Patient’s real necessity: perception of people with intestinal stomas about factors associated with complications

Abstract

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.

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