Factores de protección para la calidad de vida en ostomizados desde las redes de apoyo en Colombia
Protective factors for quality of life in ostomates from support networks in Colombia
Fatores de proteção para a qualidade de vida em estomizados provenientes de redes de apoio na Colômbia
DOI:
https://doi.org/10.15446/av.enferm.v42n2.116339Keywords:
Factores Protectores, Apoyo Social, Calidad de Vida, Enfermería, Espiritualidad, Ostomía (es)Protective Factors, Social Support, Quality of Life, Nursing, Spirituality, Ostomy (en)
Fatores de Proteção, Apoio Social, Qualidade de Vida, Enfermagem, Espiritualidade, Estomia (pt)
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Objetivo: determinar los factores de protección asociados a la calidad de vida de una población con ostomía de eliminación.
Materiales y método: estudio descriptivo de corte transversal. Se aplicó el instrumento “Cuestionario de Calidad de vida para pacientes con una ostomía” a 56 participantes, previo consentimiento informado. Se realizó un análisis bivariado, describiendo el perfil sociodemográfico, clínico, y la percepción de calidad de vida para la descripción de factores protectores en la población.
Resultados: de los 56 participantes el mayor porcentaje de población era de género femenino, 60,7 %, la edad promedio fue de 50 años y el lugar de residencia, de la mayoría de pacientes, fue Cali. La colostomía permanente predominó, asociada a causas neoplásicas gastrointestinales. Se identificó un alto nivel de calidad de vida percibida, influenciada por factores protectores entre los que destacan la espiritualidad y el apoyo social como los más relevantes, seguido por la satisfacción sexual y cambios en la alimentación.
Conclusiones: la población muestra una caracterización sociodemográfica diversa que no guarda relación con las variables clínicas. La calidad de vida general se clasificó como alta, con un alto nivel en el bienestar espiritual, esto se debe, en gran parte, a la vinculación a una corriente religiosa o espiritual, además de factores de protección identificados que permitieron una adaptación oportuna y una tendencia hacia el bienestar.
Objective: To determine the protective factors associated with the quality of life of a population with an elimination ostomy.
Materials and method: Descriptive cross-sectional study. The instrument “Quality of Life Questionnaire for patients with an ostomy” was applied to 56 participants prior informed. Bivariate analysis was performed describing the sociodemographic and clinical profile, and the perception of quality of life to describe protective factors in the population.
Results: Of the 56 participants, the highest percentage was represented by the female gender with 60.7 %, average age of 50 years and the city of Cali as the place of greatest residence. Permanent colostomy predominated associated with gastrointestinal neoplastic causes. A high level of perceived quality of life was identified, influenced by protective factors, among which spirituality and social support stand out as the most relevant, followed by sexual satisfaction and changes in diet.
Conclusions: The population shows a diverse sociodemographic characterization that is not related to the clinical variables. The general quality of life was classified as high, with a high level of spiritual well-being, this is largely due to the link to a religious or spiritual current in addition to the identified protective factors that allowed a timely
adaptation and tendency towards welfare.
Objetivo: determinar os fatores de proteção associados à qualidade de vida de uma população com estomia de eliminação.
Materiais e método: estudo, descritivo, transversal. O instrumento “Questionário de qualidade de vida para pacientes estomizados” foi aplicado a 56 participantes
previamente com consentimento informado. Foi realizada análise bivariada descrevendo o perfil sociodemográfico e clínico, e a percepção de qualidade de vida para descrever os fatores de proteção na população.
Resultados: dos 56 participantes, o maior percentual foi representado pelo sexo feminino com 60,7%, idade média de 50 anos e a cidade de Cali como local de maior residência. Identificou-se elevado nível de qualidade de vida percebida, influenciada por fatores de proteção, dos quais a espiritualidade e o apoio social se destacam como os mais relevantes, seguidos da satisfação sexual e mudanças na alimentação.
Conclusões: a população apresenta caracterização sociodemográfica diversa e não relacionada às variáveis clínicas. A qualidade de vida geral foi classificada como
elevada, com elevado nível de bem-estar espiritual, isso deve-se em grande parte à ligação a uma corrente religiosa ou espiritual além dos fatores de proteção identificados que permitiram uma adaptação oportuna e tendência para o bem-estar.
References
(1) Villa G; Mannarini M; Della Giovanna G; Marzo E; Manara DF; Vellone E. A literature review about self-care on ostomy patients and their caregivers. Int. J. Urol. Nurs. 2019;13(2):75-80. https://doi.org/10.1111/ijun.12182
(2) Zewude WC; Derese T; Suga Y; Teklewold B. Quality of life in patients living with stoma. Ethiop. j. health sci. 2021;31(5):993-1000. https://doi.org/10.4314/ejhs.v31i5.11
(3) Heydari A; Manzari ZS; Pouresmail Z. Nursing intervention for quality of life in patients with ostomy: A systematic review. Iran. j. nurs. midwifery res. 2023;28(4):371-383. https://doi.org/10.4103/ijnmr.ijnmr_266_22
(4) Alenezi A; Livesay K; McGrath I; Kimpton A. Ostomy-related problems and their impact on quality of life of Saudi ostomate patients: A mixedmethods study. J. Clin. Nurs. 2022;32(13-14):3707-3719. http://doi.org/10.1111/jocn.16466
(5) Petersén C; Carlsson E. Life with a stoma-coping with daily life: Experiences from focus group interviews. J. Clin. Nurs. 2021;30(15-16):2309-2319. http://doi.org/10.1111/jocn.15769
(6) Valencia-Rico CL; López-González LA; Gómez-Suárez LM; OrregoMurillo D; Restrepo-Peláez LV. Calidad de vida en personas portadoras de una ostomía digestiva. Rev. Cienc. Ciudad. 2019;16(3):114-124. https://doi.org/10.22463/17949831.1721
(7) Duque Cien PA; Valencia Rico CL; González Arias MC; Vallejo Arias SL. Calidad de vida en personas portadoras de ostomías digestivas. Horiz. enferm. 2021;32(1):64-78. https://horizonteenfermeria.uc.cl/index.php/RHE/article/view/28257
(8) Michalak J; Spitler C; Simman R; Sharp K; Pei M. Stomal and peristomal complications management: A retrospective study. J. Wound Care. 2023;32(1):35-42. http://doi.org/10.12968/jowc.2023.32.1.35
(9) Berti-Hearn L; Elliott B. Ileostomy care: A guide for home care clinicians. Home Healthc. Now. 2019;37(3):136-144. http://doi.org/10.1097/NHH.0000000000000776
(10) Muñoz Delgado E; Ortega Ordoñez GC; Saldarriaga Ochoa K; Benítez Duque J. Conocimiento de profesionales de enfermería del cuidado de personas con ostomías de eliminación. Cult. Cuid. Enferm. 2023;20(2):24-42. https://dialnet.unirioja.es/descarga/articulo/9128346.pdf
(11) Haraldstad K; Wahl A; Andenæs R; Andersen JR; Andersen MH; Beisland E et al. A systematic review of quality of life research in medicine and health sciences. Qual Life Res. 2019;28(10):2641-2650. http://doi.org/10.1007/s11136-019-02214-9
(12) Khalilzadeh Ganjalikhani M; Tirgari B; Roudi Rashtabadi O; Shahesmaeili A. Studying the effect of structured ostomy care training on quality of life and anxiety of patients with permanent ostomy. Int. wound j. 2019;16(6):1383-1390. https://doi.org/10.1111/iwj.13201
(13) Tabernero R; Pelay N; Zuriguel E; Lorente J; Pérez-Hoyos S; Tena B et al. Adaptation and validation into Spanish of a specific questionnaire on quality of life in patients with tracheostomy (Q). Acta Otorrinolaringol Esp. 2022;73(5):299-309. https://doi.org/10.1016/j.otoeng.2021.11.001
(14) Marquis P; Marrel A; Jambon B. Quality of life in patients with stomas: The Montreux Study. Ostomy Wound Manage. 2003;49(2):48-55. https://pubmed.ncbi.nlm.nih.gov/12598701
(15) Vargas-Rodríguez LY; Rincón-Monguí JA; Quemba-Mesa MP; Castañeda-Franco EL. Adaptación transcultural del instrumento City of Hope-Quality of Life-Ostomy. Av. enferm. 2023;41(2):109118. http://doi.org/10.15446/av.enferm.v41n2.109118
(16) Grant M; Ferrell B; Dean G; Uman G; Chu D; Krouse R. Revision and psychometric testing of the City of Hope quality of life-ostomy questionnaire. Qual Life Res. 2004;13:1445-1457. https://doi.org/10.1023/B:Qure.0000040784.65830.9f
(17) Ministerio de Salud de Colombia. Resolución 8430 de 1993. Bogotá: Ministerio de Salud; 1993.
(18) Organización Panamericana de la Salud (P). Informe de Belmont Principios éticos y directrices para la protección de sujetos humanos de investigación; s. f. https://www.paho.org/es/documentos/informebelmont-principios-eticos-directrices-para-proteccion-sujetos-humanos
(19) Anaraki F; Vafaie M; Behboo R; Esmaeilpour S; Maghsoodi N; Safaee A; Grant M. The city of hope-quality of life-ostomy questionnaire: Persian translation and validation. Ann. med. health sci. res. 2014;4(4):634-637. https://www.amhsr.org/abstract/the-city-of-hopequality-oflifeostomy--questionnaire-persian-translation-and-validation-2950.html
(20) Santos VLCDG; Gomboski G; Freitas NO; Grant M. Adaptation of the City of Hope-Quality of Life-Ostomy Questionnaire from English to Brazilian Portuguese: A validation study. J Wound Ostomy Continence Nurs. 2021;48(1):44-51. http://doi.org/10.1097/WON.0000000000000727
(21) Mayadevi L; Geetha Kumary BS; Sudam MW; Abdulla F; Veerabhadran B; Muralee M et al. The city of hope Quality of Life Stoma Questionnaire: Malayalam translation and validation. Indian J. Palliat. Care. 2019;25(4):556-561. http://doi.org/10.4103/IJPC.IJPC_81_19
(22) Konjevoda V; Zelić M; Munjas Samarin R; Petek D. City of Hope Quality of Life-Ostomy Questionnaire validity and reliability assessment on a Croatian sample. Int. j. environ. res. public health. 2020;17(3):768. http://doi.org/10.3390/ijerph17030768
(23) Skoko I; Topić Stipić D; Tustonja M; Stanić D. Mental health and spirituality. Psychiatr. Danub. 2021;33(Suppl 4):822-826. https://pubmed.ncbi.nlm.nih.gov/35026808/
(24) Hassoun H; Bermejo JC; Villacieros M; Millán Asín MÁ; Arenas Antúnez A. Relación entre bienestar espiritual, calidad de vida y sentido del sufrimiento en una población de ancianos religiosos residentes en centros españoles. Gerokomos. 2019;30(3):124-129. https://gerokomos.com/wp-content/uploads/2019/10/30-3-2019-124.pdf
(25) Sales do Amaral LS; Costa Rosa de Andrade Silva RM; Ramos Pereira E. Asociación de la espiritualidad con la calidad de vida de personas con neoplasia maligna. Rev Cubana Enfermer. 2022;38(3):e4832. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192022000300019
(26) Colombia. Departamento Administrativo Nacional de Estadística(). Encuesta de cultura política - P – 2021; 2022. https://microdatos.dane.gov.co/index.php/catalog/730
(27) Ayaz-Alkaya S. Overview of psychosocial problems in individuals with stoma: A review of literature. Int wound j. 2019;16(1):243-249. http://doi.org/10.1111/iwj.13018
(28) Marrero González CM; Pérez Herrera A; García Hernández AM. La sexualidad cuando se porta una ostomía. Una revisión de los estudios cualitativos entre 2012 y 2022. 2023;17(1):1585. https://www.eneenfermeria.org/ojs/index.php/ENE/article/view/1585/sex_ost
(29) Quemba-Mesa MP; Díaz-Fernández JK; Vargas-Rodríguez LY; Bautista-Plazas L; Pulido-Barragán SP. Experiences and perceptions in dyads about ostomy care. Meta-synthesis of qualitative studies. Inv. educ. enferm. 2022;40(2):e12. https://doi.org/10.17533/udea.iee.v40n2e12
(30) Nam KH; Kim HY; Kim JH; Kang KN; Na SY; Han BH. Effects of social support and self-efficacy on the psychosocial adjustment of Korean ostomy patients. Int wound j. 2019;16(Suppl 1):13-20. http://doi.org/10.1111/iwj.13038
(31) Capilla-Díaz C; Bonill-de las Nieves C; Hernández-Zambrano SM; Montoya-Juárez R; Morales-Asencio JM; Pérez-Marfil MN et al. Living with an intestinal stoma: A qualitative systematic review. Qual. Health Res. 2019;29(9):1255-1265. http://journals.sagepub.com/doi/10.1177/1049732318820933
(32) Quiroga-Sanzana CE; Parra-Monje GR; Moyano-Sepúlveda CJ; Díaz-Bravo MA. Percepción de apoyo social y calidad de vida: la visión de personas mayores chilenas en el contexto de pandemia durante el 2020. Prospectiva. 2022;(33):57-74. https://doi.org/10.25100/prts.v0i33.11544
(33) Rice DB; Thombs BD. Support groups in scleroderma. Curr rheumatol rep. 2019;21(9). http://doi.org/10.1007/s11926-019-0808-y
(34) Gasche R. Diet and stoma care. Br. J. Community Nurs. 2022;27(9):444-448. http://doi.org/10.12968/bjcn.2022.27.9.444
(35) Kris-Etherton PM; Petersen KS; Hibbeln JR; Hurley D; Kolick V; Peoples S et al. Nutrition and behavioral health disorders: Depression and anxiety. Nutr Rev. 2021;79(3):247-260. http://doi.org/10.1093/nutrit/nuaa025
(36) Firth J; Marx W; Dash S; Carney R; Teasdale SB; Solmi M et al. The effects of dietary improvement on symptoms of depression and anxiety: A meta-analysis of randomized controlled trials. Psychosom Med. 2019;81(3):265-280. https://doi.org/10.1097/PY.0000000000000673
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