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

Abstract

Objective 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.

Cuidado e saúde em pacientes estomizados

“…Somam-se as alterações biológicas com a nova rotina de cuidados, a mudança de padrões alimentares e de higiene, alterações na autoestima e em suas relações sociais. Constatou-se ainda alterações negativas em sua autoimagem, perda de disposição para atividades fora do lar e exercícios, e decaimento de sua prática sexual, o que culminaram em redução da qualidade de vida desses pacientes (28,29) . A forma como ocorre a adaptação à nova condição é fator determinante para o grau de satisfação e bem-estar do paciente, assim como para a sua reinserção em atividades diárias.…”

Vivencias De Las Personas Portadoras De Ostomía Digestiva

“…Así mismo, las experiencias reportadas por las personas muestran similares estados situacionales y emocionales señalados por estudios previos (30)(31)(32) , donde se comenta que las personas en esta condición se tornan depresivas y solo desean la muerte por diferentes factores asociados al cambio de roles, a la configuración de sí mismas, a las formas de socializar, a los hábitos alimentarios y aun a sus comportamientos, temiendo el rechazo. Estos conflictos existenciales son generadores de cambios de orden psicológico, emocional y social, que desencadenan momentos de incertidumbre.…”

A new APP for prevention and treatment of complications of intestinal peristomal skin

“…5,6 Such complications can lead to dermatitis, bleeding, prolapse, necrosis, hernias, edema, waste leakage, peristomal hernia, stenosis, and retraction, among other adversities. [7][8][9][10][11][12][13] The development of an application program (app) for nursing professionals who provide care to patients with skin lesions has proved to be valid as a strategy for training, diagnosis, and prescription of therapeutic conduct, especially in the theory and practice relationship and in the interrelation of knowledge and contextualization of learning. [14][15][16][17][18][19][20][21] The use of apps as a teaching tool, care, and diagnosis in the area of skin lesions is very innovative and is a method that can generate interest and motivation to learn more, given that the mobile devices that host these apps are used by healthcare professionals at a rate of 45%-85% and are more consulted than books.…”