Perioperative Nursing Care for Patients with Colorectal Cancer: Sociodemographic, Clinical and Therapeutic Characterization
DOI:
https://doi.org/10.33448/rsd-v10i7.16599Keywords:
Health Profile; Colorectal neoplasms; Surgical stomas; Perioperative nursing; Stomatherapy.Abstract
Objective: to characterize the sociodemographic, clinical and therapeutic profile of two patients, in their first elective surgery for coloretal cancer, as well as the realization of the pre-operative demarcation of the stoma, in a São Paulo public university hospital. Methodology: descriptive, retrospective and cross-sectional study, with a quantitative approach, by means of the collection of medical records, with a data collection instrument on the sociodemographic, clinical and therapeutic profile of patients of the Coloproctology specialty, in their first elective surgery for coloretal cancer. Results: there is a predominance of idosos, with companions, fundamental ensino, settled, location of the tumor in the sigmoid junction, sigmoid and retal challenges, presence of comorbidities and overweight / obesity, moderately differentiated adenocarcinoma, surgeries performed by open surgery, neural hemilemoid surgery / challenges Perform neoadjuvant treatment for all participants to receive stoma pre-operative demarcation. After surgery, 51 (42.1%) patients presented predominantly colostomy, all cross-referenced to a specialized program of the Brazilian Public Health System (SUS). Conclusion: The results show the importance of the systematization of the stoma demarcation, the fundamental aspects that influence the demarcation of the stoma, as well as the clinical assessment, indicating the need for specialized training by two general nurses from hospital institutions on stoma demarcation and fundamental perioperative care for these patients, regarding the prevention of stoma complications and the peristomal skin.
References
Bulkley, J. E. et al. (2018). Ongoing ostomy self-care challenges of long-term rectal cancer survivors. Support Care Cancer. 26(11), 3933-3939. https://doi.org/10.1007/s00520-018-4268-0
Brasil. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). (2019). Estimativa 2020: incidência de câncer no Brasil. https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Portaria nº 400, de 16 de novembro de 2009. http://bvsms.saude.gov.br/bvs/saudelegis/sas/2009/prt0400_16_11_2009.html
Brasil. Ministério da Saúde. (2012). Lei nº 12.732, de 23 de Novembro de 2012.. http://www.planalto.gov.br/ccivil_03/_ato2011-2014/2012/lei/l12732.htm.
Brasil. Ministério da Saúde. (2013). Portaria n° 3. 390, de 30 de Dezembro de 2013. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt3390_30_12_2013.html
Brasil. Ministério da Saúde. (2014). Portaria nº 958, de 26 de Setembro de 2014. https://portalarquivos2.saude.gov.br/images/pdf/2014/novembro/24/MINUTA-Portaria-SAS-DDT-Colon-e-Reto-23-09-2014-corrigido-em-24-11-2014.pdf.
Carvalho, R. A. O. (2014). Análise do perfil epidemiológico e sobrevida de pacientes com câncer colorretal em um hospital universitário de 2000 a 2010. Dissertação - Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo. Ribeirão Preto-SP.
Den Bakker, C. M. et al. (2018). Cancer survivors' needs during various treatment phases after multimodal treatment for colon cancer - is there a role for eHealth? BMC Cancer. 18(1),1207. https://doi.org/10.1186/s12885-018-5105-z
Fitzmaurice, M. D. C. et al. (2019). Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 cancer groups, 1990 to 2017: a systematic analysis for the global burden of disease study. Jama Oncology. 5(12), 749–1768. https://www.ncbi.nlm.nih.gov/pubmed/31560378
Gonzalez-Saenz de Tejada, M. et al. (2017). Association between social support, functional status, and change in health-related quality of life and changes in anxiety and depression in colorectal cancer patients. Psychooncology. 26(9), 1263-1269. https://doi.org/10.1002/pon.4303
Habr-Grama, A., Scanavini Neto, A., Araújo, S. E. A. Estomias intestinais: aspectos conceituais e técnicos. In: Santos, V. L. C. G, Cesaretti, I. U. R. (2015). Assistência em estomaterapia: cuidando de pessoas com estomia. (2a ed.), Atheneu.
Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo. HCFMRP-USP em números. https://site.hcrp.usp.br/hcfmrp-em-numeros/
Hulley, S. B., Cummings, S. R., Browner, W. S.; Grady, D. G. & Newman, T. B. (2015). Delineando a pesquisa clínica. (4a ed.) Artmed.
Martins, L. M. et al. (2015). Rehabilitation of individuals with intestinal ostomy. British Journal of Nursing. 24(22), S4-S11. https://doi.org/10.12968/bjon.2015.24.Sup22.S4
Mcmullen, C. et al. (2018). Designing for impact: identifying stakeholder-driven interventions to support recovery after major cancer surgery. Support Care Cancer. 26(12),4067–4076. https://www.ncbi.nlm.nih.gov/pubmed/29876832.
Oliveira, M. S. As complicações precoces e tardias e a demarcação de estoma intestinal. (2014). Dissertação (Mestrado) – Escola de Enfermagem de Ribeirão Preto da Universidade de
Pereira, A. C. et al. (2016). O ensino pré-operatório na perspectiva de pacientes oncológicos. Revista de Enfermagem UFPE online. 10, 449-456. https://doi.org/10.5205/1981-8963-v10i2a10976p449-456-2016
Rocha, J. J. R. Estomas intestinais (ileostomias e colostomias) e anastomoses intestinais. (2011). Medicina (Ribeirão Preto), 44(1),51-6. https://doi.org/10.11606/issn.2176-7262.v44i1p51-56
Sasaki, V. D. M. et al. Rehabilitation of people with intestinal stomy: integration review. Revista de Enfermagem UFPE online. 11(4), 1745-1754. https://doi.org/10.5205/1981-8963-v11i4a15271p1745-1754-2017
Sasaki, V. D. M. (2018). Autocuidado com a estomia intestinal e equipamentos coletores: perspectiva das pessoas estomizadas intestinais, familiares e equipe multidisciplinar do Programa de Ostomizados. Tese (Doutorado) – Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto-SP.
Santos, V. L. C. G. Cuidando do estomizados: análise da trajetória no ensino, pesquisa e extensão. (2006). Tese (Livre-Docência) – Escola de Enfermagem, Universidade de São Paulo,
Santos, V. L. C. G.; & Cesaretti, I. U. R. Assistência em estomaterapia: cuidando de pessoas com estomia. (2015). (2a ed.) Atheneu.
Shahrokni, A. et al. (2017). How we care for an older patient with cancer. Journal Oncology Practice. 13(2), 95–102. 10.1200/JOP.2016.017608
Shun, S. C. et al. (2016). Cancer prehabilitation for patients starting from active treatment to surveillance. Asia Pac J Oncol Nurs. 3(1), 37-40. https://doi.org/10.4103/2347-5625.178169
Sonobe, H. M. (2017). Demarcação de estoma intestinal em adultos e idosos: evidências para a proposição de um protocolo. Tese (Livre-Docência) – Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto-SP.
Teles, A. A. S. et al. (2017). Physical, psychosocial changes and feelings generated by intestinal ostomy for the patient: integrative review. Revista de Enfermagem UFPE online, 11(2), 1062-1072. https://doi.org/10.5205/1981-8963-v11i2a13477p1062-1072-2017
Wiedenbein, L. et al. (2016). Assessment of rehabilitation needs in colorectal cancer treatment: Results from a mixed audit and qualitative study in Denmark. Acta Oncology. 55(6),705-711. https://www.ncbi.nlm.nih.gov/pubmed/26808254
World Council of Enterostomal Therapists (WCET). (2014). International Ostomy Guideline Recommendations. WCET Journal. 34(2). https://www.wcetn .org/as se ts/Publications/wcet_april-june_2014f%20iog%20recommandations.pdf
Wound, Ostomy, and Continence Nurses Society. (2010). Management of the patients with a fecal ostomy: Best Practice Guideline for Clinicians Journal Wound Ostomy Continence Nursing society. 37(6), 596-598. https://doi.org/10.1097/won.0b013e3181f97e37
Yu, Y. et al. (2017). The Impact of the predictive nursing education process on degree of comfort and Quality of Life for patients in the Oncology Department. Iran Journal Public Health. 46(9), 1231–1236. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632325/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 André Aparecido da Silva Teles; Lorena Alves Pantoni; Wagner Felipe dos Santos Neves; Janderson Cleiton Aguiar; Tatiana Mara da Silva Russo; Camila Maria Silva Paraizo-Horvath; Antonio Jorge Silva Correa Júnior; Helena Megumi Sonobe
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
