POST-OPERATIVE OF INTESTINAL OSTOMY: DIAGNOSIS AND NURSING INTERVENTIONS IMPLEMENTED IN CLINICAL PRACTICE

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Abstract

Objective: To identify nursing diagnoses and interventions implemented in clinical practice for patients in the postoperative period of intestinal ostomy based on the Theory of Basic Human Needs (NHB). Method: Quantitative, retrospective, and documentary study developed with 57 medical records of patients in the postoperative period of intestinal ostomy who were admitted to a general surgery unit of a hospital in the south of Brazil. Data were analyzed using descriptive statistics and grouped considering the NHB theory. Results: Twenty-five nursing diagnoses and 101 interventions were identified, which were mostly related to psychobiological NHB. The most frequent diagnoses were: Impaired tissue integrity (85.75%), and Risk of infection (26.25%). The nursing interventions checking vital signs (85.75%), and implementing colostomy/ileostomy care (80.5%) were characterized as the most prescribed ones. No diagnoses and interventions related to psychospiritual NHBs were obtained. Conclusion: The results revealed that nurses prioritized the psychobiological needs of patients, focusing care on the demands arising from the surgical intervention and its possible complications.

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References

Ambe PC, Kurz NR, Nitschke C, Odeh SF, Möslein G, Zirngibl H. Intestinal ostomy classification, indications, ostomy care and complication management. Dtsch Arztebl Int 2018;115:182-7. https://doi.org/10.3238/arztebl.2018.0182

Cerqueira LCN, Cacholi SAB, Nascimento VS, Koeppe GBO, Torres VCP, Oliveira PP. Clinical and ociodemographic characterization of ostomized patients treated at a referral center. Rev Rene 2020;21:e42145. https://doi.org/10.15253/2175-6783.20202142145

Carneiro LM, Ferreira AM, Rigotti MA, Uliana CH, Sasaki VDM, Diniz MO, Sokem JAS. Caracterização sociodemográfica e clínica de pessoas ostomizadas intestinais: uma revisão integrativa da literatura. Res Soc Dev 2021;10(13):e142101321109. https://doi.org/10.33448/rsd-v10i13.21109

Ayaz-Alkaya S. Overview of psychosocial problems in individuals with stoma: A review of literature. Int Wound J 2019;16(1):243-9. https://doi.org/10.1111/iwj.13018

Brito L, Santos e Silva RK, Rocha GA, Galiza FT, Leal JDV, Pereira FGF. Papel do enfermeiro na assistência às pessoas estomizadas intestinais: revisão integrativa. Rev Enferm UFPI 2018;7(4):56-60. https://doi.org/10.26694/2238-7234.7456-60

Garcia TR, Nóbrega MML. Processo de Enfermagem: da teoria à prática assistencial e de pesquisa. Esc Anna Nery 2009;13(1):188-93. https://doi.org/10.1590/S1414-81452009000100026

Horta WA. Processo de enfermagem. São Paulo: Editora Pedagógica e Universitária; 1979. 56 p.

Jesus PBR, Sena MN, Bispo NO, Silva PAS, Santos DM. Sistematização da assistência de enfermagem às pessoas com estomias intestinais: revisão integrativa. ESTIMA, Braz. J. Enterostomal Ther 2018;16:e1718. https://doi.org/10.30886/estima.v16.418_PT

Silva KF, Ferreira DS, Lima MS, Silva RB, Pereira EBF, Silva FMV. Cuidados de enfermagem direcionados às complicações pós-confecção de estoma de eliminação intestinal. Enferm Bras 2022;21(3):344-58. https://doi.org/10.33233/eb.v21i3.4886

Herdman TH, Kamitsuru S, Lopes CT. Nursing diagnoses: definitions & classification 2021-2023. 12a ed. Porto Alegre: Artmed; 2021. 568 p.

Steyer NH, Oliveira MC, Gouvêa MRF, Echer IC, Lucena AF. Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica. Rev Gaúcha Enferm 2016;37(1):e50170. https://doi.org/10.1590/1983-1447.2016.01.50170

Borges KR, Bernardo THL, Soares IP, Sarmento PA, Bastos MLA, Santos AAP, Souza EES. Identificação dos diagnósticos de enfermagem em recuperação pós-anestésica segundo a teoria das necessidades humanas básicas. Res Soc Dev 2021;10(3):e20210313201. https://doi.org/10.33448/rsd-v10i3.13201

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020;161(9):1976-82. https://doi.org/10.1097/j.pain.0000000000001939

Lima LAA, Santos WSV, Santos MRF, Camelo ABM, Paz RS, Madeira MZA. Intervenções de enfermagem frente aos desconfortos/complicações em uma unidade de recuperação pós-anestésica. Rev Enferm UFPI 2019;8(1):54-60. https://doi.org/10.26694/2238-7234.8154-60

Fritzen A, Silva LP, Caregnato RCA, Linch GF da C. Diagnósticos de enfermagem no período perioperatório: revisão integrativa. Rev SOBECC 2021;26(1):50-9. https://doi.org/10.5327/Z1414-4425202100010008

Paula MAB, Thuler SR, Silveira NI, Azevedo GR. Intervenção nas áreas de abrangência da estomaterapia. Lorena: CCTA; 2016.124 p.

Moya-Muñoz N, Capilla-Díaz C, Labella-Rodríguez M, Gálvez-Cano J, Sánchez-Crisol I, Hueso-Montoro C. Nursing diagnoses in people with digestive stoma and their association with sociodemographic and clinical factors. Int J Nurs Knowl 2019;30(4):203-10. https://doi.org/10.1111/2047-3095.12230

Capilla-Díaz C, Moya-Muñoz N, Matas-Terrón JM, Pérez-Morente MA, Álvarez-Serrano MA, Montoya-Juárez R, Hueso-Montoro C. Evaluation of interventions in people with digestive stoma through the Nursing Interventions Classification. Int J Nurs Knowl 2022;33(1):40-8. https://doi.org/10.1111/2047-3095.12328

Carvalho CMG, Cubas MR, Nóbrega MML. Nursing diagnoses, outcomes and interventions in the care of people with intestinal elimination stoma. ESTIMA, Braz. J. Enterostomal Ther 2018;16:e2218. https://doi.org/10.30886/estima.v16.518

He LJ, Zheng MC, Yuet Wong FK, Ying J, Zhang JE. Immediate postoperative experiences before discharge among patients with rectal cancer and a permanent colostomy: A qualitative study Eur J Oncol Nurs 2021;51:101911. https://doi.org/10.1016/j.ejon.2021.101911

Dalmolin A, Girardon-Perlini NMO, Gomes ES, Simon BS, Coppetti LC, Santos EB. A participação da família no cuidado à pessoa com estoma: percepções de profissionais de enfermagem. Ciênc Cuid Saúde 2022;21:e62004. https://doi.org/10.4025/ciencuidsaude. v21i0.62004

Bavaresco M, Manfredini GMSG, Moraes CM, Lima RS, Fava SMCL, Dázio EMR. Complicações de estomia intestinal e pele periestoma: evidências para o cuidado de enfermagem. Rev Enferm UERJ 2019;27:e45758. https://doi.org/10.12957/reuerj.2019.45758

Campos RCA, Oliveira RA. A percepção da espiritualidade e religiosidade dos enfermeiros que trabalham num hospital-escola. Rev Ciênc Med 2022;31:e225221. https://doi.org/10.24220/2318-0897v31e2022a5221

Rossato K, Girardon-Perlini NMO, Mistura C, Veiga TM da. Espiritualidade e religiosidade de famílias rurais frente ao adoecimento oncológico. Rev Recien 2022;12(37):233-42. https://doi.org/10.24276/rrecien2022.12.37.233-242

Published

2023-05-30

How to Cite

1.
Gomes E da S, Dalmolin A, Simon BS, Druzian JM, Benetti ERR, Martins FC, et al. POST-OPERATIVE OF INTESTINAL OSTOMY: DIAGNOSIS AND NURSING INTERVENTIONS IMPLEMENTED IN CLINICAL PRACTICE. ESTIMA [Internet]. 2023 May 30 [cited 2024 Mar. 5];21. Available from: https://www.revistaestima.com.br/estima/article/view/1352

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