Perceptions of ostomized persons due to colorectal cancer on their quality of life

Kimura, Cristilene Akiko; Kamada, Ivone; Guilhem, Dirce Bellezi; Modesto, Karina Ribeiro; Abreu, Breno Silva de

doi:10.1016/j.jcol.2016.05.007

Acessibilidade / Reportar erro

Brasil

Journal of Coloproctology (Rio de Janeiro)

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Articles • J. Coloproctol. (Rio J.) 37 (1) • Jan-Mar 2017 • https://doi.org/10.1016/j.jcol.2016.05.007 copy

Perceptions of ostomized persons due to colorectal cancer on their quality of life

Percepções das pessoas estomizadas intestinais em razão do câncer colorretal sobre a qualidade de vida

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Introduction:

The significance of the change in the physical body and suffering as the new condition of life of stoma oncological person affect the physical, psychological, social relationships and environment.

Objective:

To know the perception of quality of life and the interpretation of the biopsychosocial reality of intestinal ostomy due to colorectal cancer clinics of the Ambulatory Care Program ostomy patients of the Health Secretariat of the Federal District, Brazil.

Methods:

Epidemiological based study, analytical character, with cross-sectional descriptive design with quantitative and qualitative approach in the light of the content analysis. Sample consisted of convenience, included 120 participants. They used the questionnaires sociodemographic, clinical, and WHOQOL-BREF and an individual interview. Data were analyzed by Microsoft Office Excel 2010 and SPSS 20.0 software. Statistical significance was accepted at 5%.

Results:

Physical Domains, Social Affairs and Environment are correlated with the mean score, statistically significant (p < 0.0001), the content analysis resulted in four categories: Wellness Physical, Psychological Wellness, Wellness and Spiritual Well living Social.

Conclusion:

Ostomy and colorectal cancer may represent suffered mutilation, loss of productive capacity resulting in the loss of quality of life.

Keywords:
Quality of life; Ostomy; Colorectal neoplasms

Variables	Ostomized people
	n	%
Gender
Female	64	53.3
Male	56	46.7
Total	120	100
Age group
20-30	9	7.5
30-40	18	15
40-50	31	25.8
50-60	35	29.2
60-70	25	20.9
80-90	2	1.6
Total	120	100
Religion
Catholics	68	56.7
Evangelicals	37	30.9
Spiritualists	11	9.1
Others	4	3.3
Total	120	100
Marital status
Married	75	62.5
Stable union	13	10.8
Divorced	17	14.2
Widower	12	10
Single	3	2.5
Total	120	100
Instruction
Illiterate to basic education	56	46.7
Secondary education	45	37.5
University education	19	15.8
Total	120	100
Income
<1-3 minimum wages	89	74.2
4-5 MW	18	15
>6 MW	13	10.8
Total	120	100
Diabetes mellitus
Yes	41	34.1
No	79	65.9
Total	120	100
Hypertension
Yes	68	56.7
No	52	43.3
Total	120	100
Smoker
Yes	52	43.3
No	68	56.7
Total	120	100

Ostomized people due to colorectal cancer
Domains	n	Mean	SD	CI 95%	p-Value
Physical	120	12.06	2.48	11.61-12.51	<0.0001
Psychological	120	12.40	2.94	11.87-12.93	<0.0001
Social relationships	120	12.64	2.97	12.10-13.18	<0.0001
Environment	120	12.22	2.43	11.78-12.66	<0.0001
General quality of life	120	12.26	2.28	11.85-12.67	<0.0001

Subcategories	Ostomized people due to colorectal cancer (n = 120)
Physical well-being
Negative
Leakage, odor, and gasses	74.1% (25.9%)
Physical strength	74.5% (25.5%)
Complications with the ostomy	65% (35%)
Sleep	60% (40%)
Positive
Family support	90.83% (9.17%)
Care process in health	51.67% (48.33%)
Psychological well-being
Negative
Self-concept	64% (36%)
Stigma	55% (45%)
Self-care	65% (35%)
Positive
Family support	63% (37%)
Acceptance and adaptation	66% (34%)
Social well-being
Negative
Personal relationships	53.4% (46.6%)
Recreational/sports activities	58% (43%)
Social isolation	52% (48%)
Sexual activity	73% (27%)
Positive
Family and friends' support	68% (32%)
Companionship	59% (41%)
Spiritual well-being
Negative
Indifference	12% (88%)
Religiousness	12% (88%)
Positive
Religiousness	68% (32%)
Religious practice	69% (31%)

Ostomized people due to colorectal cancer
Category: Physical Well-being		Category: Psychological Well-being
Subcategory	Report	Subcategory	Report
Negative
Leakage, odor and gases	"When I go out I have a concern to take a bag, because sometimes I can use it as my bag already leaked… so, imagine the smell. The gases are also very worrying […]." (Azalea).	Self-concept	"I am a body without a part, I am not like other people […] (cries). I have to live with it and it is hard (cry)." (Camellia).
Physical strength	"My life changed a lot after that bag, I have no strength […] I cannot work nor do my homework services […]." (Angelica).	Self-care	"At first it was very difficult, my wife helped me change the bag, I always depended on her, now I clean and exchange the bag, but I still feel difficult." (Pacova).
Complications of ostomy	"I had a lot of irritation on my skin […]." (Liz Flower).	Stigma	"This is the worst feeling that a person can feel, that is, that people do not want you around." (Tulip).
Sleep	"I had great difficulty with sleep." (Palm tree).	Acceptance and adaptation	"I accepted it. It is better to live with this bag than die from cancer […]." (Orchid).
Positive
Family support	"Thank God I did not have any trouble, and I had and have a great family support." (Jacinto).	Family support	Without my wife I never could live with that bag, she helps to clean it up […]." (Aloe).
Care process in health	"The outpatient clinic nurse guides me how to take care of the bag, and it helps me […]." (Lavender).	Acceptance and adaptation	"I accepted it. It is better to be with this bag than die from cancer […]." (Orchid).

Ostomized people due to colorectal cancer
Category: Spiritual Well-being		Category: Social Well-being
Subcategory	Report	Subcategory	Report
Negative
Indifference	"I'm still the same person." (Violet)	Personal relationships	"I feel very ashamed of family and friends, the colostomy bag, do not leave me at ease." (Ipe).
Religiosity	"God will heal me, I'm sure I will not need the ostomy treatment." (Acacia).	Social, recreational and sports activities	"I cannot travel by bus because of the bag. I am very concerned about the bag." (Begonia).
		Social isolation	"I had many difficulties, and the worse it was the change in my life, now I do not like to go out." (Narcissus).
		Sexual activity	"My sexual life changed a lot […] I feel that my husband touches me and looks at me differently." (Jasmine).
Positive
Religiosity	"My faith strengthened, I'm always saying that if it were not for God, I would not be here." (Giant water lily).	Family and friends' support	"My relationship with family and friends is very good. I have a wonderful support, and this brings me confidence […]." (Hortensia).
Religious practice	"I started (sic) to attend the church more often." (Three Marias).		"Thank God I have a partner who accepts me and loves me, this makes me (sic) feel better and safe […]." (Pansy)

Sociedade Brasileira de Coloproctologia Av. Marechal Câmara, 160/916, 20020-080 Rio de Janeiro/RJ Brasil, Tel.: (55 21) 2240-8927, Fax: (55 21) 2220-5803 - Rio de Janeiro - RJ - Brazil
E-mail: sbcp@sbcp.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] *Corresponding author. E-mail: cris.akiko7@gmail.com (C.A. Kimura).