ABSTRACT
Objetivo: analisar a importância da enfermagem no manejo da bolsa de colostomia em pacientes com câncer colorretal, buscando identificar o papel da enfermagem no processo de viver da pessoa ostomizada com câncer. Método: trata-se de uma revisão da literatura realizada nas bases de dados SCIELO, LILACS e BDEnf, realizada entre abril e maio de 2022 com os descritores bolsa de colostomia, câncer colorretal, enfermagem. Os artigos selecionados para análise e interpretação tinham como os seguintes critérios de inclusão: textos completos sem restrição de delineamento ou cronograma do estudo; escrito em português, disponibilizado em bases de dados gratuitamente e que contemplam o objetivo da pesquisa. Já os critérios de exclusão foram: artigos de revisão bibliográfica, com publicações anteriores a 2016 e aqueles que não contribuía para enriquecer a discussão do tema proposto. Assim, foram selecionados 10 artigos, que serviram de base para a discussão. Resultado: após a análise dos artigos foram encontrados os seguintes temas para discussão: câncer colorretal e a estomização, assistência de enfermagem à pacientes com colostomia e as percepções de pacientes estomizados com câncer colorretal. Conclusão: a sistematização da assistência de enfermagem ao estomizado e sua família é essencial para sua reabilitação, para sua autonomia e o pleno exercício de dignidade diante do enfretamento de uma doença tão estigmatizada que é o câncer colorretal.
Objective: to analyze the importance of nursing in the management of the colostomy bag in patients with colorectal cancer, seeking to identify the role of nursing in the life process of the ostomized person with cancer. Method: this is a literature review carried out in the SCIELO, LILACS and BDEnf databases, carried out between April and May 2022 with the descriptors colostomy bag, colorectal cancer, nursing. The articles selected for analysis and interpretation had the following inclusion criteria: full texts without restriction of study design or schedule; written in Portuguese, made available in databases free of charge and covering the purpose of the research. The exclusion criteria were: literature review articles, with publications prior to 2016 and those that did not contribute to enrich the discussion of the proposed topic. Thus, 10 articles were selected, which served as the basis for the discussion. Results: after analyzing the articles, the following topics were found for discussion: colorectal cancer and ostomy, nursing care for colostomy patients and the perceptions of ostomized patients with colorectal cancer. Conclusion: the systematization of nursing care for people with stomas and their families is essential for their rehabilitation, for their autonomy and for the full exercise of dignity in the face of facing such a stigmatized disease that is colorectal cancer
Objetivo: analizar la importancia de la enfermería en el manejo de la bolsa de colostomía en pacientes con cáncer colorrectal, buscando identificar el papel de la enfermería en el proceso de vida de la persona ostomizada con cáncer. Método: se trata de una revisión bibliográfica realizada en las bases de datos SCIELO, LILACS y BDEnf, realizada entre abril y mayo de 2022 con los descriptores bolsa de colostomía, cáncer colorrectal, enfermería. Los artículos seleccionados para análisis e interpretación tuvieron los siguientes criterios de inclusión: textos completos sin restricción de diseño de estudio o cronograma; escrito en portugués, disponible en bases de datos de forma gratuita y que cubre el objetivo de la investigación. Los criterios de exclusión fueron: artículos de revisión bibliográfica, con publicaciones anteriores a 2016 y aquellos que no contribuyeron a enriquecer la discusión del tema propuesto. Así, fueron seleccionados 10 artículos, que sirvieron de base para la discusión. Resultados: después del análisis de los artículos, se encontraron los siguientes temas de discusión: el cáncer colorrectal y la ostomía, la atención de enfermería a los pacientes con colostomía y las percepciones de los pacientes ostomizados con cáncer colorrectal. Conclusión: la sistematización de los cuidados de enfermería a las personas con estomas y sus familias es fundamental para su rehabilitación, para su autonomía y para el pleno ejercicio de la dignidad frente al enfrentamiento de una enfermedad tan estigmatizada como es el cáncer colorrectal
Subject(s)
Colorectal Neoplasms , Pneumonia , Respiration, Artificial , Intensive Care UnitsABSTRACT
Objective To investigate the application of colostomy care products in managing the leakage around PTCD drainage tube, and to discuss its clinical effect. Methods A total of 56 patients with malignant obstructive jaundice, who had received PTCD and suffered from postoperative leakage around PTCD drainage tube, were randomly and equally divided into the study group (n=28) and the control group (n=28). The colostomy care powder, the skin protective film and the colostomy bag were used for the patients of the study group, while iodophors, sterile gauze and mupirocin ointment were employed for the patients of the control group. The incidence of irritant dermatitis around PTCD drainage tube, the degree of comfort to the indwelling tube judged by the patient, and the nursing workload for PTCD drainage tube were determined, and the results were compared between the two groups. Results The incidence of irritant dermatitis around PTCD drainage tube in the study group was obviously lower than that in the control group. And the degree of comfort to the indwelling tube judged by the patient in the study group was much higher than that in the control group. The differences between the two groups were statistically significant (P<0.05). Conclusion Combination use of colostomy care powder, skin protective film and colostomy bag can effectively reduce the incidence of irritant dermatitis around PTCD drainage tube and improve the patient’s condition. Therefore, this method is worthy of popularization in clinical practice.