Câncer colorretal: entre o sofrimento e o repensar na vida

Abstract

RESUMO Este estudo objetivou compreender as experiências vividas por seis pacientes submetidos à bolsa de colostomia após cirurgia de câncer colorretal. A metodologia foi a "Ground Theory" e o referencial teórico do interacionismo simbólico, que leva à formação de categorias, subcategorias e categoria central. Os dados foram coletados sistemática e simultaneamente, até a saturação teórica. A necessidade da bolsa de colostomia revelou sentimentos que fizeram emergir três fenômenos: sendo surpreendida no pós-operatório; tendo que aceitar a convivência com colostomia e repensando a vida. A análise do processo levou ao desenvolvimento da categoria central CÂNCER COLORRETAL: ENTRE O SOFRI-MENTO E O REPENSAR NA VIDA. PALAVRAS CHAVE:Colostomia; neoplasias colorretais; qualidade de vida; pesquisa qualitativa.ABSTRACT The aim of this study was to understand the experiences of six patients subjected to using a colostomy bag following surgery for colorectal cancer. The methodology used was the Ground Theory with the theoretical framework of symbolic interaction, which leads to the formation of categories, subcategories and a core category. The data were collected systematically and simultaneously up to the point of theoretical saturation. The need for a colostomy bag revealed feelings that demonstrate three phenomena: feeling surprised postoperatively; having to accept living with a colostomy and rethinking life. The review of the process led to the development of the core category COLORECTAL CANCER: BETWEEN THE SUFFERING AND THE REAPPRAISAL OF LIFE.

Facilitators of the transition process for the self-care of the person with stoma: subsidies for Nursing

“…A sense of normality results from an image similar to the one before surgery, and is a facilitating condition related to the person. Moreover, omitting the stoma provides the time that patients need for feeling secure and learning the self-care (19) .…”

Ansiedade em pacientes com neoplasias malignas no pós-operatório mediato: estudo correlacional

“…There are several fears and concerns that patients and family face with the diagnosis, treatment, and interventions in cancer (especially if they are ostomy carriers), ranging from their rejection by society to the difficulty in dealing with ostomy due to the lack of knowledge and barriers in terms of social integration. Thus, they face emotional imbalance, resulting in, among other things, anxiety and depression (4,6) . One study reported that more than half of patients with colorectal cancer begin to use ostomy (4) ; and in the case of this study, 13.8% of participants had this type of malignant neoplasm and had colostomy.…”

“…Thus, they face emotional imbalance, resulting in, among other things, anxiety and depression (4,6) . One study reported that more than half of patients with colorectal cancer begin to use ostomy (4) ; and in the case of this study, 13.8% of participants had this type of malignant neoplasm and had colostomy.…”

“…Among these treatments is the surgical, widely used for solid cancers, such as colorectal, stomach, and head and neck. The surgical procedure itself, the fear of pain and the possible anatomical--functional alterations caused by cancer surgery can also cause anxiety (4) .…”

“…With respect to colon cancer, it is often also necessary to make stomas, which cause loss of faecal elimination control, and hence a change in self-esteem and self-image. Feelings of rejection, shame, or anger also occur and may contribute to anxiety states (4) .…”