As repercussões de viver com uma colostomia temporária nos corpos: individual, social e político

Souza, Pollyane Chris Menino de; Costa, Valéria Rossi Marques da; Maruyama, Sônia Ayako Tao; Costa, Ana Cláudia; Rodrigues, Alessandra Emanuelle Cunha; Navarro, Jacqueline Pimenta

doi:10.5216/ree.v13i1.7928

Cited by 24 publications

(44 citation statements)

References 14 publications

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“…The help of family and friends, and the affection and attention in those moments can be of great help (28) . In the family nucleus, the partners or spouses are important collaborators of the transition.…”

Section: Discussionmentioning

confidence: 99%

Facilitators of the transition process for the self-care of the person with stoma: subsidies for Nursing

Mota

Gomes

Petuco

et al. 2015

Rev. esc. enferm. USP

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Objective:To know the facilitating factors of the transition process from dependency to the self-care of people with a stoma. Method: This is a descriptive study of qualitative approach, including 27 people with permanent stomas due to cancer. The data were collected through semi-structured interviews and submitted to content analysis based on the Transition Theory as theoretical reference. Results: The self-care facilitators related to the person were the positive significance of ostomy; the preparation for this experience already in the preoperative period; emotional stability; faith; religiousness; and a sense of normalcy acquired from a next image similar to the previous one. The facilitators related to the community were the following: receiving equipment for free from the government; support from family and the multidisciplinary team, especially the nurses; and having contact with other people with stomata. Conclusion: The results allow that nurses develop strategies to help people with stomata to resume their self-care.

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Section: Discussionmentioning

confidence: 99%

Facilitators of the transition process for the self-care of the person with stoma: subsidies for Nursing

Mota

Gomes

Petuco

et al. 2015

Rev. esc. enferm. USP

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“…However, the hope of reversal persists, causing anxiety that may hinder the development of skills and competencies for self-care. 6 There are also people with a stoma who do not feel adapted and are unale to even accept this situation, remaining sad and unbelieving about this life condition. However, every person has his uniqueness, his way of coping and adapting to the new condition, and can live with suffering, pain, uncertainty, myths and fears.…”

Section: Discussionmentioning

confidence: 99%

“…She may feel different and present conflicting feelings which, in turn, can inhibit the process of adaptation and acceptance of the new condition of life, demanding a process of adaptation to the new image, identity and self-concept in the search for the existential meaning of her new body. 6 The difficulties faced by people beginning with the discovery of the cancer diagnosis, stoma construction, and the acceptance of the experienced situation, show that the impact of these factors is indicative of the actual complexity and difficulty of their process of rehabilitation. 7 In this context, nurses play an important role in this changing process of the person living with a stoma, due to their scientific knowledge and because of their involvement beginning at diagnosis, going through the pre-and post-operative periods, and during follow-up of this person in the outpatient clinic, or even by means of health educational activities and the promotion of self-care.…”

Section: Introductionmentioning

confidence: 99%

Repercussions in the Living Process of People With Stomas

Mota¹,

Gomes

Petuco

2016

Texto contexto - enferm.

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ABSTRACT:A descriptive study with a qualitative approach that aimed to identify the repercussions of ostomy construction on the living process of people with an ostomy. The study was performed at a Stomatherapy Service from a university hospital in southern Brazil, in the first semester of 2011, with eight patients. Data were collected through semi-structured interviews, and they were analyzed by thematic analysis. We found that the surgery happened to prevent patient deaths. Patients presented themselves as disheartened, angry, sad, having doubts, and they sought to keep the ostomy a secret. They were concerned with the acquisition of resources for self-care. They may present complications and experience embarrassing situations because of the stoma. However, they perceived that they could live with a stoma and regain joy. We concluded that they were able to reframe their lives. We highlight the role of nurses, enabling them for self-care, constituting part of their social support network, helping them to become able to live independently. DESCRIPTORS:Ostomy. Psychosocial impact. Adaptation. Nursing. REPERCUSSÕES NO PROCESSO DE VIVER DA PESSOA COM ESTOMARESUMO: Estudo descritivo, com abordagem qualitativa, que objetivou conhecer as repercussões da estomização no processo de viver de pessoas com estoma. Este estudo foi realizado em um serviço de estomaterapia de um hospital universitário do Sul do Brasil, no primeiro semestre de 2011, com oito pessoas estomizadas. Os dados foram coletados por meio de entrevistas semiestruturadas e analisados pela análise temática. Evidenciou-se que a cirurgia ocorreu, geralmente, para evitar sua morte. Os pacientes apresentavam-se abatidos, revoltados, tristes e com dúvidas, buscando manter a estomização em segredo. Preocupavam-se com a aquisição dos recursos para seu autocuidado. Podiam apresentar complicações e vivenciar situações constrangedoras relativas ao estoma. No entanto, após adaptados, percebiam que era possível viver com o estoma, recuperando a alegria. Chegou-se à conclusão que eles eram capazes de (re)significar seu viver. Destacou-se o papel da enfermagem, habilitando-os para seu autocuidado, constituindo sua rede de apoio social e auxiliando-os a se tornarem autônomos no seu viver. DESCRITORES:Estomia. Impacto psicossocial. Adaptação. Enfermagem. IMPACTOS EN EL PROCESO DE VIVIR CON PERSONAS ESTOMIZADASRESUMEN: Estudio descriptivo con un abordaje cualitativo, que objetivó identificar las repercusiones de la estomización en el proceso de vivir de las personas con estomía. Esto fue realizado en un Servicio de Estoma-Terapia de un hospital universitario en la región Sur del Brasil, en el primer semestre de 2011, con ocho portadores. Los datos fueron recolectados a través de entrevistas semiestructuradas y analizados por el análisis temático. Se encontró que la cirugía se llevó a cabo para evitar su muerte. Los pacientes se presentaron abatidos, enojados, tristes y con dudas. Ellos se preocupaban con la adquisición de recursos para su autocuidado. Presentaron complicac...

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“…A atuação de uma equipe multiprofissional capaz de identificar e intervir em cada etapa, o apoio da família pode ser determinante na decisão pela vida [11][12][13] . O apoio psicológico pode contribuir para a compreensão e esclarecimento dos substratos psicológicos existentes e no auxílio da utilização de estratégias de enfrentamento mais adequadas, constituindo um desafio para os membros da equipe que presta assistência [10][11][12] . Os pacientes submetidos a tal procedimento têm sua perspectiva de vida alterada.…”

Section: ] (Entrevistado C)unclassified

“…Demonstrou-se que o cuidado profissional especializado, juntamente com o apoio familiar é crucial para o indivíduo se adaptar à nova condição, contribuindo assim, para melhor qualidade de vida 13 . As orientações devem englobar desde a realização do procedimento cirúrgico de estomização, bem como informações acerca de hábitos alimentares, higiene do estoma, pele periestomal e dispositivo coletor e, sobretudo, o incentivo ao autocuidado, que promove a independência do cliente, desenvolve o processo de adaptação ao estoma e previne complicações, tais como: infecção, dermatite de pele, prolapso e descolamento mucocutâneo 11 . A maioria das complicações pode ser evitada com a demarcação prévia da localização do estoma e com o uso de técnica cirúrgica adequada.…”

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