Avaliação de qualidade de vida dos pacientes submetidos à cirurgia de amputação abdominoperineal do reto com colostomia abdominal ou colostomia perineal
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Data
2010-03-03
Autores
Oliveira, Janaina Zambon de [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
O aumento considerável de pessoas no mundo acometidas por câncer, associado ao prolongamento da vida, em decorrência das avançadas tecnologias utilizadas no tratamento, reforça a importância de se utilizar a qualidade de vida como uma medida importante dos tratamentos realizados. Para os pacientes com câncer de reto, com tumores muito próximos aos esfíncteres anais ou envolvendo essas estruturas, a amputação abdominoperineal do reto continua sendo o principal tratamento. Como alternativa à colostomia abdominal para pacientes selecionados, a colostomia perineal, segundo a técnica de Alcino Lázaro, tem sido empregada com resultados satisfatórios. No entanto, esses pacientes terão que realizar a auto irrigação para o resto da vida, garantindo a continência intestinal. Assim, o objetivo deste estudo foi avaliar as complicações cirúrgicas e a qualidade de vida dos pacientes submetidos à amputação abdominoperineal do reto com colostomia abdominal, ou com colostomia perineal que se auto irrigam, seguindo um novo método de irrigação e avaliar a eficácia desse novo método. Foi realizado um estudo transversal, após aprovação do Comitê de Ética em Pesquisa do Hospital do Câncer de Barretos, entre junho de 2009 a novembro de 2009. A qualidade de vida foi avaliada utilizando dois questionários desenvolvidos pela European Organization for Research and Treatment of Câncer (EORTC), sendo um específico para câncer (EORTC QLQ-C30) e outro específico para câncer de reto (EORTC QLQ-CR38). Um total de 38 pacientes foram incluídos, sendo 21 com colostomia perineal e 17 com colostomia abdominal. Em relação às características sócio demográficas, clínicas e terapêuticas, os grupos foram semelhantes no que diz respeito à idade, sexo, cor, estado civil, escolaridade, renda, ocupação, estádio clínico,...
The considerable increase of people in the world suffer from cancer, associated with prolongation of the life in result of the advanced technologies used in the treatment, reinforces the importance of using quality of life as an important measure of the carried through treatments. For patients with rectal cancer, with tumors very close to the anal sphincter or involving these structures, amputation abdominoperineal of the rectum continues being the main treatment. As an alternative to abdominal colostomy for selected patients, a perineal colostomy, using the technique of Alcino Lázaro, has been used with satisfactory results. However, these patients will have to perform self-irrigation for the rest of your life, guaranteed bowel continence. The aim of this study to evaluate the surgical complications and the quality of life of patients who underwent the abdominoperineal amputation of the rectum and either had an abdominal colostomy or a perineal colostomy and self-irrigation through a new method of irrigation and evaluate the effectiveness of this new method. After official approval from the Ethics Committee in Research of the Cancer Hospital of Barretos, Brazil, a cross-sectional study with prospective data collection of 38 patients was carried out from June 2009 to November 2009. The quality of life was evaluated through two questionnaires developed by the European Organization for Research and Treatment of Cancer (EORTC): one was specific for cancer (EORTC QLQ-C30) and the other one was specific for rectal cancer (EORTC QLQ-CR38). A total of 38 patients were included, 21 with perineal colostomy and 17 with abdominal colostomy. Regarding socio-demographic, clinical and therapeutic characteristics, the groups were similar in age, gender, race, marital status, education, income, occupation, clinical... (Complete abstract click electronic access below)
The considerable increase of people in the world suffer from cancer, associated with prolongation of the life in result of the advanced technologies used in the treatment, reinforces the importance of using quality of life as an important measure of the carried through treatments. For patients with rectal cancer, with tumors very close to the anal sphincter or involving these structures, amputation abdominoperineal of the rectum continues being the main treatment. As an alternative to abdominal colostomy for selected patients, a perineal colostomy, using the technique of Alcino Lázaro, has been used with satisfactory results. However, these patients will have to perform self-irrigation for the rest of your life, guaranteed bowel continence. The aim of this study to evaluate the surgical complications and the quality of life of patients who underwent the abdominoperineal amputation of the rectum and either had an abdominal colostomy or a perineal colostomy and self-irrigation through a new method of irrigation and evaluate the effectiveness of this new method. After official approval from the Ethics Committee in Research of the Cancer Hospital of Barretos, Brazil, a cross-sectional study with prospective data collection of 38 patients was carried out from June 2009 to November 2009. The quality of life was evaluated through two questionnaires developed by the European Organization for Research and Treatment of Cancer (EORTC): one was specific for cancer (EORTC QLQ-C30) and the other one was specific for rectal cancer (EORTC QLQ-CR38). A total of 38 patients were included, 21 with perineal colostomy and 17 with abdominal colostomy. Regarding socio-demographic, clinical and therapeutic characteristics, the groups were similar in age, gender, race, marital status, education, income, occupation, clinical... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Reto - Câncer, Abdome - Câncer, Colostomia, Qualidade de vida - Pacientes, Cancer of the rectum, Abdominal colostomy, Perineal colostomy, Abdominoperineal amputation of the rectum
Como citar
OLIVEIRA, Janaina Zambon de. Avaliação de qualidade de vida dos pacientes submetidos à cirurgia de amputação abdominoperineal do reto com colostomia abdominal ou colostomia perineal. 2010. 88 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2010.