Assessment of health care services for people with stoma: a multi-case study

Authors

DOI:

https://doi.org/10.15253/2175-6783.20181932961

Keywords:

Ostomy; Health Care (Public Health); Health Services; Program Evaluation.

Abstract

Objective: to evaluate the health care services of people with stoma. Methods:a multi-case study that analyzed the implementation of five regional services. Three components were defined, namely Service management, Clinical care and Educational assistance. The degree of implementation set by a score system was classified as complete, satisfactory, poor, not implemented. Results:a service was evaluated with “completely implemented” and another as “not implemented”. The best components evaluated were Clinical Care and Service Management; the one that obtained lower assessment was Educational assistance. Structural limitations included a lack of complete health staff and lack of clinical and organizational protocols. In the Process, there was a shortage of consultations carried out by the team, formation of support groups and health education. Conclusion:the regional services surveyed are not adequate to subsidize planning, monitoring and services to people with stoma, as they present structural and procedural problems that interfere with the quality of care.

References

Secretaria de Estado da Saúde de Minas Gerais. Linha de cuidados da pessoa estomizada. Secretaria de Estado de Saúde de Minas Gerais [Internet]. 2015 [citado 2018 mar 13]. Disponível em:http://www.saude.mg.gov.br/images/noticias_e_eventos/000_2016/2-abr-mai-jun/ostomizados/24-06-Linha-de-Cuidados-da-Pessoa-Estomizada.pdf

Moraes JT, Amaral CFS, Borges EL, Ribeiro MS, Guimarães EAA. Evaluation of implantation of ostomy patient health care program. Rev Min Enferm. 2017; 21:e1017. doi: http://www.dx.doi.org/10.5935/1415-2762.20170027

Diebold L. Stoma and shame: engaging affect in the adaptation to a medical device. Aust J Adv Nurs [Internet]. 2016 [cited 2018 July 13]; 34(1):32-41. Available from: http://www.ajan.com.au/Vol34/Issue1/4Diebold.pdf

Santos YR, Oliveira VC, Guimarães EAA, Silva BS, Moraes JT, Cortez DN. Avaliação normativa das salas de vacina da região Oeste do estado de Minas Gerais, de outubro de 2015 a agosto de 2016. Vigil Sanit Debate [Internet]. 2017 [citado 2018 jul 13]; 5(3):44-52. Disponível em: https://www.researchgate.net/publication/319438757_Avaliacao_normativa_das_salas_de_vacina_da_regiao_Oeste_do_estado_de_Minas_Gerais_de_outubro_de_2015_a_agosto_de_2016

Champagne A, Hartz Z, Contandriopoulos AP, Denis JL. A análise de implantação. In: Brousselle A, Champagne F, Contandriopoulos AP, Hartz ZMA, organizadores. Avaliação em saúde: conceitos e métodos. Rio de Janeiro: Fiocruz; 2011. p.41-60.

Yin RK. Estudo de caso: planejamento e métodos. Porto Alegre: Bookman; 2015.

Moraes JT, Amaral CFS, Borges EL, Ribeiro MS, Guimarães EAA. Validation of an instrument for evaluating health care services to ostomized people. Rev Latino-am Enfermagem. 2016; 24:e2825. doi: http://dx.doi.org/10.1590/1518-8345.0748.2825

Guimarães EAA, Hartz ZMA, Loyola Filho AI, Meira AJ, Luz ZMP. Avaliação da implantação do Sistema de Informação sobre Nascidos Vivos em municípios de Minas Gerais, Brasil. Cad Saúde Pública. 2013; 29(10):2105-18. doi: http://dx.doi.org/10.1590/0102-311X00116312

Dias MSC, Paula MAB, Morita ABPS. Perfil Profissional de Enfermeiros Estomaterapeutas Egressos da Universidade de Taubaté. Braz J Enterestomal Ther [Internet]. 2014 [citado 2018 jul 13]; 12(3):142-54. Disponível em: https://www.revistaestima.com.br/index.php/estima/article/view/92

Falkenberg MB, Mendes TPL, Moraes EP, Souza EM. Educação em saúde e educação na saúde: conceitos e implicações para a saúde coletiva. Ciênc Saúde Coletiva. 2014; 19(3):847-52. doi: http://dx.doi.org/10.1590/1413-81232014193.01572013

Grant MA, Corkle RM, Hornbrook MC, Wendel SC, Krouse R. Development of a chronic care ostomy self-management program. J Cancer Educ. 2013; 28(1):70-8. doi: http://dx.doi.org/10.1007/s13187-012-0433-1

Miranda SM, Luz MHBA, Sonobe HM, Andrade EMLR, Moura ECC. Caracterização Sociodemográfica e Clínica de Pessoas com Estomia em Teresina. Braz Enterestomal Ther. 2016; 14(1):29-35. doi: http://dx.doi.org/10.5327/Z1806-314420160001000

Lenza NFB, Buetto LS, Vieira FS, Oliveira MS, Teles AAS, Sonobe HM. Necessidades do estomizado intestinal em seguimento oncológico: revisão integrativa. Rev Enferm UFPE on online [Internet]. 2015 [citado 2018 jul 13]; 9(Supl.6):8715-24. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/10649/11668

Silva J, Sonobe HM, Buetto LS, Santos MG, Lima MS, Sasaki VDM. Teaching strategies for self-care of the intestinal stoma patients. Rev Rene. 2014; 15(1):166-73. doi: http://dx.doi.org/10.15253/2175-6783.2014000100021

Melo MDM. Integrative review of the defining characteristics in the nursing diagnosis: willingness to improved resilience in ostomized patients. Rev Min Enferm. 2015; 19(3):779-85. doi: http://www.dx.doi.org/10.5935/1415-2762.20150059

Published

2018-11-06

How to Cite

Moura, R. R. A., Moraes, J. T., & Guimarães, E. A. de A. (2018). Assessment of health care services for people with stoma: a multi-case study. Rev Rene, 19, e32961. https://doi.org/10.15253/2175-6783.20181932961

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Section

Research Article

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