Authors

Mª Elena García Manzanares1, Ignacio Zaragoza García2, Candelas López López3, Carolina Hidalgo Dóniga4, Juana Mª Aguilar Ortega5, Santiago Pérez García6

Position

1Máster en Coloproctología y Estomaterapia. Máster en Gestión de Servicios de Enfermería. Estomaterapeuta. Coordinadora del Grupo de Ostomias. Consulta de ostomias. Miembro del Grupo de Investigación en Cuidados Invecuid. Hospital Universitario 12 de Octubre. Madrid2Doctor en Cuidados en Salud. Máster en Investigación en Cuidados. Profesor Ayudante Doctor. Universidad Complutense. Madrid3Doctora en Cuidados en Salud. Máster en Investigación en Cuidados. Enfermera. Unidad de Cuidados Intensivos. Miembro del Grupo de Investigación en Cuidados Invecuid. Hospital Universitario 12 de Octubre. Madrid4Máster en Gestión Integral e Investigación de las Heridas crónicas. Enfermera de continuidad de cuidados. Coordinadora de la Subcomisión de Heridas. Miembro del Grupo de Investigación en Cuidados Invecuid. Hospital Universitario 12 de Octubre. Madrid5Máster en Género y Salud. Especialista en Enfermería Pediátrica. Enfermera Coordinadora de Lactancia Materna. Miembro del Grupo de Investigación en Cuidados Invecuid. Hospital Universitario 12 de Octubre. Madrid6Máster en Investigación en Enfermería. Supervisor. Área Funcional Investigación, Innovación y Procesos. Coordinador del Grupo de Investigación en Cuidados Invecuid. Hospital Universitario 12 de Octubre. Madrid

Contact address

Mª Elena García Manzanares. C/ Los Yébenes, 71. 28047 Madrid.

Abstract

Objective: to explore the relationship between emotional balance, self-care and skin integrity in ostomized persons through the NOC Outcomes Criteria.
Method: a prospective observational study, including ostomized patients under follow-up in the Ostomy Unit at seven days after discharge, and at two, six and 12 months. Sociodemographical, clinical and outcome variables were studied, based on eight indicators associated with the NOC (1101) Tissue Integrity: Skin & Mucous Membranes, (1615) Ostomy Self-Care and (1204) Emotional Balance. A descriptive analysis was conducted, using frequencies, means and standard deviations (SD). Correlations between NOC-derived indicators were studied.
Results: the study included 55 patients; 65.45% (n= 36) were male, with 67.45 (13.4) years as mean age (SD), and 58.2% were >65-year-old. Intestinal continuity was restored in 50.90% (n= 28) of the participants; 10.90% (n= 6) achieved skin integrity (visit 1), reaching 100% (n= 20) (visit 4). An adequate self-care was achieved by 18.18% (n= 10) (visit 1), reaching 100% (n= 20) (visit 4). No patient achieved emotional balance at Visit 1; 34% (n= 17) had achieved it at Visit 2, 59.5% (n= 21) at Visit 3, and 70% (n= 14) at Visit 4. Correlations between variables were presented in a direct and positive manner, with Moderate-Good association levels; all of them were statistically significant.
Conclusions: the proportion of patients with problems in peristomal skin improved throughout follow-up. Self-care was gradually increased, as well as emotional balance. There was a direct and positive relationship between skin integrity and self-care, quality of sleep, appetite, maintaining personal hygiene and care, and reporting a serene mood.

Keywords:

self-care; emotional adjustment; surgical stoma; nursing care; evaluation of processes and results (Health Care); daily life activities; Nursing Outcomes Classification (NOC); skin integrity

Versión en Español

Título:

Equilibrio emocional, capacidad de autocuidado e integridad cutánea en la persona ostomizada