Assistência prestada nos serviços de Atenção à Saúde às pessoas com estomia sob o olhar do paciente e do enfermeiro da atenção básica

Abstract

Introduction: people with an elimination stoma face numerous difficulties in adapting to physical, psychological, social and spiritual causes, requiring great effort from them in the rehabilitation and health care process. Nursing care for people with an ostomy should be planned, encompassing their physiological, psychological, emotional, social and family aspects, resulting in qualified assistance that provides an efficient rehabilitation process. Aim: to understand the care provided to people with an ostomy in municipalities that do not have Health Care Services for Ostomized People (SASPOS) from the perspective of nurses and patients with an elimination stoma. Method: this is a qualitative study that used the Collective Subject Discourse (CSD) methodology. The population consisted of nurses who work in Primary Health Care and people with elimination stoma from two municipalities belonging to the microregion of São Lourenço, who met the pre-established inclusion and exclusion criteria. The sampling technique used was snowball sampling. Data were collected through interviews and interpreted based on the analysis of the DSC. Results: 11 nurses and 9 patients participated in the study. Primary care nurses report positive experiences caring for people with ostomies and report easy access to Saspo, despite reporting little contact with this service (disconnected levels of care) and with ostomy patients. They consider health education relevant for rehabilitation, but complain of poor staffing, lack of knowledge in this area, and lack of EPS. Some people with ostomies report adapting and enjoying a good quality of life, while others report difficulty adapting due to physiological changes that impact routine changes, leading to social isolation. Complications, often associated with the use of questionable-quality collection devices, also have an impact, reflecting the lack of responsiveness within the healthcare network. Conclusion: there are still gaps in care for this population resulting from failures in knowledge of the flows of the health care network that reflect on the quality of life of patients and prevent care focused on rehabilitation. Continuing Education in Service (EPS) is necessary so that professionals can access information and transform their work dynamics with a focus on quality and safety of care