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

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.

Rede social no cuidado à pessoa estomizada por câncer colorretal

“…4,6,[8][9][16][17] The same phenomenon can be seen in the research on the social network of the family that had one of its members submitted to the preparation of the stom-omy, which revealed the strong support of family members during difficult times during hospitalization and home care. 2,7,12 It is important to note that the relevance of the centrality of family support is evidenced both in the national and international scientific literature, where studies show that the greater the social support received by the family, the better the adjustment of the person in relation to the coexistence with cancer and posterior care of the ostomy 5,7,[12][13] . It is identified in a study conducted in Poland that people with colostomy who had higher quality of life received greater social support from the family and the types of support received were: emotional, material and information.…”

“…2019;13:e239569 https://doi.org/ 10.5205/1981-8963.2019.239569 function or category, offered to the participants: attention, welcome, affection, respect, orientations and materials for the care with the stommy, which can contribute to ease the fear, anxiety and clarify the doubts related to selfcare. 5,11,13,17 Nevertheless, it was emphasized that the same was not identified in the contact with the professionals of the primary health care network, because in the perception of the participants, the professionals of this level of attention, especially the nurses, were not present in the life of these people who live with the problem of cancer and in this way did not perceive the support or support with regard to the necessary care.…”

“…[2][3] It is known that the stomies resulting from colorectal cancer can have a great impact on a person's life, such as concern about quality of life in the face of biopsychosocial changes and situations of embarrassment and vulnerability. [4][5] It is believed that the network and social support play a relevant role in coping with the difficulties arising from chronic diseases and in the success of treatment. [6][7][8] The term social network is understood as a set of interpersonal relations that determine the characteristics of the person, such as: habits, customs, beliefs, values; being that of this network the person can receive support of the emotional, material and informative type or can receive negative influences, since not always the presence of several members of the social network in the life of a person results in positive emotional and/or behavioral effects.…”

“…1,[10][11] It is observed, however, in the national and international scientific literature that there is still a gap in the production of research aimed at understanding the social network of people with colorectal cancer. [4][5][6][7][12][13] It is believed that this investigation amplifies the understanding of the determinants and social determinants involved in the daily life of the person with the ostomy 2,13 and attends one of the priority areas of health research in Brazil, regarding the evaluation of social support networks and life dynamics of people with chronic diseases. 14 • Understanding the influence of the social network of people with colorectal cancer and describing the type of support that the social network offers for these people.…”

Nursing Diagnosis According to NANDA and NIC Practices of Ostomy Creation Patient with Colorectal Cancer

“…Barsak stomaları bireylerin daha uzun süre ve sağlıklı yaşamalarını sağlayabilmek için açılmasına karşın, literatürde stoma açılmasının bireylerde fizyolojik, psikolojik ve sosyal sorunlara neden olduğu ve yaşam kalitesini olumsuz etkilediği bildirilmektedir. [2][3][4][5] Fizyolojik sorunlar arasında; peristomal ve stomal cilt komplikasyonları, yorgunluk, sızıntı, koku, sesli gaz çıkışı, barsak alışkanlıklarında değişme gibi sorunlar yer almaktadır. 4,6,7 Psikolojik ve sosyal sorunlar arasında; beden algısının değişmesi, benlik saygısının azalması, cinsel fonksiyonlarda bozulma, depresyon, anksiyete, uyum bozuklukları, yalnızlık, korku, bağımlılık, utanma duygusu bulunmaktadır.…”