrating the positive influence of nursing care for the ostomized. The study reinforces the importance of consultation for the adaptation of ostomized people to the new condition and improvement of their QoL.

Keywords:
Quality of life; Ostomy; Nursing in Community Health

Variables	N	%
Sex
Male	62	62.0
Female	38	38.0
Age Group
30-64 years	35	35.0
65-90 years	65	65.0
*Academic Qualification or Schooling(^ * based on studies by Miranda26 )**
Can read and write	22	22.0
1^st cycle of elementary education	54	54.0
2^nd cycle of elementary education	8	8.0
3^rd cycle of elementary education	10	10.0
High school	3	3.0
Higher education	3	3.0
*Professional status^ * based on studies by Miranda26**
Employee	1	1.0
Unemployed	6	6.0
Retired	78	78.0
Low	10	10.0
Never worked	5	5.0
*Socioeconomic level^ * based on studies by Miranda26**
Class I - upper	5	5.0
Class II - middle to upper class	12	12.0
Class III - middle	83	83.0
Total	100	100.0

Variables	N	%
*Type of ostomy^ * based on studies by Miranda26**
Jejunostomy	1	1.0
Ileostomy	20	20.0
Colostomy	79	79.0
*length of stay^ * based on studies by Miranda26**
Permanent	81	81.0
Temporary	17	17.0
Palliative	2	2.0
*Etiology^ * based on studies by Miranda26**
Neoplasm	73	73.0
Fistula	3	3
Intestinal perforation	8	8.0
Diverticulitis	4	4.0
Inflammatory bowel disease	4	4.0
Other	8	8.0
Stomatherapy nursing consultation prior to stoma construction
Yes	14	14.0
No	86	86.0
Has the stoma construction site been previously marked?
Yes	55	55.0
No	45	45.0

Variables	Items	No		Yes		Not applicable
Variables	Items	N	%	N	%	N	%
Work activity	Do you work full time?	99	99.0	1	1.0	0	0.0
	Do you work part time?	100	100.0	0	0.0	0	0.0
	Did you stop working because of the stoma?	72	72.0	28	28.0	0	0.0
*Sexual Activity^ * based on studies by Miranda26**	Were you sexually active before surgery?	52	52.0	48	48.0	0	0.0
	Did you reduce your sexual activity after having a stoma?	37	37.0	48	48.0	15	15.0
	Are you satisfied with your sexual activity?	44	44.0	10	10.0	46	46.0
	If you are a man, do you have problems with erection or maintenance?	7	11.3	55	88.7	0	0.0
*Clothing^ * based on studies by Miranda26**	Does the location of the ostomy cause you problems?	62	62.0	38	38.0	0	0.0
*Clothing^ * based on studies by Miranda26**	Did you have to change the style of your clothing due to the stoma?	56	56.0	44	44.0	0	0.0
*Food^ * based on studies by Miranda26**	Did you readjust your food because of your stoma?	57	57.0	43	43.0	0	0.0
	Did you change your diet to prevent the emission of gas in public?	64	64.0	36	36.0	0	0.0
	Do not drink soda?	9	9.0	91	91.0	0	0.0
	Do you avoid eating dairy products?	78	78.0	22	22.0	0	0.0
	Do you avoid eating fruits?	100	100.0	0	0.0	0	0.0
	Do you avoid eating snacks?	12	12.0	87	87.0	1	1.0
	Do you avoid eating vegetables?	98	98.0	2	2.0	0	0.0

Variables	Test	Test value (F)	Degrees of freedom	p
QoL x sex	T	0.462	98	0.645
QoL x age group	T	-1.404	98	0.163
QoL x academic qualifications	Anova	0.062	2	0.940
QoL x socioeconomic level	Kruskal Wallis	2.441	2	0.295
QoL x etiology	T	2.860	98	0.005
QoL x type of ostomy	Kruskal Wallis	6.679	2	0.035
QoL x previous preparation	U Mann Whitney	101.500		0.000
QoL x stoma appointment	T	5.271	98	0.000

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[1] Corresponding author: Amâncio António de Sousa Carvalho. E-mail: amancioc@utad.pt