PURPOSE
To determine nursing diagnoses in people with a digestive stoma and their relationship with sociodemographic and clinical variables.
METHOD
A cross‐sectional descriptive study of 102 subjects in the General Surgery Unit of a first‐level hospital (Granada, Spain) was conducted. Data were collected on the presence of nursing diagnoses, sociodemographic and clinical variables.
RESULTS
NANDA‐I: “Deficient knowledge (00126)” and “Readiness for enhanced health management (00162)” were present in the entire sample studied. The period of care (postoperative vs. follow‐up) was the most common significant variable among diagnoses.
CONCLUSIONS
This work contributes to the determination of NANDA‐I diagnoses in people with digestive stomas.
IMPLICATIONS FOR NURSING PRACTICE
The results provide a guide to help nursing professionals develop individual care plans.
Purpose
To determine which nursing interventions are used in individuals with a digestive stoma and the relationships between nursing interventions used and sociodemographic and clinical variables.
Methods
The present study is an observational, cross‐sectional, descriptive. Data from 102 individuals in the general surgery unit of a first‐level hospital (University Hospital Complex of Granada, Spain) were analyzed. Data on the use of nursing interventions and sociodemographic and clinical variables were collected. Univariate, bivariate, and multivariate data analyses were conducted.
Findings
Interventions: Decision‐Making Support (5250) and Ostomy Care (0480) were the most prevalent interventions in the sample. The period of care (postoperative and follow‐up) was the most common significant variable (p < 0.05) among the interventions observed. Anxiety Reduction (5820), Nutritional Counseling (5246), Self‐Esteem Enhancement (5400), and Body Image Enhancement (5220) were also relevant findings.
Conclusions
The present study contributes to determining which nursing interventions are used in individuals with a digestive stoma.
Implications for nursing practice
This study could be useful in planning nursing interventions in individuals with a digestive stoma.
AimTo determine nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables.DesignCross-sectional study performed with 102 subjects at the General Surgery Unit of a first-level hospital.MethodsData on the presence of nursing outcomes were collected using the Nursing Outcomes Classification. Data on sociodemographic and clinical variables were also collected. Univariate and bivariate data analyses were performed.ResultsOutcomes related to participation in making health decisions and knowledge of ostomy care were assessed across the study sample. Period of care (post-operative and follow-up) was the most common significant variable (p < 0.05) among the outcomes. The outcome scores ranged from 2 to 3, indicating a moderate level of impairment in the physical, psychological, and social spheres of these patients. The scores in the indicators on Participation in making health decisions and Knowledge of stoma care improved in the period of continuity of care compared to the postoperative period, being this difference statistically significant (p < 0.001).ConclusionsThe care plan for individuals with intestinal stoma needs to include indicators measuring patient participation in making decisions related to their condition, as well as indicators related to their knowledge and self-care of their stoma. Relevance to clinical practice: This study aims to determine the nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables. It provides the opportunity to plan achievable objectives with patients using a system of indicators that facilitate their assessment and monitoring.
Aims: The aim of this study was to determine how satisfied ostomates were with their body image and how well they had adapted to stoma surgery. Method: A cross-sectional descriptive study recorded demographic and clinical variables using two body-image indicators from the nursing outcomes classification (NOC) taxonomy ‘Body image’ (NOC 1200): ‘Satisfaction with body appearance’ (NOC 120005) and ‘Adjustment to body changes due to surgery’ (NOC 120014) on a Likert scale. Results: Average satisfaction was 2.80 (SD 0.452) and average adjustment was 3.04 (SD 0.450). Relationships with the variables were not statistically significant but could be observed on a descriptive level. Higher satisfaction and/or adjustment scores were linked to female sex, age over 68 years and not belonging to an ostomy association, as well as an oncological diagnosis, stoma site marking, the postoperative period before follow-up and stoma formation in the past year. Conclusions: Despite a limited sample size of 102 patients, this study has practical implications. It provides a better understanding of the factors that influence body image in ostomates with a colostomy or ileostomy, which should guide stoma care nurses in caring for the needs of patients.
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