Evidências na prevenção e tratamento das dermatites na pele ao redor do estoma de eliminação

Abstract

Dermatitis stands out as the most frequent complication of the ostomy of intestinal and urinary elimination. It is recurrent ad may not be overcome in the course of time. In clinical practice, few nurses act for the prevention of dermatitis and the ones who do, most of the times, implement different orientations and actions without worryingabout scientific evidence. The objective of this study was to identify the effective conducts for the prevention and topical treatment of dermatitis around the elimination ostomy. The theoretical referential was the evidence-based practice. It makes possible to improve health assistance because it permits a more careful reflection and corrects distortions in the decision making. The integrative revision was used asmethodological referential, since there are few publications about this subject. The sample consisted of eight articles about prevention of dermatitis. The ones about treatment were excluded due to the design of the study. Most of the analyzed articles were descriptive studies, all of them number four level of evidence, with recommendations for the pre, trans and post-operative periods. It is recommended that researchers investigate this subject, with better qualified methodologicalproposals, which can also be operacionalized.