Atuação do estomaterapeuta no processo de reabilitação do ostomizado

Paula, María

doi:10.1590/s0034-71671996000100003

Cited by 6 publications

(4 citation statements)

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“…The significant increase in morbidity and mortality has made colorectal cancer a major public health concern. Increase in the incidence of colorectal malignancies has significantly contributed to the increase in ostomy creation [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of quality of life in a cohort of enteral ostomy patients presenting to a tertiary care hospital in a developing country in South Asia

Jayarajah

Samarasekera

2017

BMC Res Notes

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BackgroundEnteral ostomy creation affects the quality of life (QOL) of stoma patients significantly. Studying the QOL and its determinants is important as it may help in the early identification of those with poor QOL leading to appropriate intervention. This study was aimed to assess the possible contributory factors of QOL of stoma patients.MethodsA cross sectional study was conducted among 43 ostomy patients who presented for follow up at a surgical clinic of a tertiary care hospital in Sri Lanka over a period of 1 year. Relevant demographic and ostomy related data were collected using an interviewer administered questionnaire. Stoma quality of life scale (Stoma-QOL) and stoma care self-efficacy scale (SCSE) which are validated questionnaires were used to assess QOL and self-efficacy in managing stoma respectively. Associations were established using independent samples t test and Spearman’s correlation.ResultsThe median age of the study participants was 47.5 years (range 18–83). The median follow up duration was 38 months (range 6–183). The mean overall QOL score was 53.07 ± SD 12.68. Approximately 70% of the study participants scored less than 60. Higher QOL was associated with female sex, colostomies, comfortable income and satisfactory sexual activity. Significantly lower overall QOL was found in those who reported a significant change in the style of dressing (p < 0.05), those who felt depressed (p < 0.05), and those who had thoughts of self-harm soon after surgery (p < 0.05). There was a significant positive correlation between QOL and self-efficacy (p < 0.01). Those who took longer time to learn to take care of the stoma had lower QOL (p < 0.05).ConclusionsThe overall QOL score was considerably low in our study. The QOL was significantly associated with self-efficacy which indicates the importance of patient education and training during follow up visits to maintain a higher QOL. Furthermore integrating with other non-surgical specialities to address multi-dimensional problems including psychosocial and sexual aspects may be helpful to achieve a better QOL.

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Section: Introductionmentioning

confidence: 99%

A cross-sectional study of quality of life in a cohort of enteral ostomy patients presenting to a tertiary care hospital in a developing country in South Asia

Jayarajah

Samarasekera

2017

BMC Res Notes

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“…The number of stoma creation surgeries are on the rise due to increase in the incidence of colorectal tumours [1] and inflammatory bowel diseases [2] which are the two most leading causes for ostomy creation [3]. Formation of a stoma results in complications which can be categorised as surgical, psychological and social complications.…”

Section: Introductionmentioning

confidence: 99%

A study of long-term complications associated with enteral ostomy and their contributory factors

2016

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BackgroundComplications of ostomy significantly affect the quality of life of ostomates. There is little evidence on the rate of long-term complications in ostomates, especially from the developing countries which include Sri Lanka. This study was aimed to describe the long-term complications of enteral ostomies and their contributory factors.MethodsA retrospective analysis was carried out on 192 patients who underwent ostomy creation over a period of 5 years. Data on type of complications, age, sex, type of ostomy, type of surgery and perioperative care by enteric stoma therapist were gathered. Associations were established using Chi square test and multiple logistic regression.ResultsOut of 192 patients, only 146 patients presented regularly for follow up. The mean follow up duration was 28 months (range: 3–183). Around 34.2% developed surgical long-term complications related to the ostomy. Common complications were prolapse (n = 24, 16.4%), skin excoriation (n = 22, 15.1%) and parastomal hernia (n = 14, 9.6%). Overall complication rate was significantly less in loop ostomies (p < 0.05) and defunctioning ostomies (p < 0.05). Skin excoriation was significantly high in males (p < 0.05) and in ileostomies (p < 0.001). Parastomal hernia was commoner in end ostomies (p < 0.05). Perioperative care by enteric stoma therapist reduced the overall and specific complications (p < 0.001).ConclusionThe overall complication rate in our cohort of patients was 34.2%. The perioperative care of a stoma therapist may be very effective in preventing complications particularly in a setting with limited resources.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-016-2304-z) contains supplementary material, which is available to authorized users.

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“…(PAULA, 2001). A reabilitação tem em vista a preservação da função para o adiamento da instalação de incapacidades, diminuir o comprometimento imposto por incapacidade e promover melhor adaptação do indivíduo, melhorando a sua qualidade de vida.…”

Section: Discussionunclassified

Necessidades fisioterapêuticas de idosos em atendimento ambulatorial

Knorst¹,

Fischer²,

Bós³

2010

Rev. Bras. de Ciên. do Envelh. Hum.

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ResumoO envelhecimento populacional tem aumentado a prevalência de doenças crô-nicas e incapacitantes, as quais levam à limitação funcional, diminuindo a autonomia e a qualidade de vida dos idosos. Limitações funcionais causam dependên-cia para o desempenho de tarefas, ou seja, atividades de vida diária (AVD) e atividades instrumentais de vida diária (AIVD). A atenção ambulatorial tem aumentado para com os idosos, em vista da demanda por serviços ambulatoriais de reabilitação geriá trica, na qual o fisioterapeuta tem um papel relevante. Este estudo busca conhecer as principais demandas de atendimento fisioterapêutico em ambulatório geriátrico, propondo a estrutura ideal mí-nima desse serviço. Em um estudo transversal, descritivo e analítico, pacientes de um ambulatório de geriatria com sessenta anos ou mais, de ambos os sexos, foram convidados a participar da pesquisa. Os voluntários foram inquiridos sobre as AVD e AIVD e tiveram avaliadas as funções de equilíbrio, flexibilidade articular e função muscular. A presença de doenças, estado mental e depressão foi coletada por consulta ao prontuário médico. Os 55 idosos participantes tinham indicação de acompanhamento fisioterapêutico. Demência e gota foram significativas para perda de AVD e AIVD. Verificou-se também perda significativa para AIVD entre idosos com osteoartrose. Entre as técnicas fisioterapêu-ticas, a mais indicada foi a cinesioterapia motora, que inclui exercícios ativos passivos, resistidos e caminhada orientada. Conclui-se que as doenças crônicas estão associadas à dependência física e que o fisioterapeuta tem um papel importante na reabilitação funcional do idoso ambulatorial. Faz-se necessária a criação de espaço físico dentro de um serviço ambulatorial contendo equipamentos específicos da fisioterapia.Palavras-chave: Fisioterapia. Reabilitação. Geriátrica. Autonomia. Qualidade de vida.

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Atuação do estomaterapeuta no processo de reabilitação do ostomizado

Cited by 6 publications

References 0 publications

A cross-sectional study of quality of life in a cohort of enteral ostomy patients presenting to a tertiary care hospital in a developing country in South Asia

A cross-sectional study of quality of life in a cohort of enteral ostomy patients presenting to a tertiary care hospital in a developing country in South Asia

A study of long-term complications associated with enteral ostomy and their contributory factors

Necessidades fisioterapêuticas de idosos em atendimento ambulatorial

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