Intervenciones de enfermería para promover el autocuidado en un candidato a ostomía de eliminación intestinal
DOI:
https://doi.org/10.5294/aqui.2022.22.1.2Palabras clave:
Atención de enfermería, práctica clínica basada en la evidencia, autocuidado, estomía, educación del paciente como asuntoResumen
Objetivos: identificar las intervenciones de enfermería, sus características y resultados para promover el autocuidado en candidatos a estoma de eliminación intestinal.
Materiales y métodos: se llevó a cabo una revisión de alcance con base en las recomendaciones del Instituto Joanna Briggs. Para este fin, se seleccionaron estudios publicados en portugués, inglés y español en las bases de datos Web of Science, CINAHL y Scopus al 9 de noviembre de 2020.
Resultados: de un total de 2248 artículos identificados, se incluyeron 41 en esta revisión. Se identificaron 20 intervenciones de enfermería asociadas al autocuidado de pacientes con ostomía; la mayoría tiene lagunas en su contenido, método y frecuencia o dosis. Se identificaron más de treinta indicadores para evaluar el impacto de las intervenciones de enfermería; sin embargo, la mayoría de ellas fueron evaluaciones indirectas.
Conclusión: es escasa la evidencia sobre los diferentes aspectos que deben considerarse en las intervenciones de enfermería para pacientes con estoma. Además, no existe una estandarización en los métodos, la frecuencia o la dosis de intervención. Es urgente definir el contenido, el método y la frecuencia de las intervenciones de enfermería necesarias para promover el autocuidado en pacientes con estoma de eliminación intestinal y utilizar herramientas de evaluación que midan directamente ese autocuidado.
Descargas
Citas
Giordano V, Nicolotti M, Corvese F, Vellone E, Alvaro R, Villa G. Describing self-care and its associated variables in ostomy patients. J Adv Nurs [Internet]. 2020 [cited 2020 Nov 29];76(11):2982–2992. DOI: https://doi.org/10.1111/jan.14499
Di Gesaro A. Self-care and patient empowerment in stoma management. Gastrointest Nurs [Internet]. 2012;10(2):19–23. DOI: https://doi.org/10.12968/gasn.2012.10.2.19
Simmons KL, Smith JA, Bobb K-A, Liles LLM. Adjustment to colostomy: Stoma acceptance, stoma care self-efficacy and interpersonal relationships. J Adv Nurs[Internet]. 2007;60(6):627–635. DOI: https://doi.org/10.4314/ejhs.v26i2.5
Engida A, Ayelign T, Mahteme B, Aida T, Abreham B. Types and Indications of Colostomy and Determinants of Outcomes of Patients After Surgery. Ethiop J Health Sci [Internet]. 2016 [cited 2020 Mar 10];26(2):117–120. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864340/
International agency for research on cancer. Cancer today [Internet]; 2021 [cited 2021 Sep 29]. Available from: http://gco.iarc.fr/today/home
International agency for research on cancer. Cancer Tomorrow [Internet]; 2021 [cited 2021 Sep 29]. Available from: https://gco.iarc.fr/tomorrow/en/dataviz/bars?mode=cancer&populations=900&cancers=9_8&group_cancers=1&multiple_cancers=1&multiple_populations=0
Cengiz B, Bahar Z, Canda AE. The Effects of Patient Care Results of Applied Nursing Intervention to Individuals With Stoma According to the Health Belief Model. Cancer Nurs [Internet]. 2020;43(2):E87–E96. DOI: https://doi.org/10.1097/NCC.0000000000000678
Sousa CF, Santos C, Graça LCC. Construção e validação de uma escala de adaptação a ostomia de eliminação. Rev Enfermagem Referência [Internet]. 2015;serIV(4):21–30. DOI: https://doi.org/10.12707/RIV14021
Byfield D. The Lived Experiences of Persons With Ostomies Attending a Support Group A Qualitative Study. J Wound OstomyContinence Nurs [Internet]. 2020;47(5):489–495. DOI: https://doi.org/10.1097/WON.0000000000000696
de Sena JF, da Silva IP, Lucena SKP, Oliveira ACS, Costa IKF. Validation of educational material for the care of people with intestinal stoma. Rev Lat Am Enfermagem [Internet]. 2020;28:1–9. DOI: https://doi.org/10.1590/1518-8345.3179.3269
Elshatarat RA, Ebeid IA, Elhenawy KA, Saleh ZT, Raddaha AHA, Aljohani MS. Jordanian ostomates’ health problems and self-care ability to manage their intestinal ostomy: a cross-sectional study. J Res Nurs [Internet]. 2020 [2020 Nov 29];1744987120941568. DOI: https://doi.org/10.1177/1744987120941568
Colwell JC, Gray M. Does preoperative teaching and stoma site marking affect surgical outcomes in patients undergoing ostomy surgery? J Wound Ostomy Continence Nurs [Internet]. 2007;34(5):492–496. DOI: https://doi.org/10.1097/01.WON.0000290726.08323.a6
Millan M, Tegido M, Biondo S, García-Granero E. Preoperative stoma siting and education by stomatherapists of colorectal cancer patients: a descriptive study in twelve Spanish colorectal surgical units. Colorectal Dis [Internet]. 2010;12(7):e88–e92. DOI: https://doi.org/10.1111/j.1463-1318.2009.01942.x
Person B, Ifargan R, Lachter J, Duek SD, Kluger Y, Assalia A. The impact of preoperative stoma site marking on the incidence of complications, quality of life, and patient’s independence. Dis Colon Rectum [Internet]. 2012;55(7):783–787. DOI: https://doi.org/10.1097/DCR.0b013e31825763f0
Danielsen AK, Burcharth J, Rosenberg J. Patient education has a positive effect in patients with a stoma: a systematic review. Colorectal Dis [Internet]. 2013;15(6):e276-283. DOI: https://doi.org/10.1111/codi.12197
Bird A, Wilson K, Bertinara A, Amos L. Educating patients in stoma care. Br J Nurs [Internet]. 2019;28(5):S4–S5. DOI: https://doi.org/10.12968/bjon.2019.28.5.S4
Krouse RS, Grant M, McCorkle R, Wendel CS, Cobb MD, Tallman NJ, et al. A chronic care ostomy self-management program for cancer survivors. Psycho-Oncology [Internet]. 2016;25(5):574–581. DOI: https://doi.org/10.1002/pon.4078
Phatak UR, Li LT, Karanjawala B, Chang GJ, Kao LS. Systematic review of educational interventions for ostomates. Dis Colon Rectum [Internet]. 2014;57(4):529–537. DOI: https://doi.org/10.1097/DCR.0000000000000044
Ercolano E, Grant M, McCorkle R, Tallman NJ, Cobb MD, Wendel C, et al. Applying the chronic care model to support ostomy self-management: Implications for oncology nursing practice. Clin J Oncol Nurs [Internet]. 2016;20(3):269–274. DOI: https://doi.org/10.1188/16.CJON.20-03AP
Peters M, Godfrey C, McInerney P, Soares C, Hanan K, Parker D. The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI Scoping Reviews; 2015 [2017 Jan 4]. Available from: http://espace.library.uq.edu.au/view/UQ:371443
Corporation for Digital Scholarship. Zotero [Internet]; 2020 [cited 2021 Sep 29]. Available from: https://www.zotero.org/
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med [Internet]. 2018 [2021 Aug 14];169(7):467–473. DOI: https://doi.org/10.7326/M18-0850
Aranda S. Designing nursing interventions. Collegian (Royal College of Nursing, Australia). 2008;15(1):19–25. DOI: https://doi.org/10.1016/j.colegn.2007.11.002
Chaudhri S, Brown L, Hassan I, Horgan AF. Preoperative intensive, community-based vs. traditional stoma education: a randomized, controlled trial. Dis Colon Rectum [Internet]. 2005;48(3):504–509. DOI: https://doi.org/10.1007/s10350-004-0897-0
Goldberg M, Aukett LK, Carmel J, Fellows J, Folkedahl B, Pittman J. Management of the patient with a fecal ostomy: Best practice guideline for clinicians. J Wound Ostomy Continence Nurs [Internet]. 2010;37(6):596–598. DOI: https://doi.org/10.1097/WON.0b013e3181f97e37
Miller D, Pearsall E, Johnston D, Frecea M, McKenzie M. Executive Summary: Enhanced Recovery After Surgery: Best Practice Guideline for Care of Patients with a Fecal Diversion. J Wound Ostomy Continence Nurs [Internet]. 2017;44(1):74–77. DOI: https://doi.org/10.1097/WON.0000000000000297
Zimnicki KM. Preoperative teaching and stoma marking in an inpatient population: A quality improvement process using a FOCUS-plan-do-check-act model. J Wound Ostomy Continence Nurs [Internet]. 2015;42(2):165–169. DOI: https://doi.org/10.1097/WON.0000000000000111
Fingren J, Lindholm E, Petersén C, Hallén A-M, Carlsson E. A Prospective, Explorative Study to Assess Adjustment 1 Year After Ostomy Surgery Among Swedish Patients. Ostomy Wound Manage [Internet]. 2018;64(6):12–22. DOI: https://doi.org/10.25270/owm.2018.6.1222
Forsmo HM, Pfeffer F, Rasdal A, Sintonen H, Körner H, Erichsen C. Pre- and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery. Int J Surg [Internet]. 2016 [cited 2019 Sep 22];36:121–126. DOI: https://doi.org/10.1016/j.ijsu.2016.10.031
Linda B-H, Elliott B. COLOSTOMY CARE A Guide for Home Care Clinicians. Home Healthc Now [Internet]. 2019;37(2):68–78. DOI: https://doi.org/10.1097/NHH.0000000000000735
Adams K. Helping older patients to adapt to stomas using an enhanced recovery programme. Br J Community Nurs [Internet]. 2019;24(5):224–228. DOI: https://doi.org/10.12968/bjcn.2019.24.5.224
Wang Q, Wang J, Zhao J, Huo X, Wu L, Yang L, et al. Effects of a home care mobile app on the outcomes of discharged patients with a stoma: A randomised controlled trial. J Clin Nurs [Internet]. 2018;27(19/20):3592–3602. DOI: https://doi.org/10.1111/jocn.14515
Zhang J-E, Wong FKY, You LM, Zheng MC. A qualitative study exploring the nurse telephone follow-up of patients returning home with a colostomy. J Clin Nurs [Internet]. 2012;21(9–10):1407–1415. DOI: https://doi.org/10.1111/j.1365-2702.2011.03824.x
Xia L. The Effects of Continuous Care Model of Information- Based Hospital-Family Integration on Colostomy Patients: A Randomized Controlled Trial. J Cancer Educ [Internet]. 2020;35(2):301–311. DOI: https://doi.org/10.1007/s13187-018-1465-y
Schluter JE, Sinasac PA. Community stomal therapy services: a needs analysis and development of an evidence based model of care. J Stomal Ther Aust [Internet]. 2020 [2020 Nov 9];40(1):8–13. DOI: https://doi.org/10.33235/jsta.40.1.8-13
Berti-Hearn L, Elliott B. Ileostomy Care: A Guide for Home Care Clinicians. Home Healthc Now [Internet]. 2019;37(3):136–144. DOI: https://doi.org/10.1097/NHH.0000000000000776
Cronin E. What the patient needs to know before stoma siting: an overview. Br J Nurs. 2012;21(22):1304–1308. DOI: https://doi.org/10.12968/bjon.2012.21.22.1234
Burch J, Slater R. Enhanced recovery after surgery: benefits for the stoma care patient. Br J Nurs [Internet]. 2012;21(6):S16–21. DOI: https://doi.org/10.12968/bjon.2012.21.Sup6.S16
Kittinouvarat S, Charoenlar S, Aeksiriwaranon W. Development of a self-care empowerment model for patients with faecal diversion. WCET J. 2011;31(2):9-14.
Nagle D, Pare T, Keenan E, Marcet K, Tizio S, Poylin V. Ileostomy pathway virtually eliminates readmissions for dehydration in new ostomates. Dis Colon Rectum [Internet]. 2012;55(12):1266–1272. DOI: https://doi.org/10.1097/DCR.0b013e31827080c1
Lo S-F, Wang Y-T, Wu L-Y, Hsu M-T, Chang SC, Hayter M. Multimedia education programme for patients with a stoma: Effectiveness evaluation. J Adv Nurs [Internet]. 2011;67(1):68–76. DOI: https://doi.org/10.1111/j.1365-2648.2010.05455.x
Wen S-L, Li J, Wang A-N, Lv M-M, Li H-Y, Lu Y-F, et al. Effects of transtheoretical model-based intervention on the self- management of patients with an ostomy: A randomised controlled trial. J Clin Nurs [Internet]. 2019;28(9–10):1936–1951. DOI: https://doi.org/10.1111/jocn.14731
Kirkland-Kyhn H, Martin S, Zaratkiewicz S, Whitmore M, Young HM. Ostomy Care at Home. Am J Nurs [Internet]. 2018;118(4):63–68. DOI: https://doi.org/10.1097/01.NAJ.0000532079.49501.ce
Geng W, Tao N, Wang T, Zhang Y, Wang Y. Continuous nursing reduces postoperative complications and improves quality of life of patients after enterostomies. Int J Clin Exp Med. 2019;12(5):5895–5901.
Huang L, Yu H, Sun A, Xu F, Xia C, Gao D, et al. Effects of continuing nursing on stomal complications, self-care ability and life quality after Miles’ operation for colorectal carcinoma. Int J Clin Exp Med. 2018;11(2):1021–1026.
Crawford D, Texter T, Hurt K, Van Aelst R, Glaza L, Vander Laan KJ. Traditional nurse instruction versus 2 session nurse instruction plus DVD for teaching ostomy care: a multisite randomized controlled trial. J Wound Ostomy Continence Nurs [Internet]. 2012;39(5):529–537. DOI: https://doi.org/10.1097/WON.0b013e3182659ca3
Hu H, Zheng J, Gao L. The effect of continuing nursing services on colostomy patients. Int J Clin Exp Med [Internet]. 2020;13(8):5876–5884. Available from: http://ijcem.com/files/ijcem0114204.pdf
Yilmazer T, Tuzer H, Akyüz S. Effect of Information-Motivation- Behavioral Skills Model-Based Intervention on Quality of Life of Ostomy Patients. Turk Klin Hemsire Bilim [Internet]. 2020 [cited 2020 Nov 9];12(2):182–189. DOI: https://doi.org/10.5336/nurses.2019-72070
Millard R, Cooper D, Boyle MJ. Improving Self-Care Outcomes in Ostomy Patients via Education and Standardized Discharge Criteria. Home Healthc Now [Internet]. 2020;38(1):16–23. DOI: https://doi.org/10.1097/NHH.0000000000000816
Farahani MA, Dorri S, Yousefi F. Design and Validation of Education Multimedia Program for Patients with Fecal Diversions A Quality Improvement Project to Enhance Self-Care. J Wound Ostomy Continence Nurs [Internet]. 2020;47(1):39–44. DOI: https://doi.org/10.1097/WON.0000000000000603
Pouresmail Z, Nabavi FH, Abdollahi A, Shakeri MT, Saki A. Effect of using a simulation device for ostomy self-care teaching in Iran: A pilot, randomized clinical trial. Wound Manag Prev [Internet]. 2019;65(6):30–39. DOI: https://doi.org/10.25270/wmp.2019.6.3039
Grahn SW, Lowry AC, Osborne MC, Melton GB, Gaertner WB, Vogler SA, et al. System-Wide Improvement for Transitions After Ileostomy Surgery: Can Intensive Monitoring of Protocol Compliance Decrease Readmissions? A Randomized Trial. Dis Colon Rectum [Internet]. 2019;62(3):363–370. DOI: https://doi.org/10.1097/DCR.0000000000001286
Marsden J. Enhanced recovery after surgery (ERAS): A literature review of implications for ostomates and stoma care nurses. Gastrointest Nurs [Internet]. 2020;18(1):32–37. DOI: https://doi.org/10.12968/gasn.2020.18.1.32
Bohnenkamp SK, McDonald P, Lopez AM, Krupinski E, Blackett A. Traditional versus telenursing outpatient management of patients with cancer with new ostomies. Oncol Nurs Forum [Internet]. 2004;31(5):1005–1010. DOI: https://doi.org/10.1188/04.ONF.1005-1010
Zhang J-E, Wong FKY, You L-M, Zheng M-C, Li Q, Zhang B-Y, et al. Effects of enterostomal nurse telephone follow-up on postoperative adjustment of discharged colostomy patients. Cancer Nurs [Internet]. 2013;36(6):419–428. DOI: https://doi.org/10.1097/NCC.0b013e31826fc8eb
Colwell JC, Kupsick PT, McNichol LL. Outcome criteria for discharging the patient with a new ostomy from home health care a WOCN society consensus conference. J Wound Ostomy Continence Nurs [Internet]. 2016;43(3):269–273. DOI: https://doi.org/10.1097/WON.0000000000000230
Burch J. Enhanced recovery and nurse-led telephone follow-up post surgery. Br J Nurs [Internet]. 2012;21(16):S24--29. DOI: https://doi.org/10.12968/bjon.2012.21.Sup16.S24
Quintana J, Catalina Pastor Juan, Prados Herrero I, Pérez López C, González Fuentes M, de Mena Casaseca C, et al. A prospective, longitudinal, multicenter, cohort quality-of-life evaluation of an intensive follow-up program for patients with a stoma. Ostomy/Wound Manag. 2010;56(5):44–52.
Johnson T. Follow-up care of stoma patients: a systematic literature review. Gastrointest Nurs [Internet]. 2012;10(9):30–36. DOI: https://doi.org/10.12968/gasn.2012.10.9.30
Hornbrook MC, Cobb MD, Tallman NJ, Colwell J, McCorkle R, Ercolano E, et al. Costs of an ostomy self-management training program for cancer survivors. Psycho-Oncology [Internet]. 2018;27(3):879–885. DOI: https://doi.org/10.1002/pon.4584
Dewsbury G. Use of information and communication technology in nursing services. Br J Community Nurs [Internet]. 2019;24(12):604-607. DOI: https://doi.org/10.12968/bjcn.2019.24.12.604
Conn VS, Rantz MJ, Wipke-Tevis DD, Maas ML. Designing effective nursing interventions. Res Nurs Health. 2001;24(5):433–442. DOI: https://doi.org/10.1002/nur.1043
Salvadalena G, Hendren S, McKenna L, Muldoon R, Netsch D, Paquette I, et al. WOCN Society and ASCRS Position Statement on Preoperative Stoma Site Marking for Patients Undergoing Colostomy or Ileostomy Surgery. J Wound Ostomy Continence Nurs [Internet]. 2015;42(3): 249–252. DOI: https://doi.org/10.1097/WON.0000000000000119
Wasserman MA, McGee MF. Preoperative Considerations for the Ostomate. Clin Colon Rectal Surg [Internet]. 2017;30(3):157–161. DOI: https://doi.org/10.1055/s-0037-1598155
Pittman J, Nichols T, Rawl SM. Evaluation of web-based ostomy patient support resources. J Wound Ostomy Continence Nurs [Internet]. 2017;44(6):550–556. DOI: https://doi.org/10.1097/WON.0000000000000371
Lim SH, Chan, SW-C, Lai, JH, He. A randomized controlled trial examining the effectiveness of a STOMA psychosocial intervention programme on the outcomes of colorectal patients with a stoma: study protocol. J Adv Nurs [Internet]. 2015;71(6):1310–1323. DOI: https://doi.org/10.1111/jan.12595
Pinto IES, Santos CSV de B, Brito MAC de, Queirós SMM. Propriedades Psicométricas do Formulário Desenvolvimento da Competência de Autocuidado da Pessoa com Ostomia de Eliminação Intestinal. Rev Enfermagem Referência [Internet]. 2016;serIV(8):75–84. DOI: https://doi.org/10.12707/RIV15044
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2022 Aquichan
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Esta revista y sus artículos se publican bajo la licencia CreativeCommons CC BY 4.0 DEED Atribución 4.0 Internacional, usted es libre de: Compartir — copiar y redistribuir el material en cualquier medio o formato para cualquier propósito, incluso comercialmente. Adaptar — remezclar, transformar y construir a partir del material para cualquier propósito, incluso comercialmente. La licencia no puede revocar estas libertades en tanto usted siga los términos de la licencia.
