Quality of Life Regarding People with an Ostomy: Integrative Review about Related Factors

Authors

  • Rosane Souza Andrade Universidade Federal do Rio Grande do Norte
  • Lays Pinheiro de Medeiros Universidade Federal do Rio Grande do Norte
  • Luana Souza Freitas Universidade Federal do Rio Grande do Norte
  • Cintia Galvão Queiroz Universidade Federal do Rio Grande do Norte
  • Suênia Silva de Mesquita Xavier Universidade Federal do Rio Grande do Norte
  • Silvia Kalyma Paiva Lucena Universidade Federal do Rio Grande do Norte
  • Gilson de Vasconcelos Torres Universidade Federal do Rio Grande do Norte
  • Isabelle Katherinne Fernandes Costa Assunção Universidade Federal do Rio Grande do Norte.

DOI:

https://doi.org/10.3823/2073

Keywords:

Ostomy, Quality of Life

Abstract

Objective: Analyze the studies which present aspects related to the quality of life of patients with an ostomy. Method: It is about an integrative review in databases of the literature held in the Latin American Literature and Caribbean health sciences, Medical Literature Analysis and Retrieval System Online, Nursing Database, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, Web of Science and SciVerse Scopus. Controlled keywords of the Medical Subject Headings (MESH) were used: “Ostomy†and “Quality of lifeâ€. The additional factors were: scientific articles that measure the QOL of people with an ostomy and/or scientific articles that show at least one aspect which affects the QOL of those people. After the analysis, the final sample was composed of 41 articles that passed through statistical analysis to identify the factors that best associated and correlated to the life quality of patients with an ostomy. Results: International studies with the level of evidence VI were predominant. 40 factors associated with the QOL of people with an ostomy were observed and subdivided into the domains: sociodemographic, clinical, physical, psychological and social. Conclusion: The main factors related to the quality of life of patients with an ostomy were: age, income, gender, change in physical and in sexual function (p<0,001). However, as it is about a review study, it needs the validation of the factors that most stand out in this theme.

Author Biographies

Rosane Souza Andrade, Universidade Federal do Rio Grande do Norte

Nurse. Master’s degree in Nursing. Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Lays Pinheiro de Medeiros, Universidade Federal do Rio Grande do Norte

Nurse. Master’s degree student of the Postgraduate program in Nursing. CAPES Scholar. Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Luana Souza Freitas, Universidade Federal do Rio Grande do Norte

Nurse. Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Cintia Galvão Queiroz, Universidade Federal do Rio Grande do Norte

Nurse. Master’s degree student of the Postgraduate program in Nursing. Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Suênia Silva de Mesquita Xavier, Universidade Federal do Rio Grande do Norte

Nurse. Doctoral student of the Postgraduate program in Nursing. Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Silvia Kalyma Paiva Lucena, Universidade Federal do Rio Grande do Norte

Graduate student in Nursing. Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Gilson de Vasconcelos Torres, Universidade Federal do Rio Grande do Norte

Nurse. Doctorate in Nursing. Professor of the Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

Isabelle Katherinne Fernandes Costa Assunção, Universidade Federal do Rio Grande do Norte.

Nurse. Doctorate in Nursing. Adjunct professor of the Nursing Department. Universidade Federal do Rio Grande do Norte. Natal/RN, Brazil.

References

Bartle C, Darbyshire M, Gaynor P, Hassan C, Whitfield J. Addressing common stoma complications. Nurs & Resid Care. 2013; 15(3).

Sasaki VDM, Pereira APS, Ferreira AM, Pinto MH, Gomes JJ. Health care service for ostomy patients: profile of the clientele. J Coloproctol [Internet]. 2012 [cited 2015 mar 08]; 32(3): 232-9. Available from: http://www.scielo.br/pdf/jcol/v32n3/a05v32n3

Polletto D, Silva DMGV. Viver com estoma intestinal: a construção da autonomia para o cuidado. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2015 mar 08]; 21(2): [08 telas]. Available from: http://www.scielo.br/pdf/rlae/v21n2/pt_0104-1169-rlae-21-02-0531.pdf

Coelho AR, Santo FS, Poggetto MTD. A estomia mudando a vida: enfrentar para viver. Rev Min Enferm [Internet]. 2013 [cited 2015 mar 10]; 17(2): 258-67. Available from: http://www.reme.org.br/artigo/detalhes/649

Oliveira G, Maritan CVC, Mantovanelli C, Ramalheiro GR, Gavilhia TCA, Paula AAD. Impacto da Estomia: Sentimentos e Habilidades Desenvolvidos Frente à Nova Condição de Vida. Rev Estima [Internet]. 2010 [cited 2015 mar 10]; 8(1): 19-25. Available from: http://www.revistaestima.com.br/index.php?option=com_content&view=article&id=19:artigo-original-2&catid=14:edicao-81&Itemid=25

Rodrigues SO, Carvalho M, Budó MLD, Simon BS, Gewehr M, Silva DC. As redes sociais de apoio no cuidado às pessoas com ostomias: revisão bibliográfica. Rev saúde (Santa Maria) [Internet]. 2013 [cited 2015 mar 10]; 39(1): 33-42. Available from: http://cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/revistasaude/article/viewFile/10188/pdf_1

Castro EK, Scorza A, Chem C. Qualidade de vida e indicadores de ansiedade e depressão de pacientes com cancro colo-rectal. Psic saúde & doenças [Internet]. 2011 [cited 2015 mar 09]; 12(1): 131-42. Available from: http://www.scielo.mec.pt/pdf/psd/v12n1/v12n1a09.pdf

Nogueira PC, Rabeh SAN, Caliri MHL, Dantas RAS, Haas VJ. Burden of care and its impact on health-related quality of life of caregivers of individuals with spinal cord injury. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2015 mar 10]; 20(6): 1048-56. Available from:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692012000600006&lng=en&nrm=iso&tlng=en

Souza M, Silva M, Carvalho R. Revisão integrativa: o que é e como fazer? Einstein [Internet]. 2010 [cited 2015 mar 13]; 8(1): 102-06. Available from: http://astresmetodologias.com/material/O_que_e_RIL.pdf

Melnyk BM, Fineout-Overholt E, Stillwell SB, Williamson KM. Evidence-based practice: step by step. Am J Nurse [Internet]. 2010 [cited 2015 mar 13], 110 (5): 41-7. Available from: http://journals.lww.com/ajnonline/fulltext/2010/01000/Evidence_Based_Practice_Step_by_Step_The_Seven.30.aspx

Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S, Safaee A. Quality of Life Outcomes in Patients Living with Stoma. Indian J Palliat Care [Internet]. 2012 [cited 2015 mar 15]; 18: 176-80. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573471/

Nybaeka H, Knudsenb DB, Laursenb TN, Karlsmarkc T, Jemeca GBE. Quality of life assessment among patients with peristomal skin disease. Eur J Gastroenterol Hepatol [Internet]. 2010 [cited 2015 mar 15]; 22: 139–43. Available from: http://journals.lww.com/eurojgh/Abstract/2010/02000/Quality_of_life_assessment_among_patients_with.3.aspx

Cerruto MA, D’Elia C, Cacciamani G, De Marchi D, Siracusano S, Iafrate M et al. Behavioural profile and human adaptation of survivors after radical cystectomy and ileal conduit. Health Qual of Life Outcomes [Internet]. 2014 [cited 2015 mar 15]; 12: 46. Available from: https://hqlo.biomedcentral.com/articles/10.1186/1477-7525-12-46

Reese JB, Finan PH, Haythornthwaite JA, Kadan M, Regan KR, Herman JM et al. Gastrointestinal ostomies and sexual outcomes: a comparison of colorectal cancer patients by ostomy status. Support Care Cancer [Internet]. 2014 [cited 2015 mar 15]; 22: 461–8. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3967444/pdf/nihms563116.pdf

Bulkley J, McMullen CK, Hornbrook MC, Grant M, Altschuler A, Wendel CS et al. Spiritual well-being in long-term colorectal cancer survivors with ostomies. Psychooncology [Internet]. 2013 [cited 2015 mar 15]; 22(11): 2513–21. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105015/pdf/nihms498238.pdf

Mols F, Lemmens V, Bosscha K, Broek, Thong MSY. Living with the physical and mental consequences of an ostomy: a study among 1–10-year rectal cancer survivors from the population-based PROFILES registry. Psychooncology [Internet]. 2014 [cited 2015 mar 15]; 23: 998–1004. Available from: http://onlinelibrary.wiley.com/doi/10.1002/pon.3517/epdf

Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, Herrinton LJ, et al. Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum [Internet]. 2011 [cited 2015 mar 15]; 38(5): 587–96. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3251903/pdf/nihms-341276.pdf

Krouse RS, Herrinton LJ, Grant M, Wendel CS, Green SB, Mohler MJ, et al. Health-Related Quality of Life Among Long-Term Rectal Cancer Survivors With an Ostomy: Manifestations by sex. J Clin Oncol [Internet]. 2009 [cited 2015 mar 16]; 27(28): 4664-70. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2754912/pdf/zlj4664.pdf

Mohler MJ, Coons SJ, Hornbrook MC, Herrinton LJ, Wendel CS, Grant M, et al. The health-related quality of life in long-term colorectal cancer survivors study: objectives, methods and patient sample. Curr Med Res Opin [Internet]. 2008 [cited 2015 mar 16]; 24(7): 2059–70. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2575021/pdf/nihms-54243.pdf

Liu L, Herrinton LJ, Hombrook MC, Wendel CS, Grant M, Krouse R. Early and late complications among long-term colorectal cancer survivors with ostomy or anastomosis. Dis Colon Rectum [Internet]. 2010 [cited 2015 mar 16]; 53(2): 200–12. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3320086/pdf/nihms365494.pdf

Gemmil R, Sun V, Ferrell B, Krouse RS, Grant M. Going with the flow: quality of life outcomes of cancer survivors with urinary diversion. J Wound Ostomy Continence Nurs [Internet]. 2010 [cited 2015 mar 16]; 37(1): 65–72. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530426/pdf/nihms426796.pdf

Altschuler A, Ramirez M, Grant M, Wendel C, Hornbrook MC, Herriton L, et al. The Influence of Husbands' or Male Partners' Support on Women's Psychosocial Adjustment to Having an Ostomy Resulting from Colorectal Cancer. J Wound Ostomy Continence Nurs [Internet]. 2009 [cited 2015 mar 16]; 36(3): 299–305. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2806676/pdf/nihms166568.pdf

Ramirez M, McMullen C, Grant M, Altschuler A, Hornbrook MC, Krouse RS. Figuring out sex in a reconfigured body: experiences of female colorectal cancer survivors with ostomies. Women Health [Internet]. 2009 [cited 2015 mar 17]; 49(8): 608–24. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2836795/pdf/nihms-171961.pdf

Hornbrook MC, Wendel CS, Coons SJ, Grant M, Herrinton LJ, Mohler J, et al. Complications among colorectal cancer survivors: sf-6d preference-weighted quality of life scores. Med Care [Internet]. 2011 [cited 2015 mar 17]; 49(3): 321–6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3503529/pdf/nihms419291.pdf

Sun V, Grant M, McMullen C, Altschuler A, Mohler MJ, Hornbrook MC, et al. Surviving Colorectal Cancer: Long-Term, Persistent Ostomy Specific Concerns and Adaptations. J Wound Ostomy Continence Nurs [Internet]. 2013 [cited 2015 mar 17]; 40(1): 61–72. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536890/pdf/nihms416537.pdf

Baldwin CM, Grant M, Wendel C, Hornbrook MC, Herrinton LJ, McMullen C, et al. Gender Differences in Sleep Disruption and Fatigue on Quality of Life Among Persons with Ostomies. J Clin Sleep Med [Internet]. 2009 [cited 2015 mar 17]; 5(4): 335-43. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2725252/pdf/jcsm.5.4.335.pdf

Sjodahl R, Schulz C, Myrelid P, Andersson P. Long-term quality of life in patients with permanent sigmoid colostomy. Colorectal Dis [Internet]. 2012 [cited 2015 mar 17]; 14(6): 335–8. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1463-1318.2012.02941.x/pdf

Saini P, Gaba R, Faridi MS, Agarwal N, Kaur N, Gupta A. Quality of Life of Patients After Temporary Ileostomy for Ileal Perforation- A Questionnaire Based Study. Indian J Surg [Internet]. 2014 [cited 2015 mar 17]; 76(1): 38–43. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005998/pdf/12262_2012_Article_547.pdf

Kimura CA, Kamada I, Guilherma D, Monteiro PS. Quality of life analysis in ostomized colorectal cancer patients. J coloproctol [Internet]. 2013 [cited 2015 mar 19]; 33(4): 216-21. Available from: http://www.scielo.br/pdf/jcol/v33n4/2237-9363-jcol-33-04-0216.pdf

Maneesin S, Sampatanukulb P, Lertmaharitc S, Nagarad CN, Prasopsantie K. Health-related quality of life of patients living with ostomy in Thailand and cost implications. Asian Biomed [Internet]. 2012 [cited 2015 mar 19]; 6(2): 235-43. Available from: http://abm.digitaljournals.org/index.php/abm/article/viewFile/1078/554

Li X, Song X, Chen Z, Li M, Lu L, Xu Y, et al.: Quality of life in rectal cancer patients after radical surgery: a survey of Chinese patients. World J Surg Oncol [Internet]. 2014 [cited 2015 mar 19]; 12: 161. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059026/pdf/1477-7819-12-161.pdf

Bossema ER, Seunties MWM, Marijnen CAM, Thijssen MCMB, Cornelis J, Velde V, et al. The relation between illness cognitions and quality of life in people with and without a stoma following rectal cancer treatment. Psychooncology [Internet]. 2011 [cited 2015 mar 19]; 20 (4): 428–34. Available from: http://onlinelibrary.wiley.com/doi/10.1002/pon.1758/pdf

Charúa-Guindic L, Benavides-León C, Villanueva-Herrero J, Jiménez-Bobadilla B, Abdo-Francis J, Hernández-Labra E. Calidad de vida del paciente ostomizado. Cir Cir [Internet]. 2011 [cited 2015 mar 19]; 79(2): 149-55. Available from: http://www.redalyc.org/articulo.oa?id=66221099008

Fortes RC, Monteiro TMRC, Kimura CA. Quality of life from oncological patients with definitive and temporary colostomy. J Coloproctol [Internet]. 2012 [cited 2015 mar 19]; 32(3): 253-9. Available from: http://www.scielo.br/pdf/jcol/v32n3/a08v32n3.pdf

Salomé GM, Almeida AS, Silveira MM. Quality of life and self-esteem of patients with intestinal stoma. J coloproctol [Internet]. 2014 [cited 2015 mar 19]; 34(4): 231–9. Available from: http://www.sciencedirect.com/science/article/pii/S2237936314000859

Borges EC, Camargo GC, Souza MO, Pontual NA, Novato TS. Qualidade de vida em pacientes ostomizados: uma comparação entre portadores de câncer colorretal e outras patologias. Rev Inst Ciênc Saúde [Internet]. 2007 [cited 2015 mar 20]; 25(4): 357-63. Available from: http://www.unip.br/comunicacao/publicacoes/ics/edicoes/2007/04_out_nov/V25_N4_2007_p357-364.pdf

Danielsen AK, Rosenberg J. Health Related Quality of Life May Increase when Patients with a Stoma Attend Patient Education – A Case-Control Study. PLoS One [Internet]. 2014 [cited 2015 mar 22]; 9(3): 1-6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946520/pdf/pone.0090354.pdf

Sinha A, Goyal H, Singh S, Rana SPS. Quality of life of ostomates with the selected factors in a selected hospital of delhi with a view to develop guidelines for the health professionals. Indian J Palliat Care [Internet]. 2009 [cited 2015 mar 20]; 15(2): 111-4. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902110/

Gacci M, Saleh O, Cai T, Gore JL, D’Elia C, Minervini A, et al. Quality of life in women undergoing urinary diversion for bladder cancer: results of a multicenter study among long-term disease-free survivors. Health Qual Life Outcomes [Internet]. 2013 [cited 2015 mar 20]; 11: 43. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600042/pdf/1477-7525-11-43.pdf

Michelone APC, Santos VLCG. Qualidade de vida de adultos com câncer colorretal com e sem ostomia. Rev Latino-am Enfermagem [Internet]. 2004 [cited 2015 mar 20]; 12(6): 875-83. Available from: http://www.scielo.br/pdf/rlae/v12n6/v12n6a05.pdf

Xiuxiu Y, Qin L, Haihong Z, Junhua L, Jiaobo D, Dandan W, et al. Quality of life in rectal cancer patients with permanent colostomy in Xi’na. Afr Health Sci [Internet]. 2014 [cited 2015 mar 20]; 14(1). Available from: http://www.ncbi.nlm.nih.gov.ez18.periodicos.capes.gov.br/pmc/articles/PMC4449079/pdf/AFHS1401-0028.pdf

Scarpa M, Ruffolo C, Boetto R, Pozza A, Sadocchi L, Angriman I. Diverting loop ileostomy after restorative proctocolectomy: predictors of poor outcome and poor quality of life. Colorectal Dis [Internet]. 2009 [cited 2015 mar 21]; 12(9): 914–20. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1463-1318.2009.01884.x/pdf

Attolini RC; Gallon CW. Qualidade de Vida e Perfil Nutricional de Pacientes com Câncer Colorretal Colostomizados. Rev Bras Coloproct [Internet]. 2010 [cited 2015 mar 21]; 30(3): 289-98. Available from: http://www.scielo.br/pdf/rbc/v30n3/a04v30n3.pdf

Bloemen JG, Visschers RGJ, Truin W, Beets G, Konsten JLM. Long-term quality of life in patients with rectal cancer: association with severe postoperative complications and presence of a stoma. Dis Colon Rectum [Internet]. 2009 [cited 2015 mar 21]; 52(7): 1251-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19571701

Jain S, Mcgory ML, Ko CY, Sverdlik A, Tomlinson JS, Wndel CS, et al. Comorbidities play a larger role in predicting health-related

quality of life compared to having an ostomy. The American Journal of Surgery [Internet]. 2007 [cited 2015 mar 21]; 194 (6): 774-9. Available from: http://www-sciencedirect-com.ez18.periodicos.capes.gov.br/science/article/pii/S0002961007007106#

Ma N, Harvey J, Stewart J, Andrews L, Hill AG. The effect of age on the quality of life of patients living with stomas: a pilot study. ANZ J Surg [Internet]. 2007 [cited 2015 mar 21]; 77: 883–5. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1445-2197.2007.04265.x/pdf

Colquhoun P, Kaiser R, Weiss EG, Efron J, Vernava AM, Nogueras JJ, et al. Correlating the fecal incontinence quality-of-life score and

the SF-36 to a proposed ostomy function index in patients with a stoma. Ostomy Wound Manage [Internet]. 2006 [cited 2015 mar 21]; 52(12): 68-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17204828

Mahjoubi B, Mirzaei R, Azizi R, Jafarinia M, Zahedi-Shoolami L. A cross-sectional survey of quality of life in colostomates: a report from Iran. Health Qual Life Outcomes [Internet]. 2012 [cited 2015 mar 22]; 10: 136. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3511248/pdf/1477-7525-10-136.pdf

Krouse RS, Grant M, Ferrell B, Dean G, Nelson R, Chu D. Quality of life outcomes in 599 cancer and non-cancer patients with colostomies. J Surg Res [Internet]. 2007 [cited 2015 mar 22]; 138(1): 79-87. Available from: http://www.researchgate.net/publication/6603805_Quality_of_Life_Outcomes_in_599_Cancer_and_Non-Cancer_Patients_with_Colostomies

Lundy JJ, Coons SJ, Wendel C, Hornbrook MC, Herrinton L, Grant M, et al. Exploring household income as a predictor of psychological well-being among long-term colorectal cancer survivors. Qual Life Res [Internet]. 2009 [cited 2015 mar 22]; 18(2): 157–61. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637932/pdf/nihms-88826.pdf

Salles VJA, Becker CPP, Faria GMR. The influence of time on the quality of life of patients with intestinal stoma. J coloproctol [Internet]. 2014 [cited 2015 mar 22]; 34(2): 73–5. Available from: http://www.sciencedirect.com/science/article/pii/S2237936314000252?np=y

Stumm EMF, Oliveira ERA, Kirschner RM. Perfil de pacientes ostomizados. Sci Med [Internet]. 2008 [cited 2015 mar 30]; 18 (1): 26-30. Available from: http://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/viewFile/2552/7850

Moraes JT, Victor DR, Abdo JR, Santo MC, Perdigão MM. Caracterização dos estomizados atendidos pela Secretaria Municipal de Saúde de Divinópolis-MG. Rev Estima [Internet]. 2009 [cited 2015 mar 30]; 7(3): 31-7. Available from: http://www.revistaestima.com.br/index.php?option=com_content&view=article&id=296:artigo-original-2&catid=12:edicao-73&Itemid=83

Silva ACS, Silva GNS, Cunha RR. Caracterização de pessoas estomizadas atendidas em consulta de enfermagem do Serviço de Estomaterapia do Município de Belém-PA. Rev Estima [Internet]. 2012 [cited 2015 mar 27]; 10(1): 12-9. Available from: http://www.revistaestima.com.br/index.php?option=com_content&view=article&id=409%3Aartigooriginal2101&catid=39%3Avol-10-edicao-1-janfevmar-2012&Itemid=94&lang=pt

Liao C, Qin Y. Factors associated with stoma quality of life among stoma patients. International Journal of Nursing Science. [Internet] 2014 [cited 2015 abr 20]; 1(2): 196-201. Available from: http://ac.els-cdn.com/S2352013214000428/1-s2.0-S2352013214000428-main.pdf?_tid=8ab36f14-f9c6-11e5-a909-00000aab0f27&acdnat=1459706863_9e3fcc55625e9637a8b7d9d7d960d0e7

Maydick DR. Individuals with a Permanent Ostomy: Quality of Life and Out-of-Pocket Financial Costs for Ostomy Management. Nurs Econ [internet]. 2014 [cited 2015 abr 15]; 32(4): 204-18. Available from: http://www.medscape.com/viewarticle/831598

Menezes LCG, Guedes MVC, Oliveira RM, Oliveira SKP, Meneses LST, Castro ME. Self-care practice of ostomy patients: contributions of the Orem’s theory. Rev Rene [Internet]. 2013 [cited 2015 abr 15]; 14(2): 301-10. Available from: http://www.revistarene.ufc.br/revista/index.php/revista/article/view/235/pdf

Santos SSC. Concepções teórico-filosóficas sobreenvelhecimento, velhice, idoso e enfermagem gerontogeriátrica. Rev Bras Enferm [Internet]. 2010 [cited 2015 abr 15]; 63(6): 1035-9. Available from: http://repositorio.furg.br/bitstream/handle/1/1299/Concep%C3%A7%C3%B5es%20te%C3%B3rico-filos%C3%B3ficas%20sobre%20envelhecimento%2c%20velhice%2c%20idoso%20e%20enfermagem%20gerontogeri%C3%A1trica?sequence=1

Castro EK, Ponciano CF, Pinto DW. Autoeficácia e qualidade de vida de jovens adultos com doenças crônicas. Aletheia [Internet]. 2010 [cited 2015 abr 23]; (31): 137-48. Available from: http://pepsic.bvsalud.org/pdf/aletheia/n31/n31a12.pdf

Santos CHMS, Bezerra MM, Bezerra FMM, Paraguassú BR. Perfil do paciente ostomizado e complicação relacionada ao estoma. Rev Bras Colo-proctol [Internet]. 2007 [cited 2015 abr 23]; 27 (1): 9-16. Available from: http://www.scielo.br/pdf/rbc/v27n1/a02v27n1.pdf

Kamada I, Faustino AM, Silva AL, Vieira ABD, Borges CT. Conhecimento acerca da Estomia Intestinal por Pacientes Acompanhados em um Serviço Ambulatorial de Enfermagem em Estomaterapia: Estudo Qualitativo. Rev Estima [Internet]. 2011 [cited 2015 mai 10]; 9(4): 21-7. Available from: http://www.revistaestima.com.br/index.php?option=com_content&view=article&id=393%3Aartigo-original-2&catid=21%3Aedicao-94&Itemid=93&lang=pt

Oliveira RG, Faria FF, Lima Junior ACB, Rodrigues FG, Andrade MMA, Gomes DMBM, et al. Cirurgia no câncer colorretal – abordagem cirúrgica de 74 pacientes do SUS portadores de câncer colorretal em programa de pós-graduação lato sensu em coloproctologia. Rev Bras Coloproct [Internet]. 2011 [cited 2015 mai 10]; 31(1): 44-57. Available from: http://www.scielo.br/pdf/rbc/v31n1/v31n1a07.pdf

Vasconcelos FM, Xavier ZDM. O enfermeiro na assistência do cliente colostomizado baseado na teoria de Orem. Revista Recien [Internet]. 2015 [cited 2015 mai 13]; 5(14): 25-37. Available from: http://www.recien.com.br/online/index.php/Recien/article/view/108/176

Lenza NFB, Sonobe HM, Zago MMF, Buetto LS. Características socioculturais e clínicas de estomizados intestinais e de familiares em um Programa de Ostomizados. Rev Eletr Enf [Internet]. 2013 [cited 2015 mai 19]; 15(3): 755-62. Available from: http://revistas.ufg.emnuvens.com.br/fen/article/view/17594

Batista MRFF, Rocha FCV, Silva DMG, Silva Júnior FJG. Autoimagem de clientes com colostomia em relação à bolsa coletora. Rev Bras Enferm [Internet]. 2011 [cited 2015 mai 27]; 64(6): 1043-7. Available from: http://www.scielo.br/pdf/reben/v64n6/v64n6a09.pdf

Mota DDCF, Pimenta CAM, Caponero R. Fatigue in colorectal cancer patients: prevalence and associated factors. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2015 mai 24]; 20(3): 495-503. Available from: http://www.scielo.br/pdf/rlae/v20n3/a10v20n3.pdf

Mauricio VC, Souza NVDO, Lisboa, MTL. Determinantes biopsicossociais do processo de inclusão laboral da pessoa estomizada. Rev Bras Enferm [Internet]. 2014 [cited 2015 mai 24]; 67(3): 415-21. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0415.pdf

Gomes IC, Brandão GMON. Permanent intestinal ostomies: changes in the daily user. Rev enferm UFPE on line [Internet]. 2012 [cited 2015 jun 05]; 6(6): 1331-7. Available from: http://www.revista.ufpe.br/revistaenfermagem/index.php/revista/article/viewArticle/2393

Sousa CF, Brito DC, Castelo Branco MZP. Depois da colostomia: vivências das pessoas portadoras. Enferm Foco [Internet]. 2012 [cited 2015 jun 05]; 3(1): 12-5. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/viewFile/213/134

UOAA. United Ostomy Associations of America. [Internet] [cited 2015 jun 11]. Available from: http://www.ostomy.org/ostomy_info/whatis.shtml

Sales CA, Violin MR, Waidman MAP, Marcon SS, Silva MAP. Sentimentos de pessoas ostomizadas: compreensão existencial. Rev Esc Enferm USP [Internet]. 2010 [cited 2015 jun 17]; 44(1): 221-7. Available from: http://www.revistas.usp.br/reeusp/article/view/40530/43630

UOAA. United Ostomy Associations of America. Intimacy after ostomy sugery [Internet]. 2009 [cited 2015 jun 23]. Available from: http://www.ostomy.org/ostomy_info/pubs/uoaa_sexuality_en.pdf

Almeida SSL, Rezende AM, Schall VT, Modena CM. Os sentidos da corporeidade em ostomizados por câncer. Psicol Estud [Internet]. 2010 [cited 2015 jun 28]; 15(4): 761-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-73722010000400012

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2016-08-22

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