Objective: to validate an educational booklet for people with intestinal stoma as a technological resource in the teaching of self-care. Method: a methodological research for the construction and validation of an educational booklet by nine expert judges and 25 people with stomas. The agreement index of at least 80% was considered to guarantee the validation of the material. Results: regarding the objectives of the booklet, all the judges evaluated the items as “adequate” or “totally adequate”, with a content validity index of 1.00. Regarding the structure and presentation of the booklet, the total index was 0.84. Regarding relevance, the total was 0.97 and the general index of the educational booklet was 0.89, confirming the validation with the judges. All items of the organization, writing style, appearance and motivation of the material were considered as validated by the target audience, reaching a total agreement index of 0.99. Conclusion: in the context of health education, the booklet was considered valid and suitable for the care of people with intestinal stoma, and can be used in teaching, research, extension and care for people with intestinal stoma.
Objetiva-se identifi car a prevalência de complicações em pessoas com estomias urinárias e intestinais ativascadastradas na Associação de Ostomizados do Rio Grande do Norte. Trata-se de uma pesquisa transversal,retrospectiva, com abordagem quantitativa realizada com 572 prontuários dos estomizados ativos atendidos naAORN de 1991 a 2015. Os resultados apresentaram predominância em indivíduos do sexo masculino (52,1%), ensinofundamental incompleto (51,6%) e renda de até dois salários mínimos (64,3%), sendo 76,2% colostomizados, 16,3%ileostomizados e 7,5% urostomizados. Entre as principais causas que levaram a confecção do estoma destacouse a neoplasia de reto (37,6%). A prevalência de complicações para o período pesquisado foi de 30,2%. Dentreas complicações mais frequentes destaca-se a dermatite (28,9%), prolapso (20,2%), hérnia periestomal (18,5%) eretração do estoma (17,9%). Concluí-se que a prevalência das complicações foi de 30,2% com maior frequência dedermatite, prolapso, hérnia e retração. Faz-se necessário a identifi cação das complicações precocemente evitandoagravos.Palavras-chave: Estomia; Complicações; Enfermagem. ABsTRAcTThe aim is to identify the complications prevalence in people with active urinary stomies and intestinesenrolled in the Ostomized Association of Rio Grande do Norte. This was a cross-sectional, retrospective studywith a quantitative approach with 572 records of stomatal patients seen at AORN from 1991 to 2015. Theresults showed the follow predominance: males (52.1%), incomplete primary education (51.6%), Being 76.2%colostomized, 16.3% ileostomized and 7.5% urostomized. Among the main causes that led to the manufactureof the stoma, a rectal neoplasia (37.6%) was highlighted. The prevalence of complications for the period studiedwas 30.2%. Among the most frequent complications are dermatitis (28.9%), prolapse (20.2%), peristomal hernia(18.5%) and stoma retraction (17.9%). It concludes that the prevalence of complications was 30.2% with a higherfrequency of dermatitis, prolapse, hernia and retraction. It is necessary a warning of complications early avoidinginjuries.Keywords: Ostomy; Complications; Nursing.
Reconstruir, a partir da escuta, a trajetória de vida de uma paciente renal crônica em tratamento hemodialítico constitui o objetivo deste artigo. Como procedimento metodológico, trabalhamos com a história oral de vida, utilizando a entrevista como principal instrumento. A análise se pauta nas narrativas da colaboradora, ancorada em estudos que tratam da história oral e da subjetividade humana, com destaque para a resiliência. Foi possível apreender, com sua trajetória de vida, que a superação das dificuldades é um marco da singularidade. Portanto, sua história nos leva a concluir que, apesar das adversidades e do sofrimento, existe no ser humano a força de navegar nas torrentes e conseguir ser feliz.
Objective:Analyze the studies which present aspects related to the quality of life of patients with an ostomy. Method:It is about an integrative review in databases of the literature held in the Latin American Literature and Caribbean health sciences, Medical Literature Analysis and Retrieval System Online, Nursing Database, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, Web of Science and SciVerse Scopus. Controlled keywords of the Medical Subject Headings (MESH) were used: "Ostomy" and "Quality of life". The additional factors were: scientific articles that measure the QOL of people with an ostomy and/or scientific articles that show at least one aspect which affects the QOL of those people. After the analysis, the final sample was composed of 41 articles that passed through statistical analysis to identify the factors that best associated and correlated to the life quality of patients with an ostomy. Results:International studies with the level of evidence VI were predominant. 40 factors associated with the QOL of people with an ostomy were observed and subdivided into the domains: sociodemographic, clinical, physical, psychological and social. Conclusion:The main factors related to the quality of life of patients with an ostomy were: age, income, gender, change in physical and in sexual function (p<0.001). However, as it is about a review study, it needs the validation of the factors that most stand out in this theme.
Objective: to evaluate the scientific evidence about the activities proposed by the NIC "Care with ostomy" intervention. Method: integrative review, conducted in March 2016 in the MEDLINE, CINAHL, Web of Science, SCOPUS and LILACS databases. The studies were categorized from the identification of the interventions according to the taxonomy of the intervention in the NIC << Care for the ostomy >>, as well as the proposed activities. Results: collection resulted in 23 articles, mostly qualitative (52%), with level of evidence IV (60.9%), identifying, in these, 23 of the 25 Nursing activities proposed in the NIC, and the activity "Orient the patient/important person regarding the use of ostomy device/care "the most frequent (60.9%). Conclusion: it was verified, therefore, that the most frequent actions performed by the nurses refer to the management guidelines of the ostoma with the inclusion of the caregiver and that there is a need for more studies with better levels of evidence in this subject. Descriptors: Ostomy; Nursing; Assistance.
RESUMOObjetivo: avaliar as evidências sobre as atividades propostas pela intervenção da NIC "Cuidados com a ostomia". Método: revisão integrativa, realizada em março de 2016 nas bases de dados MEDLINE, CINAHL, Web of Science, SCOPUS e LILACS. Os estudos foram categorizados a partir da identificação das intervenções condizentes com a taxonomia da intervenção na NIC <
Objetivo: compreender as dificuldades enfrentadas pelas pessoas com estomias intestinais a partir das vivências de autocuidado. Método: trata-se de estudo descritivo, qualitativo, realizado com 30 pessoas com estomias intestinais, em um Centro Especializado em Reabilitação no Rio Grande do Norte, de abril a junho de 2017. A entrevista semiestruturada foi gravada, transcrita e os dados coletados foram analisados seguindo os pressupostos da análise de conteúdo de Bardin. Resultados: a partir das vivências de autocuidado mencionadas pelos participantes, emergiram as dificuldades agrupadas nas categorias: higiene e manuseio do equipamento coletor; necessidades de cuidado com a pele periestomal; equipamento coletor e os episódios de vazamento; convívio social após a estomia; dificuldades e potencialidades da assistência de Enfermagem. As pessoas com estomias apresentaram dificuldades relacionadas à limpeza do estoma, recorte do equipamento coletor, aparecimento de complicações periestomiais, vazamentos de efluentes, afastamento de atividades sociais e informações insuficientes sobre o autocuidado. Considerações Finais: diante das dificuldades encontradas, torna-se necessário refletir sobre as mudanças nas práticas assistenciais para desenvolver o autocuidado da população com estomias, as quais podem se beneficiar do uso de tecnologias educativas instituídas desde o período pré-operatório. Este estudo contribui para a compreensão das experiências de autocuidado vivenciadas por essa população a serem abordadas pela enfermagem na promoção da educação em saúde. Além disso, espera-se que o estudo subsidie pesquisas com novas estratégias para fortalecer a assistência a esse público e o avanço da ciência de Enfermagem.
Objetivo:Construir e validar o conteúdo da escala de verificação do nível de adaptação da pessoa com estomia. Método: Estudo metodológico envolvendo duas etapas: construção baseada em duas revisões integrativas da literatura e estudo qualitativo com pessoas com estomia; e validade de conteúdo com juízes dos seguintes critérios: comportamental, objetividade, relevância, clareza, simplicidade, variedade em relação à linguagem; realização do teste-piloto com o grupo-alvo; correção léxica e gramatical e nova submissão para o índice de validade de conteúdo. Resultados: Na primeira etapa, treze itens receberam sugestões de melhoria, três itens foram unificados por similaridade e um foi excluído. Após os ajustes, alcançou-se consenso dos juízes quanto à representatividade dos itens e à permanência nos modos a partir dos critérios avaliados. A população-alvo julgou os itens como de fácil entendimento ocorrendo em seguida correção gramatical e lexical. Conclusão: A escala apresentou evidência de validade de conteúdo demonstrando consenso entre os juízes e a população-alvo.
Self-care is one of the main factors altered in the life of a person with an ostomy. Self-care requisites with nursing support are necessary. Objectives: To map the self-care requisites for people with intestinal ostomies in their adaptive process, guided by Orem’s theory. Materials and methodology: A scoping review was conducted between May and June 2022, in which studies published from 2000 to 2022 were selected, based on Orem’s self-care deficit nursing theory. The sources of evidence used were Medical Literature Analysis and Retrieval System Online, Cinahl, Scopus, Latin American and Caribbean Health Sciences Literature, Nursing database, Índice Bibliográfico Español en Ciencias de la Salud, Web of Science, Scientific Electronic Library Online, Brazilian Digital Library of Theses and Dissertations, Open Access Scientific Repositories of Portugal, Theses Canada, DART-Europe E-Theses Portal, and National ETD Portal. Studies presenting at least one requisite of self-care for people with intestinal ostomies, whether or not they addressed Orem’s theory, and that were published in full were included. We followed the recommendations of the Joanna Briggs Institute and the PRISMA International Guide, registered in the Open Science Framework (10.17605/OSF.IO/XRH5K). The following descriptors and search strategies were used: (ostomy OR colostomy OR ileostomy OR stoma) AND (self-care OR self-management) AND (adaptation OR adjustment). Results: The final sample was composed of 87 studies. In universal requisites, studies in the category “nutritional aspects” predominated, of which the most frequent was “eat regularly and follow a balanced diet” (23; 26.4%); in developmental requisites, the prevalent category was “stoma and peristomal skin care” and requisite “assess peristomal skin integrity” (27; 31.0%); in the health deviation requisites, the predominant category was “choice of collection equipment and adjuvant products” and the requisite “use hydrocolloid powder to absorb moisture in cases of dermatitis” (13; 14.9%). Conclusions: The study contributes to guiding the assistance to the person with an ostomy, improving the self-care learning process. However, new intervention studies are still needed.
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