Clinical and demographic characteristics of intestinal stoma patients assisted by orthotics and prosthesis grant program of the clinical hospital of the Federal University of Uberlândia, Brazil

Abstract

With the increase of world's population life expectancies and quality oflife, the incidence of cancer ranks second as cause of deaths in Brazil,becoming a public health problem. In cases of colon and rectum cancer,most patients are submitted to surgery, many end up by needing some typeof ostomy. This is a retrospective, descriptive, exploratory andquantitative research aiming to characterize demographic and clinicalusers from the Orthotics and Prosthesis Grant Program of the ClinicalHospital of the Federal University of Uberlandia - CH - FUU, Brazil.Intestinal stoma people who were assisted by this program since itsimplementation until 2010. The technique used was medical recordsgathering. Population consisted of 1146 individuals. Demographic dataanalysis results: age average of users 55.77 years old, while amongfemales the average age was 58.25 years old; in males, it was 53.36years old. Males frequency over females, corresponds to 51.22% ofpopulation; most users were married (52.63%); prevailed white ethnicity(72.32%); retired were the occupations in both situations, before andafter the stoma, accounting for 78.9% and 33.67% of the samples forthese variables, respectively. The majority (81.31%) of users were fromUberlandia Health Region center; 85.95% of users were referred byUnified Health System - UHS or served directly to CH - FUU. Cancer isthe most prevalent diagnosis, responsible for the indication ofintestinal stoma, making up 45.03%. 1.146 users assisted by the programin the period analyzed, 425 (40.21%) died, 387 (36.61%) underwentreconstruction of intestinal transit, 190 (17.98%) remained active inthe treatment up to the limit of the reporting period and 55 (5.22%)hung up the program by city transfer reason, treatment withdrawal orother unknown reasons. The vast majority of stomas, represented by 95%of the samples are colostomies type. Regarding permanence of intestinalostomy character, we found that 76% were temporary. Among complicationsin stoma, prevails peristomal dermatitis (29.4%). This study presentsresults of clinical and epidemiological relevance to basement in theformulation of public policies, prevention campaigns, treatment andadoption of effective multidisciplinary health care for the ostomypatient.