Abstract:Objetivo: Describir las experiencias vividas por personas portadoras de ostomía digestiva. Material y método: Estudio cualitativo basado en la fenomenología descriptiva de Husserl, con una muestra de 6 adultos provenientes de instituciones de salud de la ciudad de Manizales, Colombia. La recolección de la información se realizó a través de entrevistas en profundidad hasta lograr saturación de datos. Resultados: Las historias de vida relatadas muestran las vivencias de las personas en condición de ostomizadas. … Show more
“…On the other hand, there are cases where the ostomy was rejected by the patients, with serious negative feelings about themselves: they feel inferior, ashamed of the situation, upset and sometimes alone, with the sensation that this is happening only to them. It was also noticed that being afraid of emptying the bag, smelling bad, disturbing others, fear of disability, hopelessness, denial, anxiety, less optimism and more shame were also frequent [11][12] .…”
Section: Discussionmentioning
confidence: 99%
“…Likewise, lack of control over the ostomy and UI generate discomfort in these ostomized aged individuals. The use of external collecting equipment is the vivid image of the mutilation suffered, directly related to the loss of the body's ability to control physiological elimination, meaning a weakening of the control perception 12,29 .…”
Objective: to understand how aged people with intestinal ostomies experience this situation together with urinary incontinence. Method: a qualitative, descriptive and exploratory research study, developed with 77 aged individuals with intestinal ostomies assisted by the Unified Health System, in four municipalities from the Metropolitan Region of Florianópolis. Data collection was conducted using semi-structured interviews from October 2019 to February 2020. The theoretical framework used was Dorothéa Orem's Self-Care Theory and the data were submitted to content analysis, in its thematic modality. Results: the analysis allowed generating three thematic categories: 1) Feelings generated by the intestinal ostomy and urinary incontinence: acceptance, denial, fear, insecurity, constraints experienced due to the ostomy and to the urinary incontinence symptoms; 2) Lifestyle changes; and 3) Deficit in self-image. Conclusion: it was evidenced that, for most of the research participants, it is difficult to accept the experience of living with an intestinal ostomy and urinary incontinence, which generally produce negative feelings. However, the participants proved to be resilient and able to adapt to the changes in lifestyle. Many of these behaviors are due to the health professionals' important contribution in providing them the necessary attention, encouraging self-care strategies in both situations.
“…On the other hand, there are cases where the ostomy was rejected by the patients, with serious negative feelings about themselves: they feel inferior, ashamed of the situation, upset and sometimes alone, with the sensation that this is happening only to them. It was also noticed that being afraid of emptying the bag, smelling bad, disturbing others, fear of disability, hopelessness, denial, anxiety, less optimism and more shame were also frequent [11][12] .…”
Section: Discussionmentioning
confidence: 99%
“…Likewise, lack of control over the ostomy and UI generate discomfort in these ostomized aged individuals. The use of external collecting equipment is the vivid image of the mutilation suffered, directly related to the loss of the body's ability to control physiological elimination, meaning a weakening of the control perception 12,29 .…”
Objective: to understand how aged people with intestinal ostomies experience this situation together with urinary incontinence. Method: a qualitative, descriptive and exploratory research study, developed with 77 aged individuals with intestinal ostomies assisted by the Unified Health System, in four municipalities from the Metropolitan Region of Florianópolis. Data collection was conducted using semi-structured interviews from October 2019 to February 2020. The theoretical framework used was Dorothéa Orem's Self-Care Theory and the data were submitted to content analysis, in its thematic modality. Results: the analysis allowed generating three thematic categories: 1) Feelings generated by the intestinal ostomy and urinary incontinence: acceptance, denial, fear, insecurity, constraints experienced due to the ostomy and to the urinary incontinence symptoms; 2) Lifestyle changes; and 3) Deficit in self-image. Conclusion: it was evidenced that, for most of the research participants, it is difficult to accept the experience of living with an intestinal ostomy and urinary incontinence, which generally produce negative feelings. However, the participants proved to be resilient and able to adapt to the changes in lifestyle. Many of these behaviors are due to the health professionals' important contribution in providing them the necessary attention, encouraging self-care strategies in both situations.
“…Como se ha mencionado, el componente psicológico es esencial para lograr una adecuada recuperación en estos individuos. Al experimentar algún tipo de cambio corporal, la persona se verá afectada física y mentalmente, por lo que es importante llevar un seguimiento psicológico individualizado con cada uno de ellos (15).…”
Section: Psicología En Pacientes Ostomizadosunclassified
La ostomía de alto débito es una de las complicaciones que pueden presentar los pacientes portadores de patologías que requieran la construcción de un estoma. A través de los años, se ha visto un incremento en la necesidad de establecer no solo una definición clara sobre este concepto, sino también un consenso en cuanto a su manejo. Portar un estoma puede ser una condición temporal o permanente. Esta situación aumenta el riesgo de consecuencias negativas, ya sea a corto o a largo plazo y puede significar un aumento en los costos de servicios de salud al ser una patología de difícil manejo y que requiere constante monitoreo.
“…This may be due to limited knowledge and training in this area 1,5 . Despite the importance of health education aimed at informing and addressing the sexual problems of these patients, health professionals often encounter difficulties in resolving these issues, which can manifest as decreased libido or sexual dysfunction [6][7][8][9][10] .…”
Background: An ostomy significantly influences a person's life, altering their biopsychosocial and sexual sphere and affecting their interpersonal relationships. Materials and methods: Through an observational, descriptive, and cross-sectional study, with a questionnaire aimed at professionals from a health area in Madrid, we analyzed: sociodemographic variables, knowledge of the professionals on the subject, referral of the patient according to the professional's assessment and feelings that the subject under study produces in the patient and in professionals. Results: 49% claimed to have no knowledge about sexuality of the ostomyzed patients. 55.9% of those surveyed consider that the healthcare provider is the one who should introduce the topic of sexuality during the clinical interview. 48.5 and 85.2% are unaware of treatments for male and female sexual dysfunction, respectively. Conclusions: The data show that the training provided in the university centers is insufficient to deal effectively with this issue in the medical consultation. The participants manifest null or minimal knowledge about the sexual sphere in ostomized patients. Knowledge deficiencies are detected in relation to the sexuality of the ostomized patient, difficulty in talking about sex with these patients, and the importance that sanitary professionals give to the patient's sexual sphere, among others.
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