Characterization of patients with ostomy treated at a public municipal and regional reference center / Caracterização dos usuários com estomia atendidos em um serviço público de referência municipal e regional

OBJECTIVE: to characterize patients with ostomy treated at a municipal and regional reference center in the state of Rio Grande do Sul. METHODS: this is a retrospective and descriptive study, based on the records of patients with ileostomy or colostomy recorded in this service between 2000 and 2010. RESULTS: a total of 273 patients were studied, of which 145 were females. The mean age was 64.5 years. Patients with incomplete elementary education (43.6%) and retirees/pensioners (44.7%) were the most prevalent. The main cause for the stoma was neoplastic disease, with 45.8% of colorectal cancer and 5.5% of cancers at other sites. OTHER CAUSES WERE: diverticular disease (7%), bowel obstruction (7%), functional bowel disorders (4.8%), abdominal trauma (2.9%), non-traumatic bowel perforation (2.6%), inflammatory bowel diseases (1.8%) and intestinal polyposis (0.7%). Regarding the type of ostomy, 85.7% were performed by colostomy and 15.8% by ileostomy. CONCLUSIONS: the study population consisted mainly of patients older than 60 and females. The main intervention performed was permanent colostomy and the most important cause for the procedure performance was colorectal cancer. (AU)

OBJETIVO: caracterizar as pessoas com estomia atendidas em um serviço de referência municipal e regional do Rio Grande do Sul. MÉTODOS : estudo retrospectivo e documental, com consulta aos registros dos usuários com ileostomia ou colostomia cadastrados no referido serviço entre 2000 e 2010. RESULTADOS : foram avaliadas 273 pessoas, sendo 145 mulheres e 128 homens. A média de idade foi de 64,5 anos. Prevaleceram usuários com ensino fundamental incompleto (43,6%) e da classe de aposentados/pensionistas (44,7%). A principal causa motivadora da estomia foi a neoplásica, sendo 45,8% de neoplasia de intestino e 5,5% de neoplasias em outros sítios. Outras causas encontradas foram: doença diverticular (7%), obstrução intestinal (7%), transtornos funcionais do intestino (4,8%), traumatismo abdominal (2,9%), perfuração não traumática do intestino (2,6%), doenças intestinais inflamatórias (1,8%) e polipose intestinal (0,7%). Quanto ao tipo de estomia, 85,7% eram usuários de colostomias, e 15,8% de ileostomia. CONCLUSÕES : a clientela do serviço estudado foi composta principalmente por pessoas acima dos 60 anos de idade e por mulheres. A principal intervenção apresentada foi a colostomia permanente e a mais importante causa motivadora da realização do procedimento foi a neoplasia colorretal. (AU)

Quality of life assessment for patients with colorectal cancer

A descriptive study to assess the quality of life [QOL] for patients with colorectal cancer. The study was conducted from Baghdad Teaching Hospital, Al-Yarmouk Teaching Hospital and Radiation Hospital and Nuclear medicine for the period from 1st July/2004 to 1st September/2004. The sample selected by purposive random of [50] patients diagnosed with colorectal cancer and all of them who were under chemotherapy treatment. A questionnaire was prepared for the purpose of the study and comprised of three parts including: 1- Socio-demographical characteristics. 2-Clinical characteristics. 3-and QOL assessment for patients with colorectal cancer, consist of [30] items. The questionnaire was tested for its validity and reliability. Data were analyzed by using frequency, percentage, mean of score and Chi-square. The results of the study indicated that the QOL for patients were greatly effected during [10] items such as they have trouble in walking and mobility and also they feel pain, tired and weakness_ etc. Therefore was recommended education program to be developed and implemented of patients with colorectal cancer who were under chemotherapy treatment