Sexualidade de homens em vivência de estomas intestinais: sentimentos e práticas

Abstract

The making of an intestinal stoma can become an impacting condition in the life of the obliged, generating changes in the physical and bodily dimensions, and psychic-social, and may reflect negatively on their sexuality, as it does not fit the socially constructed standards. This study aimed to apprehend the feelings and practices about sexuality of ostomized men. This is a qualitative, historical-analytical and comprehensive-exploratory study, carried out with thirty adult men, aged 20 to 59 years old, and registered in a Health Care Service for People with Ostomy, in the city of Salvador / Bahia. For data collection, an individual interview was conducted, guided by a semi-structured script, collected between the period of June to September of the year 2019. The criteria for data collection and analysis were followed using the thematic oral history method, the interpretation of data based on Agnes Heller “Teoría de los sentimentos”, and for the systematization of the collected material, the NVIVO 12 ® software was used. The result of the study revealed that: adult men with intestinal ostomy experience superiors linked to their sexuality, among them, the impulsive, emotional, affective and orientative ones, associated with the limitations in sexual practices, the stigmas of the ostomy, altered body image and as difficulties of the establishment of affective relationships. The assumptions of the study were confirmed with the analysis of the data: the intestinal stoma reflects in the way the man sees his body and behaves about his emotions and affective relationships, since the new identity means restrictions on sexual relations, and at the same time, it constitutes a change in habits rooted in their environment and culture in the face of the old way of manifesting their sexuality. It highlights a type of specialized nursing specialty and a multidisciplinary team to better meet the demands of sexual health , which are intertwined with psychic-social health, to men experiencing an intestinal stoma.