Health-related quality of life in patients with intestinal ostomies secondary to colorectal cancer

Section: Originals

How to quote

Yuriko Kameo S, Okino Sawadaa N. Qualidade de vida relacionada à saúde do paciente com estoma intestinal secundária ao câncer cólon-retal. Rev. iberoam. Educ. investi. Enferm. 2014; 4(2):19-26.

Authors

1Simone Yuriko Kameo, 2Namie Okino Sawadaa

Position

1Docente da Universidade Federal de Sergipe (UFS) de Aracaju, Sergipe (Brasil).2Docente  Associada do Departamento de Enfermagem Geral e Especializada da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo (Brasil).

Contact email: simonekameo@hotmail.com; sawada@eerp.usp.br

Abstract

Purpose: to assess health-related quality of life (HRQoL) in patients with intestinal ostomies secondary to colorectal cancer in Aracaju-Sergipe.
Methods: a three-part tool was used: socio-demographic and clinical components, Flanagan's Quality of Life Scale (QOLS) and EORTC-QLQ-C30. Findings were as follows: 38.9% rectal, 33.3% colorectal, and 27.8% colonic tumors. Metastases were present in 83.3%; no metastases were found in 16.7%. Colostomies were permanent in 72.2% and temporary in 27.8%.
Results: overall quality of life is poor; it appears lower for recreation and higher for relationship with others. According to EORTC QLQ-C30, mean general health is poor, due to metastases, ostomy complications, pain, and insomnia.
Conclusions: such a negative assessment could be improved by a right position for ostomy adjustment, appropriate psychological approach, specialized therapy  aimed at reaching a high satisfaction level and/or adjustment to make the patient feel "healthy".

Keywords:

quality of life; health-related quality of life; colorectal cancer; intestinal ostomy

Versión en Español

Título:

Qualidade de vida relacionada à saúde do paciente com estoma intestinal secundária ao câncer cólon-retal

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Rowland HJ, Speaker S. Outcome assessment: cancer specific quality of life measures beyond the research setting. Am Soc Clin Oncol 1997; 1092-118.
  2. Instituto Nacional de Câncer José Alencar Gomes da Silva. Coordenação Geral de Ações Estratégicas. Coordenação de Prevenção e Vigilância. Estimativa 2014: incidência de câncer no Brasil / Instituto Nacional de Câncer José Alencar Gomes da Silva, Coordenação Geral de Ações Estratégicas, Coordenação de Prevenção e Vigilância. Rio de Janeiro: Inca; 2014.
  3. The WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995; 41(10):1403-9.
  4. Santos VLCG. Cuidando do estomizado: análise da trajetória no ensino, pesquisa e extensão. Tese livre docência. São Paulo: Escola de Enfermagem de São Paulo, Universidade de São Paulo; 2006.
  5. Lentz RA, Costenaro RGS, Gonçalves LHT, Nassar SM. O profissional de enfermagem e a qualidade de vida: uma abordagem fundamentada nas dimensões propostas por Flanagan. Rev Latino-Am. Enfermagem 2000; 8(4):7-14.
  6. The WHOQOL Group. The Development of the World Health Organization quality of life assessment instrument (the WHOQOL). In: Orley J, Kuyken W (eds.). Quality of Life Assessment: international perspectives. Heidelberg: Springer-Verlag; 1994. p. 41-60.
  7. Fayers PM, Machin D. Quality of life-the assessment, analysis and interpretation of patient-reported outcomes, 2ª ed. Chichester, UK: John Wiley & Sons; 2007.
  8. Arndt V, Merx H, Stegmaier C, Ziegler H, Brenner H. Quality of life in patients with colorectal câncer 1 year after diagnosis compared with the general population: a population-based study. Journal of clinical Oncology (JCO) 2004; 24(23):4829-36.
  9. Michelone APC. Qualidade de vida de adultos com câncer colorretal com e sem estoma. Dissertação (Mestrado). São Paulo: Escola de Enfermagem de São Paulo, Universidade de São Paulo; 2002.
  10. Ramsey SD, Andersen MR, Etzioni R, Moinpour C, Peacock S, Potosay A, Urban N. Quality of life in survivors of colorectal carcinoma. Cancer 2000; 86(6):1294-1303.
  11. Heather B, Neuman MD. Impact of temporary stoma on the quality of life of rectal cancer patients undergoing treatment. Ann Surg Oncol 2011; 18(5):1397-1403.