Autocuidado: uma estratégia para a qualidade de vida da pessoa com estomia

Conditioning factors for the development of the self-care competence in the person with a tracheostomy

“…This result is consistent with the existing evidence that suggests that the duration of experience is a positive predictor of ostomized patients' acceptance and adaptation to the condition (Brown & Randle, 2005;Richbourg, Thorpe, & Rapp, 2007;RNAO, 2009, Mota et al, 2016. The repetition of care and the experience with the ostomy over time allow people to acquire greater self-care competence, thus becoming more independent (Thorpe et al, 2014;Lim et al, 2015;Mota et al, 2016). The results also show that there are no statistically significant differences between the level of ostomy self-care competence and attending or not a preoperative nursing consultation.…”

“…This would justify the development of another study with a larger and more representative sample closer to the moment of surgery so as to identify the influence of the preoperative nursing consultation in the development of ostomy self-care competence. The prior contact with tracheostomy patients was also not significant to the expected results, which contradicts the results of other studies on this topic (Mota et al, 2015;Mota et al, 2016). In almost all cases reported, the contact was occasional and unintended, and did not include the sharing of opinions or experiences, which may explain the fact that its impact on the level of self-care competence was not clear.…”

“…Similarly to other studies, the obtained results suggest that the existence of a informal caregiver can lead to a lower involvement in self-care. The patient who knows that there is a competent relative willing to take responsibility for care may stop performing these tasks, and become dependent (Mota et al, 2016). On the contrary, people without support at home must become more involved, thus developing auton-…”

“…Clinical factors such as the medical diagnosis, preoperative symptoms, time elapsed since surgery, and postoperative complications were also mentioned in the literature (Brown & Randle, 2005; Registered Nurses' Association of Ontario [RNAO], 2009). Among these factors, literature refers to time elapsed since surgery as the most common facilitating factor for acceptance, adaptation and development of ostomy self-care (Bellato et al, 2006;Lim et al, 2015;Mota et al, 2016), as well as the duration of the ostomy, in which patients with a permanent ostomy revealed higher levels of autonomy and quality of life (Recalla et al, 2013;Campillo Martínez, 2015). With regard to the health monitoring factors, the preoperative information is described as a variable that can enhance the adaptation to the ostomy and, consequently, the development of self-care competence (Walker & Lachman, 2013;Mota et al, 2016).…”

“…Among these factors, literature refers to time elapsed since surgery as the most common facilitating factor for acceptance, adaptation and development of ostomy self-care (Bellato et al, 2006;Lim et al, 2015;Mota et al, 2016), as well as the duration of the ostomy, in which patients with a permanent ostomy revealed higher levels of autonomy and quality of life (Recalla et al, 2013;Campillo Martínez, 2015). With regard to the health monitoring factors, the preoperative information is described as a variable that can enhance the adaptation to the ostomy and, consequently, the development of self-care competence (Walker & Lachman, 2013;Mota et al, 2016). Although several studies mention conditioning factors for the development of the ostomy selfcare competence and adaptation to the stoma, few studies focus on the target population of this study: patients with a traqueostomy.…”