Qualidade de vida e sexualidade em pacientes com ostomia intestinal

• Ano de defesa: 2024
• Autor(a) principal: Meurer, Guilherme Hoff dos Santos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• dARK ID: ark:/26339/0013000019v9t
• Idioma: por
• Instituição de defesa: Universidade Federal de Santa Maria; Brasil; Ciências da Saúde; UFSM; Programa de Pós-Graduação em Ciências da Saúde; Centro de Ciências da Saúde
• Palavras-chave em Português: Ostomia; Qualidade de vida; Sexualidade; Autoimagem genital; Ostomy; Quality of life; Sexuality genital self-image; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: http://repositorio.ufsm.br/handle/1/33454

Ostomized patients often face significant changes in quality of life and sexual function, directly impacting their physical and psychological well-being. This observational cross-sectional study, conducted between September 2023 and July 2024 at the University Hospital of Santa Maria, evaluated 84 ostomized patients (53 men and 31 women) and 77 individuals from the control group (39 men and 38 women). The Stoma-QOL questionnaire was applied to assess quality of life, FSFI-6 and IIEF-15 for sexual function, and FGSIS/MGSIS for genital selfimage. Statistical analyses included the Shapiro-Wilk normality test, Student's t-tests, Mann- Whitney, ANOVA, and Ridge regression, with p values < 0.05 considered statistically significant. The results showed that, in the female ostomized group, the average age was 48.00 ± 33.50 years, while in the control group it was 47.76 ± 15.37 years. In the male group, the average ages were 49.33 ± 16.31 years for the ostomized and 57.20 ± 16.10 years for the controls. In the female group, Stoma-QOL showed a significant association with the cause of the ostomy (p = 0.015; 95% CI: 1.02-3.56), while in the male group, there was an association with religion (p = 0.021; 95% CI: 1.10-4.00) and type of physical activity (p = 0.039; 95% CI: 1.05-2.90). Sexual function, evaluated by FSFI-6 in female ostomized patients, was significantly lower compared to the control group (9.00 ± 3.24 vs. 20.00 ± 4.87; p < 0.001; 95% CI: -14.37 to -8.63). In men, the IIEF-15 score was also lower than the control group (48.00 ± 12.45 vs. 61.00 ± 11.22; p < 0.001; 95% CI: -15.57 to -7.43), with the erectile function domain being the most affected (p = 0.002; 95% CI: 2.75-8.23). Genital self-image showed significant differences between the groups. In women, the FGSIS score was lower in the ostomized group compared to the control group (20.12 ± 5.21 vs. 23.50 ± 4.78; p = 0.017; 95% CI: -5.96 to - 0.94). In men, the MGSIS was significantly lower in the ostomized group (21.00 ± 4.25 vs. 26.00 ± 3.80; p < 0.001; 95% CI: -7.10 to -3.90). Ridge regression indicated that, in the male ostomized group, the Sexual Satisfaction (coefficient = 1.182; p < 0.01) and Orgasm (coefficient = 1.158; p = 0.014) domains had the greatest impact on sexual function. In the control group, the Orgasm domain was the most significant (coefficient = 1.464; p < 0.001). The results suggest that ostomized patients, especially women, experience a significant reduction in quality of life and sexual function compared to the control group. The regression analysis revealed that the sexual satisfaction and orgasm domains are important determinants of male erectile function. These findings emphasize the need for targeted interventions to improve the physical and psychological well-being of ostomized patients