Satisfação dos pacientes estomizados diante do atendimento de um serviço de atenção à pessoa estomizada

Abstract

To verify the satisfaction of ostomized patients regarding the care and e quipment provided by a referral service unit to ostomized people Method: This is a descriptive exploratory, cross sectional study, by means of structured interview and analysis of medical records in a Stomized Care Service, with 126 ostomy people wh o have attended the unit for follow up. Statistical analyses were performed: descriptive and inferential. In the inferential context, the Mann Whitney U test and Multivariate Linear Regression were used, according to expected standards. Results: Of the tot al 126 stomized; 62.9% were male, minimum age of 39 and maximum age of 91 years; 51.59% lived with partner; 53.17% with school attendance of 01 05 years; 64.29% reported paid activity before surgery and 61.9% were retired. Neoplasia was the cause of stomie s in 62.7% of patients; 44.44% underwent colectomy and 64.29% with permanent stomies. In 29.00% of patients, time of stomies ranged from 60 to 119 months; 55.56% said they had received guidance and 52.38% were not guided in the preoperative period . The pa tients reported that they were advised on the correct exchange of the collector equipment: 82.54% received guidance after surgery; 71.43% used a one piece intestinal bag; 82.54% received 10 units; 71.43% did not receive any adjuvant material and 56 (44.44% 44.44%) exchanged the bag every three days; 92.06% said they were sufficient for monthly use. Of the total, 94.44% were never without receiving; 85.71% reported that the equipment fully attended their needs; 88.10% patients reported being fully satisfied with the care provided by the service; 89.68% related the appointment schedule with the doctor and Nurse Stoma Therapist as the easiest in the service and 75.40% reported no difficulti es. Regarding the satisfaction of the collecting equipment, 80.16% said they were totally satisfied with the quality of the material and 67.46% expressed total safet with the daily use of the equipment; 92.08% said they were satisfied with the orienttions and materials received. The pat ients who performed the change every four d ays (86.79%) also reported being very satisfied and 79.21% said they were very satisfied with the equipment. When relating the quality of the material to the type of stoma: 74.26% who had colostomy reported being totally satisfied; 29.7% who had stoma for a period of 60 to 119 months also reported being totally satisfied with the collecting equipment. The statistical tests showed no d ependence between the quality of the collector equipment and the other variables (p > 0.05). quality of the collector equipment and the other variables (p > 0.05). Conclusion:Conclusion: Data have pointed ouData have pointed out that the majority of the interviewees were satisfied with the t that the majority of the interviewees were satisfied with the serservice provided by the Osvice provided by the Ostomytomy Care Service. Thus, the importance of theCare Service. Thus, the importance of the stoma stoma nurse nurse as as essential functionessential function inin the practices of stomathe practices of stoma care is highlighted. Care, such care is highlighted. Care, such as guidance since the preopas guidance since the preoperative period, with the demaerative period, with the demarcation of the stoma as rcation of the stoma as properproper explanations and clarifications about the surgery and the importance of explanations and clarifications about the surgery and the importance of periodic postperiodic post--surgical followsurgical follow--up with assessment and indication of the collector up with assessment and indication of the collector equipment to return to social life with sequipment to return to social life with safety and quality of life.afety and quality of life.