SEXUALIDADE DE HOMENS EM VIVÊNCIA DE ESTOMIAS INTESTINAIS: HISTÓRIAS SOBRE SENTIMENTOS E SIGNIFICADOS

Isabella Félix Meira Araújo; Anderson Reis  de Sousa; Evanilda Souza de Santana  Carvalho; Álvaro  Pereira

Authors

Isabella Félix Meira Araújo Universidade Federal da Bahia, Escola de Enfermagem – Salvador/BA – Brazil. https://orcid.org/0000-0002-0631-994X
Anderson Reis de Sousa Universidade Federal da Bahia, Escola de Enfermagem – Salvador/BA – Brazil. https://orcid.org/0000-0001-8534-1960
Evanilda Souza de Santana Carvalho Universidade Federal da Bahia, Escola de Enfermagem – Salvador/BA – Brazil|Universidade Estadual de Feira de Santana – Feira de Santana/BA – Brazil. https://orcid.org/0000-0003-4564-0768
Álvaro Pereira Universidade Federal da Bahia, Escola de Enfermagem – Salvador/BA – Brazil. https://orcid.org/0000-0003-1899-7374

Abstract

Objective: To apprehend the feelings and meanings about the sexuality of adult men with intestinal ostomies. Method: Thirty adult men with stomas participated of a qualitative, historical-analytical and comprehensive exploratory study. Data were obtained from interviews, followed by analysis anchored in thematic oral history, and data interpretation based on Ágnes Heller’s theory of feelings. Results: It has been shown that adult men with intestinal ostomies experience multiple feelings related to their sexuality, including impulsive, emotional, affective, and orienting feelings. Conclusion: The relevance of specialized and multidisciplinary care is highlighted to better meet the demands of sexual health, which is intertwined with psychic-social health, of men with stomas.

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References

Brasil. Ministério da Saúde. Secretaria de Atenção Especializada em Saúde. Departamento de Atenção Especializada e Temática. Guia de Atenção à Saúde da Pessoa com Estomia [Internet]. Brasília: Ministério da Saúde; 2021 [acessado em 28 fev. 2022]. Available at: https://bvsms.saude.gov.br/bvs/publicacoes/guia_atencao_saude_pessoa_estomia.pdf

Yilmaz E, Çelebi D, Kaya Y, Baydur H. A descriptive, cross-sectional study to assess quality of life and sexuality in Turkish patients with a colostomy. Ostomy Wound Manag 2017;63(8):22-9. https://doi.org/10.25270/owm.2017.08.2229

Kimura CA, Silva RM da, Guilhem DB, Modesto KR. Fatores sociodemográficos e clínicos relacionados à qualidade de vida em pacientes estomizados intestinais. Rev Baiana Enfermagem. 2020;34:e34529. https://doi.org/10.18471/rbe.v34.34529

Souza JB, Oliveira PG, Ginani FF. Implicações sexuais na cirurgia do estoma intestinal. In: Crema E, Silva R, editores. Estomas: uma abordagem interdisciplinar. Uberaba: Pinti; 1997. p. 177-91.

World Health Organization. Sexual health and its linkages to reproductive health: an operational approach [Internet]. Genebra: World Health Organization; 2017 [acessado em 10 fev. 2022]. Available at: https://apps.who.int/iris/bitstream/handle/10665/258738/9789241512886-eng.pdf?sequence=1&isAllowed=y

Burra P, Ferrarese A, Feltrin G. Quality of life and adherence in liver transplant recipients. Minerva Gastroenterol 2018;64(2):180-6. https://doi.org/10.23736/s1121-421x.17.02459-x

Heller A. Teoria de los sentimientos. 3ª ed. Barcelona: Fontamara; 1993. 313 p.

Branco SC. História oral: reflexões sobre aplicações e implicações. Novos Rumos Sociológicos 2020;8(13):8-27. https://doi.org/10.15210/NORUS.V8I13.18488

QSR International. NVivo in mixed methods research. QSR International [Internet]. 2018 [acessado em maio 2022]. Available at: https://www.qsrinternational.com/nvivo/enabling-research/research-powered-by-nvivo/nvivo-in-mixed-methods-research

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Quality Health Care [Internet]. 2007 [acessado em 28 fev. 2022];19(6):349-57. Available at: https://academic.oup.com/intqhc/article/19/6/349/1791966?login=false. https://doi.org/10.1093/intqhc/mzm042

Sarabi N, Navipour H, Mohammadi E. Sexual performance and reproductive health of patients with an ostomy: a qualitative content analysis. Sex Disabil 2017;35(2):171-83. https://doi.org/10.1007/s11195-017-9483-y

Caropreso F. A teoria pulsional em Freud e SpielreinDrive theory in Freud and Spielrein. Mod Contemp J Philos [Internet]. 2019 [acessado em 28 fev. 2022];3(5):81-96. Available at: https://xdocs.com.br/doc/a-teoria-pulsional-em-freud-e-spielrein-4ol2w6lwgynm

Kimura CA, Guilhem DB, Kamada I, de Abreu BS, Fortes RC. Oncology ostomized patients’ perception regarding sexual relationship as an important dimension in quality of life. J Coloproctology 2017;37(3):199-204. https://doi.org/10.1016/j.jcol.2017.03.009

García-Rodríguez MT, Barreiro-Trillo A, Seijo-Bestilleiro R, González-Martin C. Sexual dysfunction in ostomized patients: a systematized review. Healthcare (Basel) 2021;9(5):520. https://doi.org/10.3390/healthcare9050520

Chambers SK, Chung E, Wittert G, Hyde MK. Erectile dysfunction, masculinity, and psychosocial outcomes: a review of the experiences of men after prostate cancer treatment. Transl Androl Urol 2017;6(1):60-8. https://doi.org/10.21037/tau.2016.08.12

García-Rodríguez MT, Barreiro-Trillo A, Díaz SP. Sexual dysfunction among patients with ostomies. Found Colorectal Cancer 2022;609-15. https://doi.org/10.1016/B978-0-323-90055-3.00044-2

Louro GL. Currículo, género y sexualidad. Lo “normal”, lo “diferente” y lo “excéntrico.” Descentrada 2019;3(1):e065. https://doi.org/10.24215/25457284e065

Silva CSM da, Pereira Á, Silva PS da, Figueiredo NMA de. Men’s knowledge on body care: a cartographic study. Rev Bras Enferm 2020;73(5):e20180988. https://doi.org/10.1590/0034-7167-2018-0988

Sousa AR de, Pereira Á, Paixão GP do N, Pereira NG, Campos LM, Couto TM. Repercussions of imprisonment for conjugal violence: discourses of men. Rev Lat Am Enfermagem 2016;24:e2847. https://doi.org/10.1590/1518-8345.1569.2847

Wu L-T, Zhu H, Mannelli P, Swartz MS. Prevalence and correlates of treatment utilization among adults with cannabis use disorder in the United States. Drug Alcohol Depend 2017;177:153-62. https://doi.org/10.1016/j.drugalcdep.2017.03.037

Suparno A, Arofiati F. Adaptive response of colorectal cancer patients with stomas on quality of life and body images: a literature. In: Proceedings of the 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020). 2021. https://doi.org/10.2991/ahsr.k.210115.063

Carvalho BL de, Silva A do NB da, Rios DRS, Lima FES, Santos FKV dos, Ferreira Santana FL, Costa M do PS, Sousa MBV de, Coelho MM, Silva M da CA da, Veloso N da F, Ferreira SDM, Silva SP, Pereira SM, Ferreira KDP. Assistência de enfermagem a pacientes com estoma intestinal. Rev Eletrônica Acervo Saúde 2019;(24):e604. https://doi.org/10.25248/reas.e604.2019

Freire D de A, Angelim RC de M, Souza NR de, Brandão BMG de M, Torres KMS, Serrano SQ. Self-image and self-care in the experience of ostomy patients: the nursing look. REME Rev Min Enferm 2017;21:e1019. https://doi.org/10.5935/1415-2762.20170029

Leite M de S, Aguiar LC de. Diagnósticos de enfermagem em pacientes submetidos à colostomia. Enferm Foco [Internet]. 2017 [acessado em 28 fev. 2022];8(2):72-6. Available at: http://revista.cofen.gov.br/index.php/enfermagem/article/viewFile/1227/388

Pérez MÁR, González BKQ, Espinoza MQ, Valenzuela RRA. Manejo de estomas complicados y/o abdomen hostil con la técnica de condón de Rivera. Cir Gen [Internet] 2017 [acessado em 28 fev. 2022];39(2):82-92. Available at: https://www.medigraphic.com/pdfs/cirgen/cg-2017/cg172d.pdf

Aguiar FASD, Jesus BPD, Rocha FC, Cruz IB, Andrade Neto GRD, Rios BR, Piris AP, Andrade DLB. Colostomia e autocuidado: significados por pacientes estomizados. Rev Enferm UFPE On Line 2019;13(1):105-10. https://doi.org/10.5205/1981-8963-v13i1a236771p105-110-2019

Shoji S, Souza NVD de O, Maurício VC, Costa CCP da, Alves FT. O cuidado de enfermagem em Estomaterapia e o uso das tecnologias. Rev Estima [Internet] 2017;15(3):169-77. Available at: http://www.revistaestima.com.br/index.php/estima/article/

view/547. https://doi.org/10.5327/Z1806-3144201700030008

Meira IFA, Silva FR, Sousa AR, Carvalho ESS, Santa Rosa DO, Pereira A. Repercussions of intestinal ostomy on male sexuality: an integrative review. Rev Bras Enferm 2020;73(6):e20190245. https://doi.org/10.1590/0034-7167-2019-0245

Oliveira JA, Araújo IFM, Silva GTR, Sousa AR, Pereira A. Strategies and competences of nurses in men’s health care: an integrative review. Rev Bras Enferm 2020;73(Supl. 6):e20190546. https://doi.org/10.1590/0034-7167-2019-0546