Sociodemographic and clinical characteristics of people with ostomy and the adaptive domains of Roy's theory: A cross-sectional study

INTRODUCTION

The adaptation of people with ostomies may be associated with and affected by sociodemographic and clinical factors. The present study aimed to investigate the association between the sociodemographic and clinical characteristics and the adaptation of people with an intestinal stoma.

METHOD

An analytical study, carried out through an interview with 200 patients with ostomy for five months. For that, it was applied to scale for the level of adaptation of ostomy patients to measure the physiological domains, self-concept, role function and interdependence and a questionnaire was used in which sociodemographic and clinical information. Descriptive and multivariate analyses were performed to test the study hypothesis.

RESULTS

The study pointed out statistically significant associations with male sex, age group below 60, low education level, Stoma time less than one year, below one minimum wage, temporary permanence criteria and presence of complications relation to low scores of adaptation.

CONCLUSIONS

The association of sociodemographic and clinical factors with the measured adaptive modes provides important information for the planning of nursing care and other care providers, since it directs actions to the aspects that give greater adaptive difficulty to people with stomas and which are the focus of care nursing to this clientele.

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

Objective: To identify and map learning needs and educational strategies for adult patients in the preoperative period of myocardial revascularization. Materials and method: Scoping review conducted between March and April 2021 in national and international databases to identify records published in scientific journals and gray literature, without period. Results: The selected sample consisted of 35 records, composed mostly of articles (32; 91.42 %) published from 1990 to 2021. The learning needs of patients before surgery were categorized into cardiovascular system and coronary artery disease; procedures and routines before, during, and after surgery. In addition, several educational strategies implemented in the studies were identified. Conclusions: The learning needs identified can contribute to planning and implementing patient-centered educational strategies before surgery.

Avaliação da segurança no cuidado com vacinas: construção e validação de protocolo

Resumo Objetivo: Construir e validar um protocolo para avaliação do cuidado seguro de enfermagem com vacinas na atenção primária. Métodos: Pesquisa metodológica desenvolvida em duas etapas: construção do protocolo e validação de conteúdo e aparência do instrumento, através da técnica Delphi. A avaliação do instrumento foi pelo cálculo do Coeficiente de Validade de Conteúdo, tendo sido considerados válidos os itens com mais de 70% de concordância entre os juízes. Resultados: O instrumento obteve um índice de concordância para os oito quesitos analisados já na primeira rodada e sua aplicação na prática dos serviços de atenção primária foi recomendada por (75%) dos juízes na segunda rodada Delphi. Conclusão: O protocolo para a segurança do cuidado de enfermagem com vacinas demonstrou alta credibilidade e sua adoção nas instituições de saúde pode contribuir para a qualidade da assistência com vacinas e das condutas dos profissionais.