Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas

Detalhes bibliográficos
Autor(a) principal: Leite, Silvana de Sousa
Data de Publicação: 2022
Outros Autores: Waters, Camila, Padula, Marcele Pescuma Capeletti
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
Texto Completo: http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/866
Resumo: Introduction: Intestinal stoma is the making of a hole in the abdominal wall, which has the purpose of diverting intestinal transit, which can be permanent or temporary. Objective: To identify, in the scientific literature, articles that describe the sociodemographic and clinical profile of adult patients with intestinal stomas. Material and methods: Bibliographic research with 14 complete scientific articles, written in Portuguese, published between January 2011 and September 2021, using the specific descriptors: Colostomy, Ileostomy, Colic Bags, Intestinal Neoplasms; which were crossed with the general descriptors: Health Profile, Epidemiology and Patient Discharge. Results: Males were more frequent, ranging from 20.0% to 67.5% and females ranged from 32.5% to 80.0%. Regarding the age group, patients aged over 60 years prevailed, ranging from 56.5% to 68.4%. There was a higher frequency in patients with partners, ranging from 35.6% to 59.8%. Most have schooling up to elementary school, ranging from 29.6% to 70.9%, retired, with a variation from 34.5% to 68.4% and with a family income of up to one minimum wage, ranging from 13.1% to 61.1%; Colorectal neoplasia was the most frequent indication for the creation of an intestinal stoma, ranging from 17.9% to 80.0%. Colostomy was more frequent in all articles, ranging from 18.6% to 100.0%; ileostomy performance ranged from 4.3% to 24.8%. The making of the permanent stoma ranged from 30.2% to 100.0% and the making of the temporary stoma ranged from 27.2% to 100.0%. Complications of intestinal stomas in patients were quite varied, including periosteal dermatitis, retraction, prolapse, mucocutaneous displacement, granuloma, parastomal hernia, hyperemia, bleeding, anastomotic dehiscence, wall abscess, postoperative ileus, intestinal obstruction, evisceration, surgical site infection and enterocutaneous fistula. The frequency of mortality ranged from 1.2% to 7.7%. Conclusion: Elderly individuals, male, with elementary education, retired and with a family income of up to one minimum wage prevailed. Colorectal neoplasia was the most prevalent indication for colostomy, with complications such as periostomal dermatitis, parastomal hernia, retraction and prolapse.Descriptors: Colostomy, Ileostomy, Colic Bags, Intestinal Neoplasms, Health Profile, Epidemiology, Patient Discharge
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spelling Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomasIntroduction: Intestinal stoma is the making of a hole in the abdominal wall, which has the purpose of diverting intestinal transit, which can be permanent or temporary. Objective: To identify, in the scientific literature, articles that describe the sociodemographic and clinical profile of adult patients with intestinal stomas. Material and methods: Bibliographic research with 14 complete scientific articles, written in Portuguese, published between January 2011 and September 2021, using the specific descriptors: Colostomy, Ileostomy, Colic Bags, Intestinal Neoplasms; which were crossed with the general descriptors: Health Profile, Epidemiology and Patient Discharge. Results: Males were more frequent, ranging from 20.0% to 67.5% and females ranged from 32.5% to 80.0%. Regarding the age group, patients aged over 60 years prevailed, ranging from 56.5% to 68.4%. There was a higher frequency in patients with partners, ranging from 35.6% to 59.8%. Most have schooling up to elementary school, ranging from 29.6% to 70.9%, retired, with a variation from 34.5% to 68.4% and with a family income of up to one minimum wage, ranging from 13.1% to 61.1%; Colorectal neoplasia was the most frequent indication for the creation of an intestinal stoma, ranging from 17.9% to 80.0%. Colostomy was more frequent in all articles, ranging from 18.6% to 100.0%; ileostomy performance ranged from 4.3% to 24.8%. The making of the permanent stoma ranged from 30.2% to 100.0% and the making of the temporary stoma ranged from 27.2% to 100.0%. Complications of intestinal stomas in patients were quite varied, including periosteal dermatitis, retraction, prolapse, mucocutaneous displacement, granuloma, parastomal hernia, hyperemia, bleeding, anastomotic dehiscence, wall abscess, postoperative ileus, intestinal obstruction, evisceration, surgical site infection and enterocutaneous fistula. The frequency of mortality ranged from 1.2% to 7.7%. Conclusion: Elderly individuals, male, with elementary education, retired and with a family income of up to one minimum wage prevailed. Colorectal neoplasia was the most prevalent indication for colostomy, with complications such as periostomal dermatitis, parastomal hernia, retraction and prolapse.Descriptors: Colostomy, Ileostomy, Colic Bags, Intestinal Neoplasms, Health Profile, Epidemiology, Patient DischargeIntrodução: Estoma intestinal é a confecção de um orifício na parede abdominal, que tem por finalidade o desvio do trânsito intestinal, podendo ser definitivo ou temporário. Objetivo: Identificar, na literatura científica, artigos que descrevam o perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais.  Métodos: Pesquisa bibliográfica com 14 artigos científicos completos, escritos no idioma português. publicados entre janeiro de 2011 e setembro de 2021, utilizando os descritores específicos Colostomia, Ileostomia, Bolsas cólicas, Neoplasias intestinais, que foram cruzados com os descritores gerais Perfil de saúde, Epidemiologia e Alta do paciente. Resultados: O sexo masculino foi mais frequente, variando de 20,0 a 67,5%, e o sexo feminino variou de 32,5 a 80,0%. Com relação à faixa etária, prevaleceram pacientes com idade acima de 60 anos, variando de 56,5 a 68,4%. Houve uma frequência maior em pacientes com companheiros, com variação de 35,6 a 59,8%. A maioria apresentava escolaridade até o ensino fundamental, variando de 29,6 a 70,9%, era aposentada, com uma variação de 34,5 a 68,4%, e tinha renda familiar de até um salário mínimo, variando de 13,1 até 61,1%. A neoplasia colorretal foi a indicação mais frequente para a confecção do estoma intestinal, variando de 17,9 a 80,0%. A colostomia foi mais frequente em todos os artigos, com variação de 18,6 a 100,0%. A confecção de ileostomia variou de 4,3 a 24,8%; a confecção do estoma definitivo, de 30,2 a 100,0%; a confecção do estoma tem porário, de 27,2 a 100,0%. As  complicações dos estomas intestinais nos pacientes foram bastante variadas, sendo listadas dermatite periestoma, retração, prolapso, deslocamento mucocutâneo, granuloma, hérnia paraestomal, hiperemia, sangramento, deiscência da anastomose, abscesso de parede, íleo pós-operatório, obstrução intestinal, evisceração, infecção de sítio cirúrgico e fístula enterocutânea. A frequência de mortalidade variou de 1,2 a 7,7%. Conclusão: Prevaleceram indivíduos idosos, do sexo masculino, com ensino fundamental, aposentados e com renda familiar de até um salário mínimo. A neoplasia colorretal foi a indicação mais prevalente para a confecção da colostomia, com complicações como dermatite periestomal, hérnia paraestomal, retração e prolapso.Palavras-chave: Colostomia, Ileostomia, Bolsas cólicas, Neoplasias intestinais, Perfil de saúde, Alta do paciente. ABSTRACT: Introduction: Intestinal stoma is the construction of an opening in the abdomen wall to divert feces and can be temporary or permanent. Objective: To identify, in the scientific literature, studies describing the clinical and sociodemographic profile of adult patients with intestinal stomas. Methods: A bibliographic study comprising 14 full scientific articles in Portuguese published between January 2011 and September 2021 was conducted. The search employed the specific descriptors Colostomy, Ileostomy, Colonic Pouches and Intestinal Cancer, cross-referenced with the general descriptors Health Profile, Epidemiology and Patient Discharge. Results: Prevalence was higher in males (20.0–67.5%) than in females (32.5–80.0%). Patients were predominantly aged >60 years (56.5–68.4%) and a higher prevalence (35.6–59.8%) was observed in individuals with a partner. Most patients were educated to primary level (29.6–70.9%), retired (34.5–68.4%), and had an income of≤one minimum wage (13.1–61.1%). Colorectal cancer was the most common indication (17.9–80.0%) for intestinal stoma construction. Colostomy was the most frequent procedure (18.6–100.0%) in all studies reviewed, followed by ileostomy (4.3–24.8%). Construction of permanent stoma was performed in 30.2–100.0% of cases and temporary stoma in 27.2–100.0%. A wide variety of complications of intestinal stomas were reported, including peristomal dermatitis, retraction, prolapse, mucocutaneousdetachment, granuloma, parastomal hernia, hyperemia, bleeding, anastomotic dehiscence, wall abscess, post-operative ilium, intestinal obstruction, evisceration, surgical site infection and enterocutaneous fistula. The mortality rate was 1.2–7.7%. Conclusion: Patients were predominantly older, male, educated to primary level, retired, and with income of one minimum wage or less. Colorectal cancer was the most common indication for colostomy construction and most frequent complications were peristomal dermatitis, parastomal hernia, retraction and prolapse.Keywords: Colostomy, Ileostomy, Colonic pouches, Intestinal neoplasms, Health profile, Patient discharge.Faculdade de Ciências Médicas da Santa Casa de São Paulo2022-12-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/86610.26432/1809-3019.2022.67.023Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo; V. 67 (2022): Jan/Dez; 1 of 91809-30190101-6067reponame:Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)instname:Faculdade de Ciências Médicas da Santa Casa de São Pauloinstacron:FCMSCSPporenghttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/866/1193http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/866/1194Copyright (c) 2022 Silvana de Sousa Leite, Camila Waters, Marcele Pescuma Capeletti Padulahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLeite, Silvana de Sousa Waters, CamilaPadula, Marcele Pescuma Capeletti2023-03-27T11:50:31Zoai:ojs2.arquivosmedicos.fcmsantacasasp.edu.br:article/866Revistahttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSPONGhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/oaiarquivosmedicos@fcmsantacasasp.edu.br||1809-30190101-6067opendoar:2023-03-27T11:50:31Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online) - Faculdade de Ciências Médicas da Santa Casa de São Paulofalse
dc.title.none.fl_str_mv Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
title Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
spellingShingle Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
Leite, Silvana de Sousa
title_short Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
title_full Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
title_fullStr Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
title_full_unstemmed Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
title_sort Perfil sociodemográfico e clínico dos pacientes adultos portadores de estomas intestinais / Clinical and sociodemographic profile of adults patients with intestinal stomas
author Leite, Silvana de Sousa
author_facet Leite, Silvana de Sousa
Waters, Camila
Padula, Marcele Pescuma Capeletti
author_role author
author2 Waters, Camila
Padula, Marcele Pescuma Capeletti
author2_role author
author
dc.contributor.author.fl_str_mv Leite, Silvana de Sousa
Waters, Camila
Padula, Marcele Pescuma Capeletti
description Introduction: Intestinal stoma is the making of a hole in the abdominal wall, which has the purpose of diverting intestinal transit, which can be permanent or temporary. Objective: To identify, in the scientific literature, articles that describe the sociodemographic and clinical profile of adult patients with intestinal stomas. Material and methods: Bibliographic research with 14 complete scientific articles, written in Portuguese, published between January 2011 and September 2021, using the specific descriptors: Colostomy, Ileostomy, Colic Bags, Intestinal Neoplasms; which were crossed with the general descriptors: Health Profile, Epidemiology and Patient Discharge. Results: Males were more frequent, ranging from 20.0% to 67.5% and females ranged from 32.5% to 80.0%. Regarding the age group, patients aged over 60 years prevailed, ranging from 56.5% to 68.4%. There was a higher frequency in patients with partners, ranging from 35.6% to 59.8%. Most have schooling up to elementary school, ranging from 29.6% to 70.9%, retired, with a variation from 34.5% to 68.4% and with a family income of up to one minimum wage, ranging from 13.1% to 61.1%; Colorectal neoplasia was the most frequent indication for the creation of an intestinal stoma, ranging from 17.9% to 80.0%. Colostomy was more frequent in all articles, ranging from 18.6% to 100.0%; ileostomy performance ranged from 4.3% to 24.8%. The making of the permanent stoma ranged from 30.2% to 100.0% and the making of the temporary stoma ranged from 27.2% to 100.0%. Complications of intestinal stomas in patients were quite varied, including periosteal dermatitis, retraction, prolapse, mucocutaneous displacement, granuloma, parastomal hernia, hyperemia, bleeding, anastomotic dehiscence, wall abscess, postoperative ileus, intestinal obstruction, evisceration, surgical site infection and enterocutaneous fistula. The frequency of mortality ranged from 1.2% to 7.7%. Conclusion: Elderly individuals, male, with elementary education, retired and with a family income of up to one minimum wage prevailed. Colorectal neoplasia was the most prevalent indication for colostomy, with complications such as periostomal dermatitis, parastomal hernia, retraction and prolapse.Descriptors: Colostomy, Ileostomy, Colic Bags, Intestinal Neoplasms, Health Profile, Epidemiology, Patient Discharge
publishDate 2022
dc.date.none.fl_str_mv 2022-12-21
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url http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/866
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dc.rights.driver.fl_str_mv Copyright (c) 2022 Silvana de Sousa Leite, Camila Waters, Marcele Pescuma Capeletti Padula
https://creativecommons.org/licenses/by/4.0
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rights_invalid_str_mv Copyright (c) 2022 Silvana de Sousa Leite, Camila Waters, Marcele Pescuma Capeletti Padula
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dc.publisher.none.fl_str_mv Faculdade de Ciências Médicas da Santa Casa de São Paulo
publisher.none.fl_str_mv Faculdade de Ciências Médicas da Santa Casa de São Paulo
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