Barreiras enfrentadas pelo enfermeiro no processo de educação do paciente estomizado visando a sua reabilitação

Abstract

Affected patients by some disease that has an indication to making a stoma, are faced with a new reality, most of times, overwhelming, that understands the fight of malignancy disease or chronic and also a after surgery that will change your routine forever. A carefully targeted isessential to the peculiar needs of these patients. The aim of this study was to identify nurses' difficulties in the educational process of the ostomy patient seeking their rehabilitation. Method: This is about a meta-synthesis consisting of a methodology that allows the interpretive integration of qualitative findings, based on the information theory. Result: The meta-synthesis revealed four categories of analysis, the first one, denser, titled behaviors of coping, including the individual aspects, family, social, work and activities, and previous experiences, the other categories were the special care that the patient needs, needing guide and recognition of difficulties to special care. These categories emerged from the difficulties that were related to failures in process or structure in which the care was entered and were divided into four groups: lack of professional preparation for a specialized, differentiated assistance; lack of encouragement from team work of the institution; lack of autonomy forprofessional development; and lack of over professional. Conclusion: It was explicit in this meta-synthesis that disabilities in ostomy interventions for the patients assigned to poor academic training expertise in the major limitations encountered area. Between the majorlimitations found, there are the fear and insecurity to deal with the ostomy patient, the little specific training to deal with these patients and the difficulty in dealing with patients emotionally shaken.