肠造口患者的流行病学特征

Q4 Medicine Journal of Coloproctology Pub Date : 2023-01-29 DOI:10.1055/s-0043-1769920
Liliane Moretti Carneiro, A. M. Ferreira, M. A. Rigotti, Jaqueline Aparecida dos Santos Sokem, Alessandra Lyrio Barbosa Giroti, Rodrigo Aranda Serra, Maiara Oliveira Diniz
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引用次数: 0

摘要

【摘要】目的探讨肠造口患者的社会人口学特征及临床变量。2019年12月至2020年6月,我们对巴西中西部南马托格罗索州Três Lagoas市一家专业康复中心(CER II/APAE)的47名患者进行了一项横断面研究。数据分析采用推理描述性统计(安德森-达令、卡方和曼-惠特尼正态性检验)。结果患者中,来自Três Lagoas的占87.23%,女性占51.06%,年龄在60 ~ 69岁的占40.43%,已婚占59.57%,棕色皮肤占53.19%,天主教徒占59.57%,小学学历占36.17%,退休人口占46.81%,月收入低于1个最低工资的占57.45%。61.70%的患者接受过末端结肠造口术(61.70%),61.70%接受过放置指导,57.45%因紧急情况而放置,74.47%因肿瘤而安装,38.30%为永久性造口,46.81%位于左下象限(ILQ), 59.57%为浆状排出物,63.83%为圆形直径,53.19%为2片袋,57.45%为柔性底袋,87.23%为其他辅助设备,95.74%接受过自我护理培训。最常见的并发症是皮肤/肠周刺激性接触性皮炎(59.57%),65.95%的病例通过自我护理教学得以解决。造口类型与流出液的稠度和突出物的大小显著相关(p < 0.05)。结论本研究结果可为促进健康、制定新的公共政策、提供自我保健培训以及预防和治疗并发症的实施策略提供支持。
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Epidemiological Characterization of Patients with Intestinal Stomas
Abstract Objective  To characterize the sociodemographic and clinical variables of people with intestinal stomas. Materials and Methods  We conducted a cross-sectional study with 47 patients of a Specialized Rehabilitation Center (CER II/APAE) in the municipality of Três Lagoas, state of Mato Grosso do Sul, Midwestern Brazil, from December 2019 to June 2020. Data was analyzed using inferential descriptive statistics (Anderson-Darling, Chi-squared, and Mann-Whitney normality tests). Results  Regarding the patients, 87.23% were from Três Lagoas, 51.06% were female, 40.43% were aged from 60 to 69 years, 59.57% were married, 53.19% were brown, 59.57% were catholic, 36.17% finished elementary school, 46.81% were retired, and 57.45% earned a monthly income below 1 minimum wage. Moreover, 61.70% had undergone terminal colostomy (61.70%), 61.70% had received guidance about its placing, 57.45% had it placed due to situations of urgency, 74.47% had a stoma installed due to a neoplasia, 38.30% were permanent, with 46.81% located in the inferior left quadrant (ILQ), 59.57% presented pasty effluent, 63.83% had a circular diameter, 53.19% had pouches with 2 pieces and 57.45%, with a flexible base, 87.23% had other adjunct equipment, and 95.74% had been trained in self-care. The most common complication was skin/peristomal irritant contact dermatitis (59,57%), and 65,95% of these cases were solved by teaching self-care. The type of stoma was significantly associated with the consistency of the effluent and the size of the protrusion ( p  > 0.05). Conclusion  The results found can support strategies to implement practices to promote health, develop new public policies, to provide training in self-care, and prevent and treat complications.
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来源期刊
Journal of Coloproctology
Journal of Coloproctology Medicine-Gastroenterology
CiteScore
0.60
自引率
0.00%
发文量
41
审稿时长
47 weeks
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