Estima – Brazilian Journal of Enterostomal Therapy https://www.revistaestima.com.br/estima <p>The Brazilian Journal of Enterostomal Therapy – Revista Estima, is the only specialized journal in Stomatheraphy Nursing in Latin America, classified as Qualis B2 by the <em>Comissão de Aperfeiçoamento de Pessoal do Nível Superior</em> (CAPES), and at the moment is indexed in 07 databases: BDENF - Base de dados de enfermagem (BVS – Biblioteca Virtual de Saúde), CINAHL - Cumulative Index to Nursing and Allied Health Literature, CUIDEN - Base de Datos Bibliográfica de la Fundación Index, EBSCO publishing, LATINDEX - Sistema regional de información en línea para revistas científicas de América Latina, el Caribe, España y Portugal, SCHOLAR GOOGLE and Sumarios.org.</p><p>Its scope contemplates the three comprehensive areas of the specialty: ostomies, wounds, and incontinence, as well as articles related to the professional development of the specialist. It is edited and produced by the <em>Associação Brasileira de Estomaterapia: Estomias, Feridas e Incontinências</em> (SOBEST), its first number was published in 2003, with a regular quarterly period until 2017. The content has been published continuously since January 2018.</p> en-US <p><a href="http://creativecommons.org/licenses/by/4.0/" rel="license"><img src="https://i.creativecommons.org/l/by/4.0/88x31.png" alt="Creative Commons License" /></a><br /> This Journal is licensed under a <a href="http://creativecommons.org/licenses/by/4.0/" rel="license">Creative Commons Attribution 4.0 International License</a>.</p> revistaestima@sobest.com.br (Juliano T Moraes) suporte@surta.com.br (Agência Surta) Mon, 30 Mar 2020 18:27:17 -0300 OJS 3.2.1.1 http://blogs.law.harvard.edu/tech/rss 60 Manual on wound care after open-window thoracostomy https://www.revistaestima.com.br/estima/article/view/829 <p class="p1"><strong>Objective:</strong> To produce and validate a manual on wound care after open-window thoracostomy for healthcare professionals. <strong>Methods</strong>: This is an experience report. Initially, articles in Portuguese, Spanish and English were selected from 2010 to 2018 in the Cochrane, SciELO, LILACS, PubMed and Google Academic databases and search sites for the development of the material. The following descriptors were used: “thoracotomy”, “thoracostomies”, “thoracic cavity”, “pleura”, “pleural cavity”, “injuries and lesions”. After consultation, the text was prepared, followed by illustrations and layout design. The completed manuscript was sent to experts for validation. The content validity index (CVI) was used to validate the manual. <strong>Results</strong>: The manual developed has thirty-six pages and seven chapters with the following themes: introduction, wound care after open-window thoracostomy, wound cleansing/debridement, dressings, care record, final considerations, and bibliography. Conclusion: It was possible to develop and validate a manual on wound care after open-window thoracostomy for the consultation of health professionals.</p> Alcione de Jesus Gonçalves Santana, Leila Blanes, Christiane Steponavicius Sobral, Lydia Masako Ferreira Copyright (c) 2020 Alcione de Jesus Gonçalves Santana http://creativecommons.org/licenses/by/4.0 https://www.revistaestima.com.br/estima/article/view/829 Thu, 23 Jul 2020 00:00:00 -0300 Medical Device-Related Pressure Injury in health care professionals in times of pandemic https://www.revistaestima.com.br/estima/article/view/867 Facing the number of cases of coronavirus infection (COVID-19), the World Health Organization (WHO) has declared that the disease, present in several countries and continents, is a pandemic of global alert and mobilization1. In Brazil, the pandemic arrived at the end of February 2020 and has been causing alarm due to the increase in the number of contaminated people related to the high capacity of transmission of the disease. In affected patients, the virus can cause from simple symptoms, which can be treated at home, to hospital admissions, assistance in intensive care units and can even lead to death2. In the midst of this pandemic, the professionals who assist patients with suspected or confirmed COVID-19 infection constitute a population at high risk of contagion. In this way, preventive measures such as adequate hand hygiene and the use of personal protective equipment(PPE) have been reinforced. Aline Oliveira Ramalho, Paula de Souza Silva Freitas, Paula Cristina Nogueira Copyright (c) 2020 Aline Oliveira Ramalho, Paula de Souza Silva Freitas, Paula Cristina Nogueira https://www.revistaestima.com.br/estima/article/view/867 Mon, 30 Mar 2020 00:00:00 -0300 Accredited enterostomal therapy courses for excellence https://www.revistaestima.com.br/estima/article/view/866 Until the end of the 1970s, enterostomal therapy could be practiced by other health professionals and even lay people. But soon after the creation of the World Council of Enterostomal Therapists (WCETTM) in 1978, this became an exclusive specialty of nurses (from 1980 onwards). Juliano Teixeira Moraes, Vera Lúcia Conceição de Gouveia Santos, Sônia Regina Pérez Evangelista Dantas, Maria Angela Boccara de Paula Copyright (c) 2020 Juliano Teixeira Moraes, Vera Lúcia Conceição de Gouveia Santos, Sônia Regina Pérez Evangelista Dantas, Maria Angela Boccara de Paula https://www.revistaestima.com.br/estima/article/view/866 Fri, 15 May 2020 00:00:00 -0300 Clean intermittent catheterization in patients with spinal cord injury: knowledge of nurses https://www.revistaestima.com.br/estima/article/view/828 <strong>Introduction</strong>: Spinal cord injury results in failure to empty the bladder, leaving the individual exposed to the risk of recurrent urinary tract infection, vesicoureteral reflux and even loss of renal function. Clean intermittent catheterization (CIC) is the method of choice for emptying the bladder in these cases. Although it has a simple technique, its performance should be well oriented in order to avoid complications such as infections or traumas. Guidance for the technique should be performed during the hospitalization period due to the injury and the nurse is responsible for this action. <strong>Objective:</strong> To evaluate the knowledge of nurses working in a trauma care hospital in relation to clean intermittent catheterization. <strong>Methods:</strong> Questionnaire constructed based on the guidelines of the European Association of Urological Nurses, applied to 18 nurses from a university hospital, a reference in the treatment of spinal trauma, regarding neurological dysfunction of the lower urinary tract and clean intermittent catheterization. <strong>Results:</strong> The participants presented expressive knowledge about lower urinary tract neurological dysfunction and CIC. There were errors regarding the CIC technique in the indication of the use of procedure gloves, in the lubrication of the catheter, collection of periodic urine cultures, use of antibiotics and in the need for instructions before discharge from hospital. <strong>Conclusion:</strong> Although the sample demonstrated knowledge on several issues related to the subject, the errors indicate the need for training and especially awareness of the responsibility of guidance before discharge from hospital. Gisela Maria Assis, Roberta Silmara Miranda, Ana Claudia Lima Dornellas, Aline Maria Benedita Messias, Valeria Teles Batista, João Júnior Gomes Copyright (c) 2020 ROBERTA SILMARA MIRANDA, Gisela Maria Assis, Ana Claudia Lima Dornellas, Aline Maria Benedita Messias, Valeria Teles Batista, João Júnior Gomes https://www.revistaestima.com.br/estima/article/view/828 Tue, 28 Apr 2020 00:00:00 -0300 Clinical and epidemiological aspects of children and adults with intestinal stoma of the Bahia-Brazil reference center https://www.revistaestima.com.br/estima/article/view/698 <strong>Objective:</strong> To characterize children and adults with intestinal stoma in relation to sociodemographic and clinical aspects of the State Reference Center of Bahia. <strong>Method:</strong> This is a cross-sectional descriptive research, with a quantitative approach and a convenience sample of 43 patients that met the inclusion criteria. The data were collected through an interview and evaluation of the stoma and skin, around and analyzed by descriptive statistics, with frequency and percentage distribution.<strong> Results:</strong> There was a predominance of males, aged between 40 and 59 years old, unmarried, with incomplete elementary education, family income of a minimum wage, having colorectal cancer and firearm trauma as responsible for the stoma. It emphasized the occurrence of temporary descending colostomy, use of a drainable device, a single piece, with a cut-off, with a cut greater than the diameter of the stoma, presence of dermatitis. Stomatal hygiene and device switching were performed independently. <strong>Conclusion:</strong> The results of the study indicated a need to reassess the strategies used in specialized care, with emphasis on educational actions aimed at self-care and greater participation of the user in the program, aiming at their rehabilitation and improvement in quality of life. Ana Claudia Gonzaga Lemos, Aurenice Karine Almeida Albergaria, Karina Portugual Araújo, Eline Lima Borges, José Ferreira Pires Junior Copyright (c) 2020 Revista Estima https://www.revistaestima.com.br/estima/article/view/698 Fri, 15 May 2020 00:00:00 -0300 The senses of being an enterostomal therapist nurse: complexities involved in the specialty https://www.revistaestima.com.br/estima/article/view/825 <strong>Objective:</strong> To describe the meanings of being an enterostomal therapist considering the complexity of the process of caring for people with wounds, stomas and incontinence. <strong>Method:</strong> A qualitative, descriptive-exploratory study, conducted through a semistructured interview, between the months of January to April 2018, with 22 graduates from a specialization course in Nursing in Enterostomal Therapy from a public university in the Southeast region, following the snowball technique. Documental research was also carried out in order to complement the data analysis. <strong>Results:</strong> The interviewed graduates reported that being an enterostomal therapist is taking care of people who have a wound, stoma and/or incontinence, which means they recognized the essence of the specialty. They emphasized that being an enterostomal therapist is to care for people who may be marginalized/stigmatized by society, to work with a focus on the patient’s rehabilitation, seeking social reintegration and independence, and to know how to be an entrepreneur. <strong>Conclusion:</strong> The meaning of being an enterostomal therapist involves being inserted in a specialty that provides flexibility in the job market and an entrepreneurial character, which gives professional recognition and even financial satisfaction. It is suggested, therefore, that further studies be carried out in this area, contributing to the fields of assistance, teaching, research and extension. Carolina Cabral Pereira da Costa, Norma Valéria Dantas de Oliveira Souza, Ellen Marcia Peres, Manoel Luis Cardoso Vieira, Jakeline Costa dos Santos, Rafael Seabra Polidoro Cardoso Copyright (c) 2020 Carolina Cabral Pereira da Costa, Norma Valéria Dantas de Oliveira Souza, Ellen Marcia Peres, Manoel Luis Cardoso Vieira, Jakeline Costa dos Santos, Rafael Seabra Polidoro Cardoso https://www.revistaestima.com.br/estima/article/view/825 Thu, 04 Jun 2020 00:00:00 -0300 Psychosocial factors of patients with venous leg ulcers and their association with healing https://www.revistaestima.com.br/estima/article/view/845 <strong>Objectives:</strong> To identify psychosocial factors present in patients with venous leg ulcers and the association that these factors have in the healing of venous leg ulcers. <strong>Methods:</strong> An integrative review of the quantitative studies in MEDLINE, Scielo and Cochrane Library databases, between 2008 and 2019, using the keywords, psychosocial factors, venous ulcer, wound healing, anxiety and depression in English, Spanish and Portuguese. <strong>Results:</strong> sixteen studies were included. The psychosocial factors present in patients with venous ulcers were depression, anxiety, feelings of helplessness, subjective well-being, self-esteem, loneliness and spirituality. Stress, a negative perception of venous ulcer, living alone and severe experience of symptoms such as pain and depression have statistically significant associations with longer periods of healing. <strong>Conclusions:</strong> Depression is one of the most frequently measured factors and present in this population. The available evidence on the association of psychosocial factors with the healing of venous ulcers is low. Johana Enyd Cifuentes Rodriguez, Sandra Guerrero Gamboa Copyright (c) 2020 Johana Enyd Cifuentes Rodriguez https://www.revistaestima.com.br/estima/article/view/845 Mon, 08 Jun 2020 00:00:00 -0300 Incidence of pressure injury and nursing care time in intensive care https://www.revistaestima.com.br/estima/article/view/849 <strong>Objectives:</strong> To correlate the incidence of pressure injury (PI) with the average time of nursing care in an intensive care unit (ICU). <strong>Method:</strong> Epidemiological, observational, retrospective study, carried out in the ICU of a university hospital. Data were collected by consulting the PI incidence and the average nursing care time from ICU databases between 2010 and 2014. Measures of central tendency and variability, and Pearson’s correlation coefficient were used for data analysis. <strong>Results:</strong> The average incidence of PI between 2010 and 2014 was 10.83% (SD = 2.87) and the average time spent in nursing care for patients admitted to the ICU was 15 hours (SD = 0.94). There was no statistically significant correlation between the incidence of PI and the nursing care time (r = -0.17; p = 0.199), however, the results suggested an overload on the nursing team. <strong>Conclusion:</strong> This study confirms the importance of implementing and reassessing the effectiveness of preventive care protocols for PI, in addition to warning about the work overload of nursing in assisting critically ill patients. Yasmin Cardoso Metwaly Mohamed Ali, Taís Milena Milena Pantaleão Souza, Paulo Carlos Garcia, Paula Cristina Nogueira Copyright (c) 2020 Yasmin Cardoso Metwaly Mohamed Ali, Taís Milena Milena Pantaleão Souza, Paulo Carlos Garcia, Paula Cristina Nogueira https://www.revistaestima.com.br/estima/article/view/849 Wed, 10 Jun 2020 00:00:00 -0300 Socio-demographic and intestinal elimination profile in women treated at a health service https://www.revistaestima.com.br/estima/article/view/830 <p class="p1"><strong>Objective:</strong> To investigate the profile of intestinal eliminations in women. <strong>Method:</strong> Cross-sectional study conducted with 41 women seen at a women’s health center in the state of Piauí in Brazil. For data collection, a form was used containing the sociodemographic data and questionnaires that assessed the data on the intestinal elimination pattern with questions based on the Rome IV criteria and the Bristol scale. <strong>Results:</strong> Of the 41 participants, 56.1% reported consuming one to two servings of fruits or vegetables per day and 51.2% consumed more than two liters of water per day. Regarding the patterns of intestinal elimination, 39% had feces in the Bristol 3 category. As for the Rome IV criteria, 21 (51.2%) women were considered constipated and the frequency of evacuation was statistically significant with the presence of constipation. <strong>Conclusion:</strong> There was a significant number of women with constipation. There was a need to develop actions that help to cope with the problem and improve the quality of life of this population.</p><p class="p1"> </p><p class="p1"> </p> Rhaylla Maria Pio Leal Jaques, Elaine Carininy Lopes da Costa, Gisela Maria de Assis, Aline Costa de Oliveira, Claudia Daniella Avelino Vasconcelos Benício, Sandra Marina Gonçalves Bezerra Copyright (c) 2020 Rhaylla Maria Pio Leal Jaques, Elaine Carininy Lopes da Costa, Gisela Maria de Assis, Sandra Marina Gonçalves Bezerra, Claudia Daniella Avelino Vasconcelos Benício, Aline Costa de Oliveira https://www.revistaestima.com.br/estima/article/view/830 Wed, 10 Jun 2020 00:00:00 -0300 Algorithms for prevention and treatment of incontinence-associated dermatitis https://www.revistaestima.com.br/estima/article/view/837 <strong>Objective:</strong> To build and validate algorithms for prevention and treatment of incontinence-associated dermatitis. <strong>Method:</strong> A methodological study. An integrative review of articles published from 2009 to 2019 was carried out after a literature search in the main Health Sciences databases for the construction of the algorithms. The algorithms were evaluated by 27 nurses using the Delphi technique. The content validity index was used for data analysis. <strong>Results:</strong> The judges evaluated the algorithms from inadequate to adequate in the first round of consultation, and from adequate to totally adequate in the second round of consultation. The global content validity index was 0.923 in the first consultation and 1.0 in the second consultation. <strong>Conclusion</strong>: After reviewing the literature, the algorithms were constructed and validated by professionals with experience in the area, reaching agreement among the judges in the second round of consultation. Geraldo Magela Salomé, Cleber Aparecido da Rocha, Flávio Dutra Miranda, José Ronaldo Alves, Rosimar Aparecida Alves Dutra, Amanda Gabriele Tenório Copyright (c) 2020 Geraldo Magela Salomé, Cleber Aparecido da Rocha, Flávio Dutra Miranda, José Ronaldo Alves, Rosimar Aparecida Alves Dutra, Amanda Gabriele Tenório https://www.revistaestima.com.br/estima/article/view/837 Wed, 15 Jul 2020 00:00:00 -0300 Effects of low-level laser therapy on the healing of foot ulcers in people with diabetes mellitus https://www.revistaestima.com.br/estima/article/view/844 <strong>Objective:</strong> Identify the effects of low-level laser therapy on the healing of diabetic foot. <strong>Method:</strong> Systematic review of the PubMed, LILACS, SciELO, CINAHL, Cochrane, Web of Science and Scopus databases, in which 92 articles were identified and six were included in the final sample after the eligibility criteria. <strong>Results:</strong> The articles pointed out as effects of laser therapy the effectiveness in the progression of the tissue repair process of the diabetic foot, pain relief, anti-inflammatory action, increased tissue perfusion of the lesion and improvement of the vascular response and the nervous system.<strong> Conclusion:</strong> Laser is an adjuvant therapy that can accelerate the wound healing process, relieve pain, improve neovascularization, and thus minimize the risk of complications, such as lower limb amputation and improvement of quality of life for people with diabetes and impaired skin integrity. Maria Girlane Sousa Albuquerque Brandão, Maria Aline Moreira Ximenes, Aline de Oliveira Ramalho, Vivian Saraiva Veras, Lívia Moreira Barros, Thiago Moura de Araújo Copyright (c) 2020 Maria Girlane Sousa Albuquerque Brandão, Aline de Oliveira Ramalho, Vivian Saraiva Veras, Thiago Moura de Araújo, Lívia Moreira Barros https://www.revistaestima.com.br/estima/article/view/844 Fri, 15 May 2020 00:00:00 -0300 Nursing strategies for pressure injury prevention in surgical patients https://www.revistaestima.com.br/estima/article/view/793 <strong>Objective:</strong> To identify in the literature the strategies used by nursing teams to prevent pressure injury in surgical patients. <strong>Methods:</strong> Integrative review, using the PICo strategy, with the guiding question: “What are the strategies used by the nursing team to prevent pressure injury in surgical patients?” The searches were performed in the Web of Science, MEDLINE via PubMed, CINAHL, Cochrane, Scopus and LILACS bibliographic index via VHL, from where 12 studies were analyzed. <strong>Results:</strong> Brazil stood out with four publications and cohort studies, with level of evidence IV, prevailed in six articles. Technological interventions for the prevention of Pressure Injury in the operating room were pressure distribution mattresses, a device to reduce pressure on the calcaneus, specific validated instruments for the classification of the risk of Pressure Injury in surgical patients, in addition to support surfaces containing polymer viscoelastic and other tools to relieve pressure from weight and medical devices. Regarding educational interventions, protocols, training and realistic simulation stood out. <strong>Conclusion:</strong> It was observed that these strategies reduced the incidence of pressure injury, in addition to reducing costs and ensuring patient satisfaction. Sandra Marina Gonçalves Bezerra, Jessyca Fernanda Pereira Brito, Jefferson Abraão Caetano Lira, Nanielle Silva Barbosa, Kauan Gustavo de Carvalho, Luana Silva de Sousa Copyright (c) 2020 Sandra Marina Gonçalves Bezerra, Jessyca Fernanda Pereira Brito, Jefferson Abraão Caetano Lira, Nanielle Silva Barbosa, Kauan Gustavo de Carvalho, Luana Silva de Sousa https://www.revistaestima.com.br/estima/article/view/793 Wed, 10 Jun 2020 00:00:00 -0300 Application of Orem’s theory on wounds: an integrative review https://www.revistaestima.com.br/estima/article/view/821 <strong>Objective:</strong> To characterize the scientific production on the application of Orem’s self-care theory in the scope of wounds. <strong>Method</strong>: Integrative literature review with the available articles that highlight the theme. The following informational resources were used: VHL, CINAHL, Scopus, Cochrane, PubMed and SciELO. The following descriptors were listed: Self Care, Nursing Theory, Wound and Ulcer, in their English and Portuguese versions. The final sample consisted of 10 publications. Data were collected using a validated tool. Evaluation and data synthesis were produced through description and simple statistical evaluations. <strong>Results</strong>: The analyzed researches were developed in four countries; English language was predominant; publications began in 2004. The theory was applied in nursing care systematization, as a teaching strategy for self-care and as a theoretical framework. The articles linked the theory to diabetic foot, venous ulcer, leg/lower limb ulcers (no specification of type), burns and pressure injury. <strong>Conclusion:</strong> Orem’s theory was applied to a variety of individuals and contexts, its applicability within the scope of wounds is something concrete, regardless of the type of injury. Larissa Houly de Almeida Melo, Thaís Honório Lins Bernardo, Jane Keyla Souza dos Santos Macedo, Leilane Camila Ferreira de Lima Francisco, Alice Correia Barros Copyright (c) 2020 Larissa Houly de Almeida Melo, Thaís Honório Lins Bernardo, Jane Keyla Souza dos Santos Macedo, Leilane Camila Ferreira de Lima Francisco, Alice Correia Barros https://www.revistaestima.com.br/estima/article/view/821 Wed, 10 Jun 2020 00:00:00 -0300 Nursing interventions to reduce surgical site infection in potentially contaminated surgeries: an integrative review https://www.revistaestima.com.br/estima/article/view/848 <strong>Objective:</strong> Identify nursing interventions that contribute to the reduction of surgical site infections in potentially contaminated surgeries. <strong>Methods:</strong> Integrative review, carried out in four databases. There were 5,888 articles published in the period from January 2008 to July 2018, in English, Portuguese and Spanish, from which nine articles were selected after final analysis. <strong>Results:</strong> The nursing interventions appeared according to the perioperative periods: preoperative (55.55%), intraoperative (33.33%), postoperative (66.66%), being associated with: antibiotic therapy, trichotomy, alcoholic chlorhexidine bathing, hand hygiene, sterile glove/wear/ package change for fascia and skin closure, degermination, antisepsis, surgical classification, surgical time, care with dressings and drains, temperature and blood glucose control, patient education, discharge and post-hospital discharge orientation. <strong>Conclusions:</strong> Nursing interventions were identified in each perioperative period, proving to be essential for the qualification of nursing care and effective in reducing surgical site infection in potentially contaminated surgeries. Tatiana Martins, Lúcia Nazareth Amante, Camila Vicente, Gabrielle Maciel de Sousa, Emanuele Pozzebon Caurio, Maria Elena Echevarría Guanilo, Juliana Balbinot Reis Girondi Copyright (c) 2020 Tatiana Martins, Lúcia Nazareth Amante, Camila Vicente, Gabrielle Maciel de Sousa, Emanuele Pozzebon Caurio https://www.revistaestima.com.br/estima/article/view/848 Sat, 11 Jul 2020 00:00:00 -0300 Digital technologies in the prevention of diabetic foot: a review on mobile applications https://www.revistaestima.com.br/estima/article/view/870 Analyze mobile applications developed for prevention of diabetic foot. Method: Integrative review, with searches in LILACS, BDENF, Scopus, Web of Science and PubMed databases, from 2000 to 2019. After eligibility criteria, the sample consisted of nine articles. Results: The mobile applications for prevention of diabetic foot are based on online foot monitoring through images, evaluation of thermal images of the feet, capture of images of the sole of the foot, recommendations for self-care with the feet and classification of the risk of diabetic foot. The analysis of the articles shows that the applications were considered a good prevention strategy. Conclusion: This study enabled the identification of nine mobile applications developed for prevention of diabetic foot, with predominance in the use of thermometry as the main measure for prevention and early detection of diabetic foot ulcers, with the use of thermal images and sensors associated with the mobile application. Sabado Gomes Dabó, Maria Girlane Sousa Albuquerque Brandão, Thiago Moura de Araújo, Natasha Marques Frota, Vivian Saraiva Veras Copyright (c) 2020 Sabado Gomes Dabó, Maria Girlane Sousa Albuquerque Brandão, Thiago Moura de Araújo, Natasha Marques Frota, Vivian Saraiva Veras https://www.revistaestima.com.br/estima/article/view/870 Fri, 17 Jul 2020 00:00:00 -0300