Ser mulher estomizada : da adaptação à sexualidade

Abstract

The intestinal ostomies are surgical procedures performed in a jejunal segment, colon or ileum, which can be both permanent and temporary, which have the purpose of changing the normal route of feces through the intestine and have come to be eliminated by a collecting bag which is fixed around this stoma. When performing surgery and become a stoma person, a woman can go through several changes of physiological and emotional nature that may interfere with their daily relationships and activities, including sexuality. Thus, the study aimed to analyze the perception of women with intestinal stoma about their sexuality. So that the objectives are achieved, it was decided to carry out a descriptive and exploratory research with a qualitative approach. The study subjects were five women who have intestinal, temporary or permanent ostomy, with a minimum of five months surgery, regardless of the cause of the ostomy, between 37 and 76 years who had active sex life, living in the city of Sinop-MT. Data collection was carried out at the residence of participants, days marked by them, through a semi-structured interview, recorded and transcribed, in which the data were analyzed by content analysis technique, thematic modality. In the presence of the speeches of the interviewees were prepared four categories of analysis, considering the density and the interiority of feelings revealed during the interviews. The data showed that by becoming an ostomy, the woman experiences different feelings ranging from despair, sadness, disgust and even happiness for the opportunity to live through the stoma. The process of coping and adaptation to new life conditions turned out to most, a slow and continuous process, which required the search for knowledge individually and independently, since the municipality of Sinop does not have expert assistance with stoma nurse or support groups. In addition, some participants were dependent on the selfcare and isolated socially. The sight of his body, nearly all proved to be dissatisfied with the bodily changes arising from the ostomy bag and the presence, as this is an accessory that must be adhered to the body permanently. In the face of changes in self-esteem and self-image, the partner had a central role in the rediscovery of sexuality and a woman, allowing most of the interviewees returned to sexual activity, even unsafely and using the bag disguise strategies form. It was concluded that the ostomy women face daily challenges to overcome the difficulties imposed by the new condition of life and the partner's role was fundamental for reintegration into the family unit and to the rediscovery of sexuality.