Background: The person with an intestinal stoma can develop complications that cause biopsychosocial impact. To know associated factors helps identify risks and develop an individualized care plan. Objectives: To highlight the perception of people with stomas treated at the Health Care Service for People with Stoma (Serviço de Atenção à Saúde da Pessoa Ostomizada-SASPO) in Ceará, Brazil, about factors associated with complications in intestinal stomas. Methodology: Descriptive, qualitative study performed with 65 participants with an intestinal stoma. Data gathered through structured interview, between April and June 2018, in the SASPO in Ceará, Brazil, and analyzed by the content analysis approach. Results: Causalities attributed to ostomy and peristomal skin complications: skin changes related to collecting device; insufficient knowledge about self-care strategies and factors associated with complications; alterations associated with the effluent in contact with the skin; self-image disorder related to later complications and feelings related to the collecting device purchase process. Conclusion: It is mandatory to develop prevention strategies to prepare professionals and patients regarding possible factors associated with complications.
Objetivos: Apresentar os significados atribuídos por participantes ou seus cuidadores em relação às complicações da estomia e pele periestoma em um serviço de referência na região do Cariri. Métodos: Pesquisa descritiva, de natureza qualitativa, composta por 24 participantes com estomias intestinais. Os dados foram coletados no período de março e junho de 2018 no Serviço de Atenção à Saúde da Pessoa com Estomia localizado no município de Juazeiro do Norte, estado do Ceará. As entrevistas foram guiadas por um roteiro estruturado e gravadas por meio de um aplicativo de celular. Durante a análise dos dados, as respostas dos participantes foram transcritas na íntegra. Resultados: A partir do relato dos participantes, emergiram os seguintes significados para as complicações da estomia e pele periestoma: aspectos relacionados à qualidade dos equipamentos coletores, como tempo de permanência da bolsa, tipo de bolsa e adesividade; fragilidade no processo educativo; e efetividade dos procedimentos cirúrgicos. Conclusão: A prestação de assistência especializada se faz necessária para que as orientações dos profissionais estejam direcionadas para as necessidades individuais de cada participante, uma vez que a assistência em saúde se encontra pautada em um processo interpessoal centrado no cuidado integral do indivíduo e sua família.
Objectives: To present the meanings attributed by participants or their caregivers in relation to complications of the ostomy and peristomal skin in a referral service in the Cariri region. Methods: Descriptive research, of a qualitative nature, composed of 24 participants with intestinal ostomies. The data were collected in the period of March and June of 2018 in the Service of Health Care of the Person with Ostomy located in the city of Juazeiro do Norte, state of Ceará. The interviews were guided by a structured script and recorded through a mobile app. During the data analysis, participants’ answers were transcribed in its full. Results: From the report of the participants, the following meanings for the complications of the ostomy and peristomal skin emerged: aspects related to the quality of the collecting equipment, such as time of permanence of the bag, type of bag and adhesiveness; fragility in the educational process; and effectiveness of surgical procedures. Conclusion: The provision of specialized assistance is necessary so that the orientations of the professionals are directed to the individual needs of each participant, since health care is based on an interpersonal process centered on the integral care of the individual and his or her family.
Objective: To build and validate a clinical protocol aimed at evaluating the dermatological sensitivity caused by collection devices and adjuvants used by people with stomas. Methodology: Methodological research, developed between 2020 and 2021, for the construction and validation of a dermatological evaluation protocol for people with elimination stomas. The construction of the protocol went through the steps: theoretical situational diagnosis, survey of the theoretical framework and development of the protocol. Results: For validation, 21 judges, nurses, with experience in the area of enterostomal therapy, were recruited, whose instrument for content validation evaluated objectives, structure and relevance of the technology, being made available via e-mail through an electronic form on the Google Forms platform. For data analysis, descriptive statistics and the calculation of content validation index were used. A global score of agreement between the judges of 0.92 was obtained. Conclusion: It is concluded that the protocol created has a practical basis and validation, application versatility, enabling a care process that is more congruent with the reality of the person with an elimination stoma.
Objetivo:Construir e validar um protocolo clínico direcionado à avaliação de sensibilidade dermatológica ocasionada por dispositivos coletores e adjuvantes utilizados por pessoas com estomias. Metodologia:Pesquisa metodológica, desenvolvida entre os anos de 2020 e 2021, para construção e validação de um protocolo de avaliação dermatológica para pessoas com estomias de eliminação. A construção do protocolo percorreu as etapas: diagnóstico situacional teórico, levantamento do referencial teórico e desenvolvimento do protocolo. Resultados: Para validação foram recrutados 21 juízes, enfermeiros, com experiência na área de Estomaterapia, cujo instrumento para validação do conteúdo avaliou objetivos, estrutura e relevância da tecnologia, sendo disponibilizado via e-mail por formulário eletrônico na plataforma Google Forms. Para análise dos dados utilizou-se a estatística descritiva e o cálculo de índice de validade de conteúdo (IVC). Obteve-se escore global de concordância entre os juízes de 0,92. Conclusão: Conclui-se que o protocolo criado possui fundamentação e validação prática, versatilidade de aplicação, viabilizando um processo assistencial mais congruente com a realidade da pessoa com estomia de eliminação.
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