Avances en Enfermería (Sep 2021)

Intestinal ostomy: Adversities and care strategies after hospital discharge

  • Larissa Gomes Machado,
  • Rosângela Marion da Silva,
  • Valentine Cogo Mendes,
  • Juliana Tamiozzo,
  • Carolina Renz Pretto,
  • Adilaeti Paiva Lopes

DOI
https://doi.org/10.15446/av.enferm.v39n3.89329
Journal volume & issue
Vol. 39, no. 3

Abstract

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Objective: To describe the difficulties and advantages encountered by people after undergoing an intestinal ostomy and being discharged from hospital services. Methodology: Qualitative, descriptive, and exploratory study conducted at a teaching hospital. The study included people with an intestinal ostomy who were discharged within 60 days from the beginning of data collection, which occurred from March and June 2018. Data collection involved a semistructured interview and thematic content analysis, resulting in thematic categories. Results: A total of 11 people participated in the study. Factors such as the delay in defining the diagnosis, difficulties in the continuity of care at home, misinformation, and fear were identified as adversities by participants. Care actions were related to the existence of a support network and hope for the reconstruction of intestinal transit. Conclusions: The care of people with intestinal ostomy requires planning hospital discharge, health education, strengthening care strategies that involve social support, and the involvement of health professionals for the continuity of health care at home.

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