Ostomates’ perception of the quality of specialized care services and factors associated with adaptation
DOI:
https://doi.org/10.36517/2175-6783.20252695528Keywords:
Quality of Health Care; Ostomy; Secondary Care; Consumer Behavior; Enterostomal Therapy.Abstract
Objective: to identify ostomates’ perception of the quality of specialized care services and the factors associated with their adaptation. Methods: a cross-sectional study conducted through a telephone survey with 47 questions (35 on service quality assessment and 12 on user characteristics). A total of 234 calls were made to 87 ostomates. Results: the sample included 38 ostomates: 36.8% had a permanent ostomy, and 57.8% were awaiting intestinal reconstruction. While 81.6% managed their own pouching system, 21.1% reported receiving an insufficient quantity, and 10.5% were dissatisfied with its quality. Regarding complications, 78.0% had experienced them, and 82.0% could recognize them. Consultations were held with nurses (100%) and physicians (31.6%). Most ostomates (78.9%) frequented public or shared environments. Feeling adapted to life with an ostomy (65.8%) was associated with receiving a sufficient quantity of supplies (p=0.011), and dissatisfaction with the physician’s care was associated with poorer adaptation (p=0.039). Conclusion: ostomates have access to specialized care services, supplies, and consultations with nurses. However, a minority had consultations with physicians — whose performance was associated with adaptation — and many were still awaiting intestinal reconstruction. Contributions to practice: the findings reveal gaps that impact care quality and highlight the need for targeted improvements in service delivery.
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