Quality of sleep in colostomized patients [Qualidade do sono em pacientes colostomizados]

Abstract

Objective: This study aims to quantify and qualify sleep of colostomized patients using the Pittsburgh Questionnaire (PSQI). Methods: This is a cross-sectional study involving the collection of data through the application of the Sleep Quality Index Of Pittsburgh (PSQI); Associated with colostomy analysis, its duration and its appearance (flat or protusa). Patients with colostomy for more than one year, ranging in age from 40 to 85 years, were included in the study. Results: Fifty questionnaires were collected (n = 50) and the qualitative analysis showed that 33 (66%) patients had a good quality of sleep with a score = 5 and that 17 (34%) patients had moderate or poor quality of sleep with Score> 5. Regarding the aspect of the colostomy, the flat was observed in 6 (12%) cases, and in only 1 case presented a score = 5, that is, of good sleep quality .; In the protruding aspect, which occurred in 44 cases (88%), it was observed that 32 (72.7%) patients presented scores = 5, therefore a good quality of sleep. Another parameter analyzed was the impact of the Individual Components of Sleep Quality (CIQS: sleep duration, sleep disturbance, etc.) in relation to general sleep quality (r). It was found that Sleep Disorder had a lower impact (r = 0.409) when compared to sleeping medication (r = 0.860). It was also clear how the difference between the relative impact of CIQS when compared between the flat and protuberant colostomy groups. As in the group of patients with flat colostomy, in all the questions, it was obtained a greater impact in the quality of general sleep (r> 0.877). On the other hand, the impact of CIQS on general sleep quality in protusial colostomies had its highest index in the Use of Medications (r = 0.762), while sleep disturbance (r = 0.187) received the lowest index. Conclusion: The final appearance of the colostomy is important for the quality of sleep of the colostomy, being the protusa the one that less influence negatively in this situation. © 2017 Redprint Editora Ltda. All rights reserved.