Publicação: Association between nutritional status, ostomy time and quality of life in patients with colorectal cancer
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CNPQ::CIENCIAS DA SAUDE
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Santos, Thatty Christina Morais
Resumo
Background: Ostomy may be necessary for the patient who performs bowel resection, but it could influence the nutritional status and quality of life (QoL). The aim of this study was to evaluate the influence of ostomy time and nutritional status on QoL.
Methods: Cross-sectional was performed with 66 patients ostomized by colorectal cancer in a reference service. Socioeconomic, demographic, anthropometric QoL were obtained. Other clinical and surgical data were registered from the clinical records. The anthropometric data were weight and height, with these data the Body Mass Index (BMI) was analyzed. To evaluate the QoL, the European Organization for Research and Treatment of Cancer questionnaire EORTCQLQ30 and EORTC-QLQ-CR29 were used. Statistical significance analysis was performed using the analysis of variance or chi-square test.
Results: Of 66 individuals, 51,5% were male, 75,8% had 55 years of age or older, 56.3% have ostomy for less than 1 year. Over half of the patients had some nutritional status inadequacy: 23.4% were underweight, 20.3% overweight and 9.45% obese. The higher ostomy time and the malnutrition influence the QoL in patients with colorectal cancer. The under ostomy time was associated with difficult financial domain (p=0.045) and the higher ostomy time with urinary incontinence (p=0.046) while the malnutrition was associated with sleep disturbance (p=0.019), abdominal pain domains (p value = 0.028), bloating (p=0.011), concern about weight (p=0.002) and female sexual interest (p value = 0.038).
Conclusions: The current study revealed that the ostomy time and nutritional status influence in the QoL in patients with colorectal cancer in postoperative ostomy.
Abstract
Palavras-chave
Cancer colorectal, Ostomy, Nutritional status, Quality of life
Citação
Silva KA, et al. Association between nutritional status, ostomy time and quality of life in patients with colorectal cancer. 2018. 17 f. Trabalho de Conclusão de Residência (Programa de Ciências da Saúde) - Universidade Federal de Uberlândia, Uberlândia, 2018.