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Abstract(s)
O conhecimento da perceção da pessoa portadora de ostomia de eliminação sobre a sua qualidade de vida constitui o objetivo central desta investigação. Como objetivos específicos definimos: identificar as características sociodemográficas e clínicas das pessoas portadoras de ostomia de eliminação; descrever as qualidades métricas do Estoma QdV; e identificar o nível atribuído pelas pessoas, portadoras de ostomia de eliminação, à sua qualidade de vida de acordo com o Estoma QdV. Em termos metodológicos, desenvolvemos um estudo exploratório/descritivo, de carácter transversal e de abordagem quantitativa, junto duma amostra de 51 indivíduos portadores de uma ostomia de eliminação a frequentar a Consulta de Estomaterapia, dum Hospital Central da Zona Norte, selecionada de uma forma não probabilística por conveniência, a quem foi aplicada a Escala do Estoma QdV. A maioria dos indivíduos é do sexo masculino (66,7%), com uma média de idades de 64,8 anos e com um desvio padrão de 9,7 anos, casados (76,5 %), reformados (66,7 %) e detentores do ensino básico (56,9%). De entre os resultados obtidos salientamos: - A maioria da amostra (94,1%) refere a doença a oncológica como causa da cirurgia; Apresentam colostomia (68,6%), com estoma definitivo (78,4%), dos quais 70,6% utilizam um sistema de duas peças; - A totalidade da amostra não teve contacto com qualquer associação de doentes ostomizados. 68,6% dos sujeitos teve o seu primeiro contacto com a sua enfermeira estomaterapeuta, antes da cirurgia; - O Estoma QdV apresenta um alpha de Cronback de 0,89 e os 20 itens organizam-se em quatro fatores que explicam 60,5% da variância total; - No Fator I, associado às relações com a família e amigos mais próximos, a maioria da amostra mostra discordância com os itens correspondentes; - No Fator II, relacionado com alterações emocionais e de sono, a maioria dos indivíduos apresenta concordância nos itens relacionados com as alterações emocionais e discordância com as alterações de sono; - No Fator III, relacionado com a autoestima e autoimagem, os inquiridos demonstram discordância com os itens correspondentes; - No Fator IV, associado aos aspetos de insegurança com o dispositivo de ostomia, a maioria da amostra refere concordância relativamente à maior parte das questões; - A maioria da amostra em estudo (64,7%) considera a sua qualidade de vida, como “Boa”, antes do aparecimento da sua doença. Facto que se confirma pela pontuação média (58) na escala do Estoma QdV, referente à fase pós-aparecimento da doença. Os resultados realçam a importância da intervenção dos enfermeiros estomaterapeutas, junto da pessoa portadora de ostomia e família, desde a decisão clínica da necessidade da construção duma ostomia até às consultas de enfermagem de follow-up, após alta hospitalar.
The knowledge of the perception of person with an ostomy elimination on its quality of life constitutes the central objective of this research. How to define specific aims: to identify the sociodemographic and clinical characteristics of people with ostomy elimination; describe the metrics qualities Estoma QdV and to identify the level attributed by people living with ostomy elimination, their quality of life according to the Estoma QdV. In methodological terms, we developed an exploratory and descriptive study of an horizontal character and quantitative approach with a sample of 51 subjects with an ostomy elimination to frequent the consultation Stomatherapy of an Hospital of Central North Area, selected in a manner not probabilistic convenience, to whom it was applied scale Estoma QdV. The majority of individuals is male (66.7%) with a mean age of 64.8 years and a standard deviation of 9.7 years, married (76.5%), pensioners (66.7% ) and holders of primary school (56.9%). From among the obtained results show: - Most of the sample (94.1%) refers to the oncologic illness as a cause of surgery; They present colostomy (68.6%) with definitive stoma (78.4%), 70.6% of whom use a system of two parts; - The whole sample has not had contact with any association of ostomy patients. 68.6% of subjects had their first contact with her stomal therapy nurse before surgery; - The Estoma QdV presents an Cronback alpha of 0.89 and 20 items organized into four factors that explain 60.5% of total variance; - In Factor I, associated with relationships with family and closest friends, most of the sample shows disagreement with the corresponding items; - In Factor II, and emotional changes related to sleep, the majority of individuals shows concordance on the items related to emotional alterations and disagreement with sleep alterations; - In Factor III, related to self-esteem and self-imagethe respondents demonstrate disagreement with the corresponding items; - In Factor IV, associated with aspects of insecurity with the ostomy device. A majority of subjects correlation with refers to most of the questions; - The majority of the study sample (64.7%) considers its quality of life as good, before the appearance of her illness. Fact which is confirmed by the average score (58) on the scale of Estoma QdV related to post-onset. The results highlight the importance of the intervention of stomal therapy nurses, next to the person with an ostomy and family, since the clinical decision of necessity of the construction of an ostomy until nursing visits for follow-up after hospital discharge.
The knowledge of the perception of person with an ostomy elimination on its quality of life constitutes the central objective of this research. How to define specific aims: to identify the sociodemographic and clinical characteristics of people with ostomy elimination; describe the metrics qualities Estoma QdV and to identify the level attributed by people living with ostomy elimination, their quality of life according to the Estoma QdV. In methodological terms, we developed an exploratory and descriptive study of an horizontal character and quantitative approach with a sample of 51 subjects with an ostomy elimination to frequent the consultation Stomatherapy of an Hospital of Central North Area, selected in a manner not probabilistic convenience, to whom it was applied scale Estoma QdV. The majority of individuals is male (66.7%) with a mean age of 64.8 years and a standard deviation of 9.7 years, married (76.5%), pensioners (66.7% ) and holders of primary school (56.9%). From among the obtained results show: - Most of the sample (94.1%) refers to the oncologic illness as a cause of surgery; They present colostomy (68.6%) with definitive stoma (78.4%), 70.6% of whom use a system of two parts; - The whole sample has not had contact with any association of ostomy patients. 68.6% of subjects had their first contact with her stomal therapy nurse before surgery; - The Estoma QdV presents an Cronback alpha of 0.89 and 20 items organized into four factors that explain 60.5% of total variance; - In Factor I, associated with relationships with family and closest friends, most of the sample shows disagreement with the corresponding items; - In Factor II, and emotional changes related to sleep, the majority of individuals shows concordance on the items related to emotional alterations and disagreement with sleep alterations; - In Factor III, related to self-esteem and self-imagethe respondents demonstrate disagreement with the corresponding items; - In Factor IV, associated with aspects of insecurity with the ostomy device. A majority of subjects correlation with refers to most of the questions; - The majority of the study sample (64.7%) considers its quality of life as good, before the appearance of her illness. Fact which is confirmed by the average score (58) on the scale of Estoma QdV related to post-onset. The results highlight the importance of the intervention of stomal therapy nurses, next to the person with an ostomy and family, since the clinical decision of necessity of the construction of an ostomy until nursing visits for follow-up after hospital discharge.
Description
Keywords
Ostomia Qualidade de vida Pessoa portadora de ostomia Enfermagem Estomaterapia Ostomy Quality of life Person with an ostomy Nursing