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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
- Living with an ileostomy: a case study on the transition processPublication . Silva, Carla; Sousa, Florbela; Lima, Jorge; Pinto, Maria; Brito, Alice; Cruz, InêsBackground: An ileostomy affects the person’s identity, leading to a process of transition. The person’s response to transition, as the subject of nursing study, should be explored, as well as the context in which the transition is experienced. Objective: To describe and understand the transition phenomenon experienced by a person with an ileostomy and diagnosed with familial adenomatous polyposis, based on Afaf Meleis’ Transition Model. Methodology: An instrumental case study was conducted using the qualitative research paradigm. The case was selected through a convenience sampling strategy and data were collected through observation, analysis of the electronic nursing records, and semi-structured interviews. Results: The person and the context involved in the transition process are two non-recurring realities that influence its course. Conclusion: Afaf Meleis’ Transition Model allows understanding the transition process experienced by the ileostomy patient in terms of nature, conditions, and response patterns of transitions.
- 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.
- Perfil da pessoa que será submetida a ostomia de eliminação intestinal na fase pré-operatóriaPublication . Silva, Carla; Santos, Célia; Brito, AliceIntrodução: O cancro colorretal constitui uma das principais causas para a confeção de uma ostomia de eliminação intestinal (Krouse et al., 2016). Em Portugal estima-se que cerca de 20 a 25 mil pessoas vivam com uma ostomia de eliminação (Cabral, 2009). Importa, assim, conhecer o perfil deste grupo populacional na fase que antecede a cirurgia devido à sua influência no período posterior à confeção da ostomia e no processo de reabilitação e adaptação da pessoa à nova condição. Objetivo: Descrever as características sociodemográficas, clínicas e de tratamento da pessoa que vai ser submetida a ostomia de eliminação intestinal no norte de Portugal. Material e métodos: Estudo quantitativo, descritivo e transversal. Foi aplicado o formulário ”Desenvolvimento da competência de autocuidado da pessoa com ostomia de eliminação intestinal – CAO- -EI”, validado para a população portuguesa, a uma amostra de conveniência de 50 participantes em três hospitais do norte do país. Resultados: A idade média dos participantes era de 61 anos, variando as idades entre os 25 e os 85 anos. Verificou-se que 88% possuíam escolaridade, embora, destes, cerca de 71% tinham frequentado apenas o primeiro ciclo. Também 60% eram do sexo masculino, 86% casados ou viviam em união de facto e 78% possuíam um familiar cuidador, sendo em 62% dos casos o cônjuge. Todos os participantes estavam a aguardar a cirurgia colorretal com provável construção de ostomia de eliminação intestinal e todos sabiam referir o diagnóstico que motivava a cirurgia, sendo que 78% tinham carcinoma do reto, 82% iriam ser submetidos a colostomia e 52% a ostomia temporária. A maioria dos participantes (82%) nunca tinha contactado com alguém com estoma, 58% participou em consulta de Enfermagem de Estomaterapia e em metade da amostra foi efetuada marcação do estoma. Conclusões: O conhecimento sobre o perfil sociodemográfico, clínico e de tratamento das pessoas que serão submetidas a ostomia de eliminação intestinal, ainda na fase pré-operatória, permite ao enfermeiro identificar, antecipadamente, as mais vulneráveis a desenvolver um processo de adaptação menos ajustado, permitindo-lhe, assim, mobilizar e coordenar recursos no sentido de implementar intervenções de enfermagem que respondam às necessidades específicas deste grupo populacional.
- Development of a self-care ability assessment form for the person with an intestinal stomaPublication . Silva, Carla; Cardoso, Teresa; Gomes, Ana; Santos, Célia; Brito, AliceBackground: An intestinal stoma implies multiple and significant changes that tend to be overcome through the development of ostomy self-care skills. The identification of the patient’s specific needs during this adaptation process will help nurses’ decisionmaking and contribute to a rigorous nursing diagnosis process, thus improving the quality and continuity of care delivery to this population group. Objectives: To develop an instrument for assessing the self-care competence of the person with an intestinal stoma. Methodology: Methodological study consisting of the development of a form. Content validity was ensured by expert review using a focus group. The form was applied to a convenience sample of 180 participants. Results: A form was developed with 45 measurement indicators divided into 6 domains. It showed very good internal consistency (overall Cronbach’s alpha > .90) and solid content validity. Conclusion: The form proved to be a reliable and easy to use method to assess the development of self-care competence in people with an intestinal stoma.
- Especificação dos diagnósticos de enfermagem associados à pessoa que vive com um estoma que tomam por foco o conhecimentoPublication . Silva, Carla; Brito, Alice
- 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.