| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 8.85 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: Os cuidados de excelência à pessoa colostomizada, após alta hospitalar, é um desafio. Neste contexto, a Enfermagem Comunitária, tendo como espaço de intervenção a comunidade, provê o Enfermeiro Especialista em Enfermagem Comunitária como um profissional habilitado para prestar cuidados de saúde específicos e diferenciados à pessoa colostomizada e sua família.
Objetivo: Identificar as complicações dos ostomizados na comunidade, até um mês após a alta.
Metodologia: Scoping Review com base nas recomendações do Joanna Briggs Institute e do PRISMA-ScR, com pesquisa de artigos nas bases de dados eletrónicas PubMed, CINAHL complete (via EBSCOhost) e B-on, com friso temporal de janeiro de 2018 até novembro de 2023, nos idiomas português, espanhol e inglês. A extração e síntese dos dados e a sua seleção foram efetuadas por dois revisores independentes.
Resultados: Dos 37 artigos analisados, foram incluídos 4 artigos, os quais davam resposta à questão de pesquisa, cujas evidências revelaram sobretudo a presença de complicações cutâneas periestomais, correlacionadas com reinternamentos. Foram também encontradas evidências de dermatite, hérnia paracolostómica, prolapso, retração e granuloma. A maioria das complicações cutâneas periestomais era de natureza ligeira ou moderada. Estas complicações cutâneas encontravam-se relacionadas com a intervenção dos profissionais de saúde, produtos usados nos cuidados à ostomia.
Conclusões: Identificou-se, na literatura, que as complicações mais evidentes dos ostomizados na comunidade, até um mês após a alta, são as complicações cutâneas periestomais, estando dois fatores de risco associados a um aumento da probabilidade de ocorrência de uma complicação cutânea periestomal: a duração do estoma e a prega cutânea periestomal ou pregas.
Palavras-chave: Colostomia; Complicações; Enfermeiro; Enfermagem Comunitária.
Abstract Introduction: The excellent care for colostomized patients after discharge from hospital is a challenge. In this context, Community Nursing, whose intervention space is the community, provides the Community Nursing Specialist as a professional qualified to provide specific and differentiated health care to the colostomized person and their family. Objective: To identify the complications of ostomized people in the community, up to one month after discharge. Methodology: Scoping Review based on the recommendations of the Joanna Briggs Institute and PRISMA-ScR, with a search for articles in the electronic databases PubMed, CINAHL complete (via EBSCOhost) and B-on, with a time frame from January 2018 to November 2023, in Portuguese, Spanish and English. The data was extracted, synthesized and selected by two independent reviewers. Results: Of the 37 articles analyzed, 4 articles were included which provided an answer to the research question, the evidence for which mainly revealed the presence of peristomal skin complications, correlated with readmissions. Evidence was also found of dermatitis, paracolostomic hernia, prolapse, retraction and granuloma. Most peristomal skin complications were mild or moderate in nature. Peristomal skin complications were related to the intervention of healthcare professionals and products used in ostomy care. Conclusions: The literature identified that the most obvious complications of ostomized patients in the community, up to one month after discharge, are peristomal skin complications, with two risk factors associated with an increased likelihood of a peristomal skin complication: the duration of the stoma and the peristomal skin fold or folds. Keywords: Colostomy; Complications; Nurse; Community Nursing.
Abstract Introduction: The excellent care for colostomized patients after discharge from hospital is a challenge. In this context, Community Nursing, whose intervention space is the community, provides the Community Nursing Specialist as a professional qualified to provide specific and differentiated health care to the colostomized person and their family. Objective: To identify the complications of ostomized people in the community, up to one month after discharge. Methodology: Scoping Review based on the recommendations of the Joanna Briggs Institute and PRISMA-ScR, with a search for articles in the electronic databases PubMed, CINAHL complete (via EBSCOhost) and B-on, with a time frame from January 2018 to November 2023, in Portuguese, Spanish and English. The data was extracted, synthesized and selected by two independent reviewers. Results: Of the 37 articles analyzed, 4 articles were included which provided an answer to the research question, the evidence for which mainly revealed the presence of peristomal skin complications, correlated with readmissions. Evidence was also found of dermatitis, paracolostomic hernia, prolapse, retraction and granuloma. Most peristomal skin complications were mild or moderate in nature. Peristomal skin complications were related to the intervention of healthcare professionals and products used in ostomy care. Conclusions: The literature identified that the most obvious complications of ostomized patients in the community, up to one month after discharge, are peristomal skin complications, with two risk factors associated with an increased likelihood of a peristomal skin complication: the duration of the stoma and the peristomal skin fold or folds. Keywords: Colostomy; Complications; Nurse; Community Nursing.
Description
Keywords
Colostomia Competência profissional Complicações pós operatórias Enfermagem de saúde comunitária Estomas cirúrgicos Revisão Colostomy Community health nursing Postoperative complications Professional competence Review Surgical stomas