POST-OPERATIVE OF INTESTINAL OSTOMY: DIAGNOSIS AND NURSING INTERVENTIONS IMPLEMENTED IN CLINICAL PRACTICE
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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Eduardo da Silva Gomes, Angélica Dalmolin, Bruna Sodré Simon, Jonatan Machado Druzian, Eliane Raquel Rieth Benetti, Fernanda Cristóvão Martins, Nara Marilene Oliveira Girardon-Perlini
This work is licensed under a Creative Commons Attribution 4.0 International License.