Self-care of elderly people with ostomy by colorectal cancer

Abstract

Objective To identify in literature the scientific production about self-care in elderly people with ostomies by colorectal cancer. Method Integrative review, performed with the descriptors “self-care”, “ostomy” and “elderly/aged” with the Boolean operator AND in the following databases: SCOPUS, CINAHL, MEDLINE, LILACS and COCHRANE. For the theoretical basis, Orem's Self-Care Deficit Theory was used. Results A total of 533 papers were found, however, after applying the eligibility criteria, 16 studies composed the final sample of the review. Conclusion The nurse is one of the professionals closest to the person with the stoma and his family, and should act as a link between the elderly person, the family and the multi-professional health team. In this sense, health professionals, especially nurses, should be trained and competent in assisting the diverse demands of care of this specific population, so that it is effective, resolutive, integral and, above all, humanized, aiming at the improvement of quality of life.

The correlation between intimate relationship, self-disclosure, and adaptability among colorectal cancer enterostomy patients

“…[ 43 ] In addition, the patient's level of adaptation is significantly related to self-care ability, because self-care with the help of healthcare workers can help colostomy patients make necessary daily and social adjustments, thereby building self-confidence and social relationships. [ 44 ]…”

“…Cancer survivors are more likely to report financial difficulties than the general population, which results in patients with less adaptability in terms of postoperative social relations, disease recovery, and medical burden [42] The adaptation level of patients with a stoma more than 1 year after surgery was significantly higher than that of patients within 1 year after operation, which may be related to the patient's need for sufficient time to recover and overcome the physical changes brought about by the operation, spiritual trauma, and recovery of family and social life [43] . In addition, the patient's level of adaptation is significantly related to self-care ability, because self-care with the help of healthcare workers can help colostomy patients make necessary daily and social adjustments, thereby building self-confidence and social relationships [44] …”

“…[43] In addition, the patient's level of adaptation is significantly related to self-care ability, because self-care with the help of healthcare workers can help colostomy patients make necessary daily and social adjustments, thereby building self-confidence and social relationships. [44] 4.4. Interaction between spousal intimate relationship, self-disclosure and adaptation Several studies have shown that trauma-related self-disclosure can have a positive impact on individuals experiencing trauma and promote physical and mental growth.…”

The Effects of Education Based on the Nursing Process on Ostomy Self-Care Knowledge and Performance of Elderly Patients with Surgical Stoma

“…The nurse, as a part of the multiprofessional health team, has the duty of managing the care of elderly people with an intestinal ostomy, from any levels of assistance, from the diagnosis process to home monitoring [ 36 ]. Nurses are required to be adequately prepared with a sufficient theoretical knowledge base which guides their clinical practices [ 37 ] and provision of comprehensive nursing care to older adults [ 38 ].…”

Characterization of elderly people with an intestinal stoma at a reference center in the state of Bahia

“…A review study conducted on a sample of 16 studies, whose analysis confirmed that the nurse is one of the professionals closest to the person with a stoma and his family, must act, especially when dealing with the elderly person, as a link between the patient, the family, and the multi-professional health team. In this sense, health professionals, especially the nurse, must be able and competent in assisting the various demands for the care of this population segment so that the actions are active, resolute, and, above all, fully humanized, aiming at improving the quality of life 25 .…”