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Abstract(s)
Os profissionais de saúde das unidades funcionais dos cuidados de saúde primários assistem a pessoa em todas as fases do seu ciclo de vida, e a probabilidade de realização de uma intervenção cirúrgica com confeção de uma ostomia de eliminação intestinal está patente em qualquer ser humano. O presente relatório descreve de forma sucinta as atividades desenvolvidas ao longo do estágio, constituído por três módulos, do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Comunitária, que decorreram num Agrupamento de Centros de Saúde do Grande Porto. O percurso efetuado proporcionou o desenvolvimento de competências especializadas em enfermagem comunitária, tendo por base a metodologia do planeamento em saúde. O diagnóstico de saúde procurou avaliar o conhecimento que os enfermeiros e médicos dos cuidados de saúde primários detêm sobre ostomias de eliminação intestinal. Para atingir este objetivo, perspetivou-se um estudo quantitativo, descritivo e de corte transversal. A população em estudo era composta por 205 profissionais, sendo a amostra constituída por 27 intervenientes. Após a aplicação de um questionário, constatou-se que 78% dos participantes referiram não ter formação específica em ostomias de eliminação intestinal; 74% desconhecem o estoma em cano de espingarda; 41% não possui conhecimento suficiente sobre os dispositivos coletores e acessórios, e ainda em relação a esse item 30% não tem opinião formada sobre o assunto. Por fim, 70% dos profissionais proferiram que no local onde exercem funções não existe um profissional de saúde a quem possam recorrer em caso de dúvidas.
Na fase de intervenção foi planeada uma sessão de formação e a meta pretendida foi alcançada com a obtenção do aumento de conhecimento dos profissionais de 60%. Ainda assim, constatou-se a necessidade de dar continuidade à intervenção estabelecendo parcerias com outras entidades, pelo que se perspetivou o desenvolvimento de projetos a médio/longo prazo, nomeadamente o “Manual de Boas Práticas” e “Telessaúde em Estomaterapia”, que terão seguimento futuro.
Health professionals in primary health care units not only assist people at all stages of their life cycle, but there is also the possibility of performing a surgical intervention with the purpose of a bowel elimination ostomy which is evident in any human being. This report describes briefly the activities developed during the internship, consisting of three modules, of the Master Course in Nursing with Specialization in Community Nursing, which took place in a Group of Health Centers in the Porto area. This course provided the development of specialized skills in community nursing, based on the methodology of health planning. The health diagnosis sought to assess the level of knowledge that nurses and primary care physicians have about bowel elimination ostomies. To reach this aim, a quantitative, descriptive, cross-sectional study has been considered. The surveyed population consisted of 205 professionals, and the sample consisted of 27 participants. After the application of a questionnaire, we concluded that 78% of the participants reported did not have any specific training in bowel elimination ostomies; 74% showed lack of knowledge about the shotgun barrel stoma; 41% did not have enough knowledge about the appliances and accessories, and still in relation to this item, 30% had no opinion formed on the subject. Finally, 70% of the professionals stated that in the place where they perform functions there was no health professional who they could appeal in case of doubt. During the intervention phase, a training session was planned and the desired goal was achieved with a professional´s knowledge increase of 60%. Nevertheless, it was evident that there is the need to continue the intervention by establishing partnerships with other entities, and therefore the development of medium / long-term projects, such as the "Good Practices Handbook" and "Telehealth in Stomatherapy", will be pursued in the future.
Health professionals in primary health care units not only assist people at all stages of their life cycle, but there is also the possibility of performing a surgical intervention with the purpose of a bowel elimination ostomy which is evident in any human being. This report describes briefly the activities developed during the internship, consisting of three modules, of the Master Course in Nursing with Specialization in Community Nursing, which took place in a Group of Health Centers in the Porto area. This course provided the development of specialized skills in community nursing, based on the methodology of health planning. The health diagnosis sought to assess the level of knowledge that nurses and primary care physicians have about bowel elimination ostomies. To reach this aim, a quantitative, descriptive, cross-sectional study has been considered. The surveyed population consisted of 205 professionals, and the sample consisted of 27 participants. After the application of a questionnaire, we concluded that 78% of the participants reported did not have any specific training in bowel elimination ostomies; 74% showed lack of knowledge about the shotgun barrel stoma; 41% did not have enough knowledge about the appliances and accessories, and still in relation to this item, 30% had no opinion formed on the subject. Finally, 70% of the professionals stated that in the place where they perform functions there was no health professional who they could appeal in case of doubt. During the intervention phase, a training session was planned and the desired goal was achieved with a professional´s knowledge increase of 60%. Nevertheless, it was evident that there is the need to continue the intervention by establishing partnerships with other entities, and therefore the development of medium / long-term projects, such as the "Good Practices Handbook" and "Telehealth in Stomatherapy", will be pursued in the future.
Description
Keywords
Cuidados de saúde primários Enfermagem Ostomia de eliminação intestinal Conhecimento Complicações Primary health care Nursing Intestinal elimination ostomy Knowledge Complications