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- Self-care competence of patients with an intestinal stoma in the preoperative fasePublication . Silva, Carla; Santos, Célia; Brito, Alice; Cardoso, Teresa; Lopes, JoanaBackground: Patients undergoing intestinal stoma formation need to develop their stoma self-care competence. This competence should start being developed during the preoperative phase. Objective: To identify patients’ stoma self-care competence in the preoperative phase, particularly on the day before ostomy surgery. Methodology: Quantitative, descriptive, and cross-sectional study. Non-probability sampling technique with 50 participants. Data were collected using the assessment form of the Self-Care Competence of the Person with an Intestinal Stoma (CAO-EI: ESEP). Results: The level of knowledge represents the self-care competence of patients with an intestinal stoma in the preoperative phase of an ostomy surgery. Conclusion: The multidimensional nature of the self-care competence of patients with intestinal stoma justifies exploring other domains of this competence besides knowledge in the preoperative phase given the identified benefits on the process of adaptation after surgery
- 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.
- Data, diagnoses, and nursing interventions focused on a person living with an ostomy: scoping review protocolPublication . Silva, Carla; Brito, Alice; Paiva, Abel; Queiros, Carmen; Morais, Ernesto; Bastos, FernandaIntroduction: The building of an ostomy generates changes that trigger a health/disease transition. Nurses play a major role in adapting to the new condition. It is important to formalize nursing knowledge that supports nurses’ decision-making in order to incorporate it into information systems that promote evidence-based nursing practice. Objetive: Continuously map the nursing knowledge involved in the process of care planning, focusing on the person living with an ostomy. Methods: Joanna Briggs Institute's scoping review guidance and, the Cochrane Collaboration's guidance on living systematic reviews will be followed to meet the review's objective. Two independent reviewers will evaluate the relevance of the articles, the extraction and synthesis of the data. Studies published in English, Spanish and Portuguese from 2009 onwards, searched in MEDLINE (PubMed), CINAHL (EBSCO), Scopus, JBI Library of Systematic Reviews and Cochrane Central Register of Controlled Trials, OpenGrey, RCAAP and Dart-Europa will be included. Results: It is expected to map the data, diagnoses and nursing interventions centered on the person living with an ostomy, allowing the formalization of the knowledge involved in the design of nursing care for this population group. Conclusion: This scope review will show trends that will support nurses' decision making in order to improve the quality of clinical practice.