Objective:to analyze evidences of psychological aspects of patients with intestinal stoma. Method:integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review. Results:after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce. Conclusion:it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments.
Objective: to analyze the relationship between the distress of the family caregiver and the presence of neuropsychiatric symptoms in elderly patients with Alzheimer's disease or mixed dementia.Method: a descriptive, cross-sectional study conducted in the Geriatric and Dementias Clinic of a general tertiary hospital, with 96 elderly people with Alzheimer's disease or mixed dementia and their family caregivers. Questionnaires to characterize the elderly and caregivers, and the Neuropsychiatric Inventory were used. Descriptive statistics and Pearson correlation test were performed. Results: 68.7% of the elderly were women, average age 80.8 years, 56.2% had Alzheimer's disease and 43.7%, mixed dementia. Among caregivers, 90.6% were women, average age 56, 70.8% took care of parents and 64.6% lived with the elderly. There was a strong (r = 0.82) and significant (p <0.01) correlation between the total score on the Neuropsychiatric Inventory and the total score on the Neuropsychiatric Inventory-Distress and strong (r = 0.80) and significant (p <0 01) correlation between the total score on the Neuropsychiatric Inventory Distress and the number of neuropsychiatric symptoms, i.e., the higher the number, frequency and severity of these symptoms in the elderly, the more intense is the caregiver distress. Conclusion: the presence of neuropsychiatric symptoms in the elderly was related to increased distress in caregivers.
RESUMO -A prevalência do câncer entre idosos tem aumentado nas últimas décadas. O tratamento oncológico pode acarretar aumento dos níveis de estresse e depressão. Nesse cenário, a esperança tem sido definida como um dos recursos relevantes de enfrentamento. Este estudo teve por objetivo analisar a relação entre estresse, sintomas depressivos e esperança em idosos submetidos a tratamento quimioterápico. Trata-se de um estudo quantitativo, descritivo e transversal com amostra não-probabilística de 123 idosos vinculados a um hospital geral público terciário do interior do Estado de São Paulo. Os resultados mostram que os idosos apresentavam elevados níveis de estresse percebido e de esperança; 71,5% não manifestavam sintomas depressivos. Níveis de estresse e esperança foram correlacionados negativamente, assim como sintomas depressivos e níveis de esperança, sugerindo que a esperança pode ter efeitos benéficos sobre o estresse e depressão.ABSTRACT -The prevalence of cancer among the elderly has increased in recent decades. Cancer treatment process can lead to increased levels of stress and depression. In this scenario, hope is defined as one of the relevant coping resources. This study aimed to analyze the relationship between stress, depressive symptoms and hope in the elderly undergoing chemotherapy. It is a quantitative, descriptive and cross-sectional study with a non-probabilistic sample of 123 elderly people linked to a general tertiary public hospital in the interior of the State of São Paulo. The results show that the elderly had high levels of perceived stress and hope; 71.5% of the participants did not present depressive symptoms. Levels of stress and hope are negatively correlated, as well as depressive symptoms and levels of hope, suggesting that hope has beneficial effects on stress and depression.
Resumo: O objetivo deste estudo foi descrever as estratégias de atendimento psicológico utilizadas com pacientes estomizados e seus familiares em uma unidade de internação hospitalar de uma universidade pública do interior paulista no pré-operatório e na preparação para a alta hospitalar. Trata-se de um estudo exploratório-descritivo com abordagem qualitativa, que focaliza um programa de extensão que oferece cuidados, com enfoque interdisciplinar, para essa população. As observações extraídas das intervenções psicológicas foram registradas em diário de campo e os dados obtidos foram submetidos à análise de conteúdo e interpretados à luz de pressupostos teóricos da Psicologia da Saúde. Identificou-se nos relatos que a assistência psicológica contempla as seguintes estratégias: levantamento da história clínica, identificação das necessidades psicológicas do paciente no pré-cirúrgico, reuniões com a equipe para discussão dos casos e elaboração do plano de cuidados terapêuticos, orientação aos familiares, escuta psicológica junto ao leito, orientações ao paciente e avaliação de seu estado psicológico, tendo em vista o preparo para alta hospitalar. O atendimento psicológico tem possibilitado o acolhimento dos pacientes, tendo como foco as necessidades identificadas durante o período de internação hospitalar decorrentes da intervenção cirúrgica e da estomização. O suporte psicológico tem contribuído para fortalecer a autonomia e minimizar o sofrimento associado à cirurgia e suas consequências, frente às limitações impostas pelo adoecimento crônico intestinal, além de possibilitar o atendimento articulado com a equipe cirúrgica e de enfermagem, assegurando assistência continuada ao paciente com foco no desenvolvimento de competências de autocuidado.Abstract: This aim of this study was to describe the psychological care strategies used with stomized patients and their relatives in a hospital inpatient unit of a public university of the Brazil's largest public university in the preoperative period and preparation for the hospital discharge. This is an exploratory-descriptive study with a qualitative approach that focuses on an extension program that offers interdisciplinary care for this population. Psychological interventions were recorded in a field diary and data were submitted to content analysis and interpreted in the perspective of theoretical assumptions of Health Psychology. Psychological assistance includes the following strategies: clinical history survey, identification of psychological needs of the patient in the pre-surgical period, meetings with the health team providers to discuss the cases in order to elaborate the therapeutic plan, orientation to family, psychological and qualified listening in the bed, orientation to the patient and evaluation of his/her psychological state, with a view to preparing him for discharge. Psychological care has enabled the welcoming of these patients, during the hospitalization, focusing on the patient's needs resulting from surgical intervention and stomization. The psychol...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.