Custo hospitalar com equipamentos coletores e adjuvantes para a assistência a pessoas com estomias de eliminação intestinal

Abstract

Objective Primary: analyze the cost of a hospital institution with collection equipment and adjuvants used by people with intestinal elimination ostomies during hospitalization. Method: this is an observational, descriptive case series study. Descriptive position (average, median, and average and daily cost) and dispersion statistics (amplitude and standard deviation) were used. Results: participants were divided into two groups (ileostomy and colostomy) with a sample of 17 in each. The first had a total cost of (BRL 7,467.15), an average cost of (BRL 439.24), and average length of stay of (25 days) greater than the second (BRL 2,649.38, BRL 155.84, and 13.5 days, respectively). Several inconsistencies were observed in the nursing teams' product indication, such as an excessive use of adjuvants and collection equipment, incompatible with the ostomies and effluent characteristics. Conclusion: the cost of ileostomy collection equipment and adjuvants was higher than that of colostomy, surgical procedure and ostomy characteristics data obtained from medical records were incomplete or contradictory. There were divergences and inconsistencies in product indications. Such facts suggest nurses' lack of knowledge for assertive indications, which can generate an increase in cost.