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      Self-care of elderly people with ostomy by colorectal cancer Translated title: Autocuidado de pessoas idosas com estomia por câncer colorretal

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          Abstract

          ABSTRACT Objective: To identify in literature the scientific production about self-care in elderly people with ostomies by colorectal cancer. Method: Integrative review, performed with the descriptors “self-care”, “ostomy” and “elderly/aged” with the Boolean operator AND in the following databases: SCOPUS, CINAHL, MEDLINE, LILACS and COCHRANE. For the theoretical basis, Orem's Self-Care Deficit Theory was used. Results: A total of 533 papers were found, however, after applying the eligibility criteria, 16 studies composed the final sample of the review. Conclusion: The nurse is one of the professionals closest to the person with the stoma and his family, and should act as a link between the elderly person, the family and the multi-professional health team. In this sense, health professionals, especially nurses, should be trained and competent in assisting the diverse demands of care of this specific population, so that it is effective, resolutive, integral and, above all, humanized, aiming at the improvement of quality of life.

          Translated abstract

          RESUMO Objetivo: Identificar na literatura a produção científica sobre o autocuidado em pessoas idosas com estomia por câncer colorretal. Método: Revisão integrativa de literatura, realizada com os descritores “autocuidado/self-care”, “estomia/ostomy” e “pessoa idosa/idoso/aged” com o operador Booleano and nas Bases de Dados SCOPUS, CINAHL, MEDLINE, LILACS e COCHRANE. Para o embasamento teórico empregou-se a Teoria do Déficit de Autocuidado de Orem. Resultados: Encontrou-se um total de 533 artigos, no entanto, após a aplicação dos critérios de elegibilidade 16 estudos compuseram a amostra final da revisão. Conclusão: O enfermeiro é um dos profissionais mais próximos da pessoa com estomia e de sua família, devendo atuar como um elo entre a pessoa idosa, a família e a equipe multiprofissional de saúde. Nesse sentido, profissionais da área da saúde, especialmente o enfermeiro, devem estar capacitados e ser competentes na assistência às diversas demandas de cuidado dessa população específica, para que ela seja efetiva, resolutiva, integral e, sobretudo, humanizada, visando à melhora da qualidade de vida.

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            Development of a chronic care ostomy self-management program.

            Each year a percentage of the 1.2 million men and women in the United States with a new diagnosis of colorectal cancer join the 700,000 people who have an ostomy. Education targeting the long-term, chronic care of this population is lacking. This report describes the development of a Chronic Care Ostomy Self-Management Program, which was informed by (1) evidence on published quality-of-life changes for cancer patients with ostomies, (2) educational suggestions from patients with ostomies, and (3) examination of the usual care of new ostomates to illustrate areas for continued educational emphases and areas for needed education and support. Using these materials, the Chronic Care Ostomy Self-Management Program was developed by a team of multi-disciplinary researchers accompanied by experienced ostomy nurses. Testing of the program is in process. Pilot study participants reported high satisfaction with the program syllabus, ostomy nurse leaders, and ostomate peer buddies.
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              A teoria do déficit de autocuidado de Orem aplicada em hipertensas

              Estudo realizado com o objetivo de avaliar a Teoria do Deficit de Autocuidado de Orem (TDAC) em mulheres portadoras de hipertensão arterial. Foram entrevistadas quatro mulheres hipertensas em tratamento ambulatorial mediante formulário de entrevista aberta e fechada sobre os fatores condicionantes e os requisitos para o autocuidado. Os dados foram analisados segundo o referencial da TDAC. A partir dos requisitos de autocuidado que envolvem o hipertenso, foi identificada a existência ou não de adequação entre a capacidade e a demanda de autocuidado, e os facilitadores e dificultadores desta adequação. Conclui-se que a TDAC possibilitou identificar aspectos importantes do hipertenso para serem trabalhado pelo enfermeiro.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                jcol
                Journal of Coloproctology (Rio de Janeiro)
                J. Coloproctol. (Rio J.)
                Sociedade Brasileira de Coloproctologia (Rio de Janeiro, RJ, Brazil )
                2237-9363
                2317-6423
                September 2019
                : 39
                : 3
                : 265-273
                Affiliations
                [1] Minas Gerais MG orgnameUniversidade Federal de Alfenas (UNIFAL-MG) orgdiv1Faculdade de Enfermagem orgdiv2Programa de Pós-graduação em Enfermagem Brazil
                Article
                S2237-93632019000300265
                10.1016/j.jcol.2019.01.001
                1fbb173a-ef16-45c6-8f07-01079935daba

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 29 October 2018
                : 07 January 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 9
                Product

                SciELO Brazil

                Categories
                Review Articles

                Autocuidado,Pessoa idosa,Estomia,Enfermagem gerontológica,Self-care,Elderly people,Ostomy,Gerontological nursing

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