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- Nursing Interventions to Promote Self-Care in a Candidate for a Bowel Elimination Ostomy: Scoping ReviewPublication . Soares-Pinto, Igor; Queirós, Sílvia; Alves, Paulo; Manuel, Tânia; Santos, Célia; Brito, AliceObjectives: To identify nursing interventions, their characteristics, and outcomes for promoting self-care in candidates for a bowel elimination ostomy. Materials and methods: A scoping review was carried out based on the Joanna Briggs Institute’s recommendations. For this, studies published in Portuguese, English, and Spanish on the Web of Science, CINAHL, and Scopus databases and without a time limit were selected on November 9, 2020. Results: Of 2248 articles identified, 41 were included in this review. We identified 20 nursing interventions associated with the self-care of patients with an ostomy; most of them have gaps in their content, method, and frequency or dosing. More than 30 indicators were identified to assess the impact of nursing interventions; however, most of them were indirect assessments. Conclusion: There is scarce evidence regarding the different aspects that must be involved in nursing interventions for patients with a stoma. Moreover, there is no standardization in methods, frequency, or dosing of intervention. It is urgent to define the content, method, and frequency of nursing interventions necessary to promote self-care in patients with a bowel elimination ostomy and to use assessment tools that directly measure stoma self-care competence
- Psychometric Properties of the Form Development of Self-Care Competence of the Person with a Bowel Elimination OstomyPublication . Pinto, Igor; Santos, Célia; Brito, Alice; Queirós, SílviaBackground: The use of an instrument to assess the self-care competence in patients with bowel elimination ostomy allows for the systematic identification of their specific needs, ensuring the continuity of nursing care. Although an instrument that assesses the domains that integrate this competence has been developed in Portugal, it has not yet been validated. Objectives: To assess the psychometric properties of the form Development of Self-Care Competence of the Person with a Bowel Elimination Ostomy. Methodology: Methodological study aimed at analyzing the psychometric properties of a measurement instrument, written in Portuguese. Results: The Cronbach’s alpha was 0.95 and the inter-rater reliability showed a correlation greater than or equal to 0.98. A statistically significant correlation was found in the split-half test, as well as in the clinical sensitivity analysis. Conclusion: The form presented good psychometric indicators, which suggests that it is a useful tool to be used in the nursing diagnosis process, thus contributing to the optimization of nursing care.
- Risk factors associated with the development of elimination stoma and peristomal skincomplicationsPublication . Pinto, Igor; Queirós, Sílvia; Queirós, Cármen; Silva, Carla; Santos, Célia; Brito, AliceBackground: Stoma formation leads to changes that are influenced by several factors, namely the presence of stoma and/or peristomal skin complications. It is estimated that 80% of ostomy patients have at least one stoma-related complication throughout their life. Objectives: To identify the risk factors associated with the development of elimination stoma and peristomal skin complications. Methodology: Literature review, based on the methodological strategy of the Joanna Briggs Institute for scoping reviews. A total of 1,492 articles were identified, of which 22 were included for analysis. Results: Most of the risk factors for the development of complications are non-modifiable. Pre and postoperative education, stoma site marking, and follow-up after hospital discharge are some of the nursing-sensitive factors. Conclusion: The identification of risk factors associated with the development of stoma complications allows nurses to early identify patients’ vulnerability indicators and intervene more effectively.
- Validation of a form to assess the self-care competence of the person with ventilation ostomyPublication . Pereira, Brizida; Queirós, Sílvia; Brito, Alice; Santos, CéliaIntroduction: Self-care competence can improve health outcomes in people with a tracheostomy. The use of an instrument to assess the self-care competence of the person with an ostomy allows for organized and complete data collection, facilitating the identification of nursing care needs. In Portugal there is no validated instrument that allows the assessment of self-care competence of the person with a tracheostomy. Objetives: To assess the psychometric and clinimetric properties of the form to assess self-care competence of the person with a tracheostomy. Methods: Methodological study in a non-probability sample of 195 participants. Results: The form presented high internal consistency values, being greater than 0.90 in all domains. Inter-judge reliability, the Wilcoxon test, and the two-half test showed very similar values in the evaluation performed between evaluators. Regarding its validity, a positive interdomain correlation and good relation between clinical variables were demonstrated. Conclusion: The instrument demonstrated good psychometric and clinimetric properties, however further studies are needed to assess reliability and validity.