Compreendendo os significados de se estar estomatizado: metassíntese

Abstract

Individuals who have been submitted to ostomy surgery experience a new physical and organic condition linked to complex and restrictive changes that may lead the patient to need adaptation to dealing with and overcoming. The nursing care plan requires extensive and continuous evaluation and encompasses biological, psychosocial and spiritual needs. The aim of this study was to understand the meanings of the person with intestinal stomas, in order to guide nurses in the elaboration of a humanized and comprehensive care. It was utilized the methodological referential of the metasynthesis, and four scientific papers were analyzed in the light of content analysis, which formed a patchwork on the subject of being an ostomized person. The studies selected has been examined through theme category, discussing the main changes detected in the lives of ostomized patients; feelings regard to the body change; discomfort concerning elimination stoma; social support; health education; and conditions related to the person and the community. It was concluded that the perception of the ostomized person go through reflections on quality of life or absence of this, in addition the nurse’s role comprises instructions to the patient in the essential postoperative care and to social and family aspects.