Fatores relacionados à autoimagem corporal, sintomas depressivos e ansiosos e qualidade de vida em pacientes com estomas intestinais

Abstract

Introduction: Colorectal cancer is the second most common type of cancer in Brazil, with a high impact on public health. The creation of intestinal stomas is a common treatment for advanced cases, but it imposes physical and psychological challenges on patients, affecting their quality of life. Objective: To investigate the relationship between changes in body self- image, depressive and anxious symptoms and quality of life in patients with intestinal stomas. Method: This is an observational, cross-sectional and quantitative study carried out with stoma patients seen at a Medical Specialty Outpatient Clinic in Presidente Prudente-SP. The sample included adults with intestinal stomas, who were assessed between March and September 2024. Sociodemographic and clinical data collection included age, gender, marital status, diagnosis and reason for the stoma. Quality of life, ostomy adaptation, depression, anxiety and body self- image instruments were used to measure the different aspects involved in the study. Results: The analysis revealed that the quality of life of stoma patients is affected by adaptation to the stoma, especially in the physical and psychological domains. There was a negative correlation between quality of life and depressive and anxiety symptoms. Patients with greater social support and adaptation had better quality of life results. Conclusion: The study emphasizes the need for psychosocial support and self-care education to improve the adaptation and quality of life of patients with stomas.