Association of sociodemographic and clinical factors with self-image, self-esteem and locus of health control in patients with an intestinal stoma

Abstract

Objective To evaluate the sociodemographic and clinical factors related to patients with an intestinal stoma and to correlate them with locus of health control, self-esteem and self-image. Method 44 patients with an intestinal stoma participated in the study. The following instruments were used: Scale for Locus of Health Control, Rosenberg Self-Esteem Scale/UNIFESP-EPM and Body Investment Scale. Results With regard to Locus Health Control variables, sociodemographic variables with alterations were: unemployed (28.13); retirees (27.79); age up to 50 years (28.44); and singles (27.89). Regarding Body Investment Scale, the sociodemographic variables with alterations were: age up to 50 years (21.79); single (19.15) or married (17.53); retired (18.79) or unemployed (19.83); and can read and write (20.13). Regarding Rosenberg-EPM Self-esteem Scale, all sociodemographic variables were altered. Conclusions Ostomized patients presented alterations in the following variables: unemployed, retired, aged up to 50 years and unmarried. There were also alterations in individuals whose cause of the stoma was neoplasia, a temporary stoma, stoma time <4 years, and ostomized non-participants of an association or support group, and who also did not practice physical activities. We conclude from these findings that ostomized individuals who participated in the study and who were included in these variables showed negative feelings about their body and believed that only they could control their health and that the people involved in their care and rehabilitation did not could contribute to their improvement.

Association of sociodemographic and clinical characteristics with the self-esteem of stomized persons

“…9,19,20 Um desses estudos apresentou baixo nível de autoestima, com mé-dia de 10,81 e queda na autoimagem, evidenciando que os indivíduos demonstravam sentimentos negativos acerca da sua imagem. 9 Vale salientar que esses dados podem ter divergido dos encontrados no presente estudo, pois 45,7% das pessoas com estomia não participavam de grupos de apoio.…”

Tissue content of metalloproteinase-9 and collagen in the colon with and without fecal stream after intervention with infliximab in rats subjected to Hartmann’s surgery

“…It is estimated that half of the patients undergoing HS do not have their intestinal transit successfully restored and that the morbidity and mortality rates when reconstruction is performed are 50 and 10%, respectively [21][22][23][24] . The impossibility of reestablishing intestinal transit condemns these patients to live with the stoma and with a segment of rectum that is not functional for the rest of their lives 19,24,25 .…”

Self-care of elderly people with ostomy by colorectal cancer

“…8 It is important to mention that elderly people have distinct characteristics that, combined with longer exposure to environmental risk to diseases, being them vulnerable to chronic-degenerative illness, such as cancer. 25 Finally, the nurse must be aware of patient's mental health status, since the ostomized individual may arrive at the outpatient clinic with feelings of anxiety, frustration, not accepting or adapting to self-care, and they can express feelings of loss. 26 Under this perspective, it is vital to the nurse to consider the patient, with special attention to negative feelings, because they can alter the willingness to perform self-care.…”