Banca de DEFESA: Luiza Moreira Campos

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Luiza Moreira Campos
DATE: 04/10/2023
TIME: 08:30
LOCAL: Auditório da Pós-graduação da Faculdade de Medicina Universidade de Brasília
TITLE:

EVALUATION OF INTESTINAL STOMA DEMARCATIONS AS A MEASUREMENT PREVENTION OF COMPLICATIONS, A TEMPORAL ANALYSIS

KEY WORDS:

Preoperative demarcation; Post-Surgical Complications; Ostomy; Stomatherapy

PAGES: 51
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

Introduction: Ostomy is a surgically made opening in the digestive system, urinary and/or respiratory tract. In the case of intestinal ostomy, part of the intestine is externalized through the abdomen to allow feces to drain. Demarcation is the act of marking the ideal place on the abdominal wall for the creation of the stoma. A well-located stoma can provide better self-care, prevention of complications, safety in self-care, quality of life and reintegration into the social life of the person with a stoma. Objective: To evaluate the demarcations of intestinal ostomies as a preventive measure for complications, over the period of a decade, and compare with non-demarcated patients. Methology: This is a descriptive study both retrospective and prospective, with a quantitative approach. The study was carried out in a teaching hospital in Brasília, with patients undergoing intestinal ostomies, from surgeries carried out between 2014 and 2023. A questionnaire was applied, covering sociodemographic and clinical data, and an interview by telephone was conducted with each patient. The analysis of the results was based on the information collected, tabulated and organized for the preparation of tables and their interpretation, using the Microsoft Excel for Windows 2017® the sociodemographic characterization of the sample was carried out using descriptive analysis. For the study of clinical data, in addition to exploratory data analysis, relationships were also studied with the application of the Chi Square test and Multiple Correspondence Analysis (MCA) and Hierarchical Cluster Analysis (HCA) were also used. Results: 71 people with an intestinal ostomy participated in the study. The majority 44 (62%) women aged between 50 and 59 years. Regarding the level of education, 36 (51%) had completed secondary education. Regarding marital status, 36 (51%) declared that they currently have a partner (married/in a stable relationship). The underlying disease that most indicated ostomy preparation was colorectal cancer, appearing in 35 (49%) of cases, accompanied by inflammatory bowel diseases in 18 (25%). Of the majority of participants, 36 (51%) declared they had a partner and 61 (86%) felt confident in self-care. In this study, there was a predominance of temporary colostomies, 39 (55%) and 47 (66%). The scenario observed in the preoperative period shows that 60 (85%) patients stated that they received guidance before the surgery performed and 33 (46%) stated that there was a demarcation. Regarding complications, the most common in this study was parastomal dermatitis with 49% of cases. Conclusion: Responding to the objectives initially proposed and based on the results obtained, the present study made it possible to identify that in this group the pre-operative demarcation prior to the surgery to create intestinal ostomies was evaluated, by a health professional qualified for this, with specific knowledge , is a trend line for an action that prevents postoperative complications, late or not, related to colostomy or ileostomy

COMMITTEE MEMBERS:
Externa ao Programa - 528342 - ANA LUCIA DA SILVA - UnBPresidente - 2222541 - JOAO BATISTA DE SOUSA
Externa à Instituição - SANDRA DE NAZARÉ COSTA MONTEIRO - SESDF
Externa ao Programa - 2162464 - SIMONE ROQUE MAZONI - UnB