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Previous issue date: 2016-12-02 / Pacientes estomizados t?m sua perspectiva de vida alterada, principalmente pela imagem
corporal negativa, devido ? presen?a do estoma associado ? bolsa coletora, aos padr?es de
elimina??o alterados, as modifica??es nos h?bitos alimentares e de higiene, resultando muitas
vezes, em autoestima diminu?da, sexualidade comprometida e at? em isolamento social.
Tendo em vista, as dificuldades e complica??es apontadas, ainda que de forma sucinta,
percebe-se que as pessoas com estomias necessitam prioritariamente serem estimuladas para o
desenvolvimento da autoestima, e os profissionais de enfermagem por meio do processo de
estabelecimento de diagn?sticos acurados s?o essenciais para uma assist?ncia integral. Estudo
transversal e descritivo, com o objetivo de analisar a acur?cia das caracter?sticas definidoras
do diagn?stico de enfermagem ?Baixa autoestima situacional? em pessoas estomizadas
cadastradas no Centro de Reabilita??o de adultos do Rio Grande do Norte ? CERHRN.
Realizou-se a coleta de dados entre os meses de janeiro a mar?o de 2015, mediante a
utiliza??o de dois instrumentos: um deles composto por quest?es referentes a aspectos
sociodemogr?ficos e cl?nicos dos pacientes, caracter?sticas do estoma e do efluente e suas
complica??es, e um instrumento com base na NANDA-I e na Escala de autoestima de
Rosenberg (RSES). O processo de amostragem foi determinado por conveni?ncia, resultando
em um total de 90 estomizados. Para inferir sobre a presen?a ou a aus?ncia do diagn?stico de
enfermagem em estudo, assim como de suas caracter?sticas definidoras, procedeu-se a etapa
de infer?ncia diagn?stica, com a participa??o de ju?zes. A pesquisa obteve parecer favor?vel
mediante o processo n? 421.342 CEP-HM Na caracteriza??o sociodemogr?fica, houve
predomin?ncia do sexo masculino (62,2%), com faixa et?ria a partir de 50 anos (58,9%), de
cor parda (50%), com companheiro (58,9%), aposentados (46,7%), com escolaridade at? o
ensino fundamental (71,1%), cat?licos (65,6%) e com renda superior a um sal?rio m?nimo
(66,7%). Com rela??o aos aspectos cl?nicos e do estoma houve predom?nio de estomizados
sem comorbidades (54,4%), colostomizados (80%), com perman?ncia definitiva (63,3%)
como principal causa da confec??o do estoma a neoplasia (60%), que fizeram tratamento
quimioter?pico (50%), com 25 meses de estomia ou mais (53,3%). Com rela??o ?s vari?veis
sociodemogr?ficas, observou-se associa??o da autoestima com a escolaridade (p=0,007). O
diagn?stico de enfermagem Baixa autoestima situacional estava presente em (23,3%) da
amostra. Dentre as caracter?sticas definidoras prevalentes destacaram-se: verbaliza??es
autonegativas (33,3%), comportamento indeciso (28,8%) e comportamento n?o assertivo
(26,1%). As caracter?sticas definidoras que apresentaram maiores raz?es de preval?ncia foram
express?es de sentimento de inutilidade, relata verbalmente desafio situacional atual ao seu
pr?prio valor e avalia??o de si mesmo como incapaz de lidar com situa??es ou eventos. As
caracter?sticas com maior sensibilidade foram comportamento indeciso e express?es de
sentimento de inutilidade e as mais espec?ficas foram relata verbalmente desafio situacional
ao seu pr?prio valor, express?es de sentimento de inutilidade, avalia??o de si mesmo como
incapaz de lidar com situa??es e eventos, express?es de desemparo. Conclui-se que a
identifica??o das caracter?sticas definidoras mais sens?veis e especificas, permite predizer a
real presen?a ou aus?ncia do diagn?stico Baixa Autoestima Situacional, auxiliando na
assist?ncia de enfermagem a popula??o dos estomizados. / Stomatal patients have their life prospects altered, mainly by negative body image, due to the
presence of the stoma associated with the collection bag, altered patterns of elimination,
changes in eating and hygiene habits, often resulting in decreased self-esteem, compromised
sexuality And even in social isolation. In view of the difficulties and complications pointed
out, however succinctly, it is perceived that people with stomies need to be stimulated for the
development of self-esteem, and nursing professionals through the process of establishing
accurate diagnoses are essential For comprehensive assistance. A cross - sectional study and
descriptive approach, aiming at analyzing the accuracy of the defining characteristics of the
nursing diagnosis "Low situational self - esteem" in stomized persons enrolled in the Adult
Rehabilitation Center of Rio Grande do Norte - CERHRN. Data collection was carried out
between January and March 2015, using two instruments: one of them consisting of
sociodemographic and clinical aspects of the patients, characteristics of the stoma and
effluent, and their complications and characteristics. Self-care, and an instrument based on
NANDA-I and the Rosenberg Self-Esteem Scale (RSES). The sampling process was
determined by convenience, resulting in a total of 90 stomatal. In order to infer about the
presence or absence of the nursing diagnosis under study, as well as its defining
characteristics, a diagnostic inference step was performed, with the participation of judges. In
the socio-demographic characterization, there was a predominance of males (62.2%), aged 50
years and over (58.9%), brown (50% ), With a partner (58.9%), retired (46.7%), with primary
schooling (71.1%), Catholic (65.6%) and income higher than a minimum wage (66, 7%).
With respect to the clinical and stomatal aspects, there was a predominance of stomates
without comorbidities (54.4%), colostomized (80%), with definitive permanence (63.3%) as
the main cause of the stoma to neoplasia (60%), Who underwent chemotherapy (50%), with
25 months of estomy or more (53.3%). Regarding sociodemographic variables, we observed
an association between self-esteem and schooling (p = 0.007). The nursing diagnosis Low
situational self-esteem was present in (23.3%) of the sample. Among the prevalent defining
characteristics were: self-negative verbalizations (33.3%), undecided behavior (28.8%) and
non-assertive behavior (26.1%). The defining characteristics that presented the highest
prevalence reasons were expressions of feeling of worthlessness, verbally reporting current
situational challenge to their own value, and evaluating themselves as unable to cope with
situations or events. The most sensitive characteristics were undecided behavior and
expressions of feeling of worthlessness and the most specific were verbally reports situational
challenge to their own value, expressions of feeling of worthlessness, self-evaluation as
unable to cope with situations and events, expressions of unpair . It is concluded that the
identification of the most sensitive and specific defining characteristics, allows predicting the
real presence or absence of the diagnosis Low Situational Self-esteem, assisting nursing care
to the population of the stomates.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22435 |
| Date | 02 December 2016 |
| Creators | Melo, Marjorie Dantas Medeiros |
| Contributors | 06605883403, http://lattes.cnpq.br/5903265312273525, Lira, Ana Luisa Brand?o de Carvalho, 64194892372, http://lattes.cnpq.br/4545130167501174, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Salvetti, Marina de G?es, 25891299801, http://lattes.cnpq.br/2728892775372573, Costa, Isabelle Katherinne Fernandes |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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