Moya-Muñoz Noelia, Armenteros-Fernández Elena, Bautista-Mártir Clara, Vílchez-Díaz Irene Del Pilar, López-Medina Isabel María, Montoya-Juárez Rafael, Hueso-Montoro César, Capilla-Díaz Concepción
Virgen de las Nieves University Hospital, Granada, Spain.
Son Espasses University Hospital, Palma de Mallorca, Spain.
Front Surg. 2022 May 20;9:870379. doi: 10.3389/fsurg.2022.870379. eCollection 2022.
To determine nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables.
Cross-sectional study performed with 102 subjects at the General Surgery Unit of a first-level hospital.
Data on the presence of nursing outcomes were collected using the Nursing Outcomes Classification. Data on sociodemographic and clinical variables were also collected. Univariate and bivariate data analyses were performed.
Outcomes related to participation in making health decisions and knowledge of ostomy care were assessed across the study sample. Period of care (post-operative and follow-up) was the most common significant variable ( < 0.05) among the outcomes. The outcome scores ranged from 2 to 3, indicating a moderate level of impairment in the physical, psychological, and social spheres of these patients. The scores in the indicators on Participation in making health decisions and Knowledge of stoma care improved in the period of continuity of care compared to the postoperative period, being this difference statistically significant ( < 0.001).
The care plan for individuals with intestinal stoma needs to include indicators measuring patient participation in making decisions related to their condition, as well as indicators related to their knowledge and self-care of their stoma. Relevance to clinical practice: This study aims to determine the nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables. It provides the opportunity to plan achievable objectives with patients using a system of indicators that facilitate their assessment and monitoring.
确定肠造口患者的护理结果及其与社会人口学和临床变量之间的关系。
在一级医院普通外科对102名受试者进行横断面研究。
使用护理结果分类法收集护理结果的数据。还收集了社会人口学和临床变量的数据。进行单变量和双变量数据分析。
在整个研究样本中评估了与参与健康决策和造口护理知识相关的结果。护理期间（术后和随访）是结果中最常见的显著变量（<0.05）。结果得分在2至3之间，表明这些患者在身体、心理和社会领域存在中度损伤。与术后时期相比，在持续护理期间，参与健康决策和造口护理知识指标的得分有所提高，且这种差异具有统计学意义（<0.001）。
肠造口患者的护理计划需要包括衡量患者参与与自身病情相关决策的指标，以及与造口知识和自我护理相关的指标。与临床实践的相关性：本研究旨在确定肠造口患者的护理结果及其与社会人口学和临床变量之间的关系。它提供了一个机会，通过一个便于评估和监测的指标系统与患者规划可实现的目标。
