Care in the Ostomates Programs: the multidisciplinary team’s perspective
DOI:
https://doi.org/10.15253/2175-6783.20202144295Keywords:
Ostomy; Disabled Persons; Health Personnel; Health Services; Public Health Policy.Abstract
Objective: to interpret the multidisciplinary team’s perspective on care for ostomates. Methods: qualitative study involving five professionals from the multidisciplinary team of the Ostomates Program, based on the Social Model of Disability. To collect the data, a focus group, participant and non-participant observation were used, along with a field diary, interpreted using the thematic analysis method. Results: the experience of this team was interpreted based on the theme Challenges for the implementation of the Ostomates Program and the respective thematic nuclei: In search of teamwork and Specialized care demands for intestinal ostomates, which evidenced the influences on the work and the need for improvements in care, infrastructure and human resources. Conclusion: the health professionals’ integration among different public healthcare levels and the ostomates and families’ participation influence the care for ostomates.
References
Flach DMAM, Oliveira LGD, Andrade M, Santos CSVB, Braga ALS, Cardoso GCP, et al. Evaluative demands for health care of ostomized persons in Brazil. Rev Enferm Atual In Derme. 2019; 87:25. doi: https://doi.org/10.31011/reaid-2019-v.87-n.25-art.205
Figueiredo PA, Alvim NA. Guidelines for a Comprehensive Care Program to Ostomized Patients and Families: a nursing proposal. Rev Latino-Am Enfermagem. 2016; 24:e2694. doi: http://dx.doi.org/10.1590/1518-8345.0507.2694
Lobato LVC. Social policies and social welfare models: fragilities of the Brazilian case. Saúde Debate. 2016; 40(spe):87-96. doi: http://dx.doi.org/10.1590/0103-11042016S08
Gadelha CAG, Braga PSC. Health and innovation: economic dynamics and Welfare State in Brazil. Cad Saúde Pública. 2016; 32(2):e00150115. doi: https://doi.org/10.1590/0102-311X00150115
Sasaki VDM, Teles AAS, Lima MS, Barbosa JCC, Lisboa BB, Sonobe HM. Rehabilitation of people with intestinal ostomy: integration review. Rev Enferm UFPE on line [Internet]. 2017 [cited Jul 10, 2020]; 11(4):1745-54. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/issue/view/1546
Lenza NFB, Buetto LS, Vieira FS, Oliveira MS, Teles AAS, Sonobe HM. Intestinal colostomy needs in oncological monitoring: integrative review. Rev Enferm UFPE on line [Internet]. 2015 [cited Jul 10, 2020];9(6):8715-24. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10649/11667
Gonzaga AC, Albergaria AKA, Araújo KOP, Borges EL, Pires Junior JF. Clinical and epidemiological aspects of children and adults with intestinal stoma of the Bahia-Brazil reference center. Estima Braz J Enterostomal Ther. 2020; 18:e0520. doi: https://doi.org/10.30886/estima.v18.698_IN
Mendonça I, Gomes MF. Grupo focal: instrumento de coleta de dados na pesquisa em educação. Cad Ed Tec Soc [Internet]. 2017 [cited Jul 10, 2020];10(1):52-62. Available from: http://www.brajets.com/index.php/brajets/article/view/413/202
Souza LK. Pesquisa com análise qualitativa de dados: conhecendo a Análise Temática. Arq Bras Psicol. 2019; 71(2):51-67. doi: http://dx.doi.org/10.36482/1809-5267.ARBP2019v71i2p.51-67
Silva SC, Gesser M, Nuernberg AH. A contribuição do modelo social da deficiência para a compreensão do transtorno do espectro autista. Rev Educ Artes Inclusão. 2019; 15(2):187-207. doi: http://dx.doi.org/10.5965/1984317815022019187
Zhang Y, Xian H, Yang Y, Zhang X, Wang X. Relationship between psychosocial adaptation and health‐related quality of life of patients with stoma: a descriptive, cross‐sectional study. J Clin Nurs. 2019; 28(15-16):2880-8. doi: https://doi.org/10.1111/jocn.14876
Rojanasarot S. The impact of early involvement in a post discharge Support Program for Ostomy Surgery Patients on preventable healthcare utilization. J Wound Ostomy Continence Nurs. 2018; 45(1):43-9. doi: https://doi.org/10.1097/WON.0000000000000395
Cerqueira LCN, Cacholi SAB, Nascimento VS, Koeppe GBO, Torres VCP, Oliveira PP. Clinical and sociodemographic characterization of ostomized patients treated at a referral Center. Rev Rene. 2020; 21:e42145. doi: https://doi.org/10.15253/2175-6783.20202142145
Jin Y, Zhang J, Zheng MC, Bu XQ, Zhang JE. Psychosocial behaviour reactions, psychosocial needs, anxiety and depression among patients with rectal cancer before and after colostomy surgery: a longitudinal study. J Clin Nurs. 2019; 28(19-20):3547-55. doi: https://doi.org/10.1111/jocn.14946
Silva NM, Santos MA, Rosado SR, Galvão CM, Sonobe HM. Psychological aspects of patients with intestinal stoma: Integrative review. Rev Latino-Am Enfermagem. 2017; 25:e2950. doi: http://dx.doi.org/10.1590/1518-8345.2231.2950
Marques ADB, Amorim RF, Landim FLP, Moreira TMM, Branco JGO, Morais PB, et al. Body consciousness of people with intestinal stomach: a phenomenological study. Rev Bras Enferm. 2018; 71(2):391-7. doi: https://doi.org/10.1590/0034-7167-2016-0666
Miller D, Pearsall E, Johnston D, Frecea M, McKenzie M, Ontario Provincial ERAS Enterostomal Therapy Nurse Network. Executive summary: enhanced recovery after surgery: Best Practice Guideline for Care of patients with a fecal diversion. J Wound Ostomy Continence Nurs. 2017; 44(1):74‐7. doi: https://doi.org/10.1097/WON.0000000000000396
Moraes JT, Amaral CFS, Borges EL, Ribeiro MS, Guimarães EAA. Validation of an instrument for evaluating health care services to ostomized people. Rev Latino-Am Enfermagem. 2016; 24:e2825. doi: http://dx.doi.org/10.1590/1518-8345.0748.2825
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