Technological innovation to colostomy bags: quasi-experimental study

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

doi:10.1590/1983-1447.2022.20210169.en

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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 copy

Technological innovation to colostomy bags: quasi-experimental study

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

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To verify the effect of the bag with irrigation valve on the pattern of (dis)comfort of the colostomy person.

Method

Quasi-experimental study, with a single group, through pre and post-test, carried out from June to September/2020 with 33 colostomized patients from a municipal rehabilitation center in Rio de Janeiro, Brazil. The pattern of (dis)comfort was analyzed using fuzzy logic, considering the attributes of bag cleaning, gas elimination and odor control.

Results

When analyzing the difficulty presented in each attribute before (T₀) and after intervention (T₁), a reduction was observed in relation to “bag cleaning” for 17 (56.7%) participants, in “odor control”, for 24 (80.0%) and “gas removal” for 16 (53.3%) participants. By crossing the three attributes at the two moments, 21 (69.9%) participants indicated a reduction in (dis)comfort at T₁.

Conclusion

There was a reduction in the pattern of discomfort with the use of the bag with irrigation valve compared to the traditional colostomy bag.

Keywords
Nursing; Ostomy; Colostomy; Colonic pouches; Biomedical technology

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