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Psychological aspects of patients with intestinal stoma: integrative review1 1 Paper extract from doctoral Dissertation “Pacientes em tratamento cirúrgico por patologias colorretais crônicas: proposição de protocolo de atendimento psicológico ”, presented at Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto- EERP/USP, Ribeirão Preto, SP, Brazil.

ABSTRACT

Objective:

to analyze evidences of psychological aspects of patients with intestinal stoma.

Method:

integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review.

Results:

after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce.

Conclusion:

it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments.

Descriptors:
Ostomy; Digestive System; Perioperative Care; Psychological Adaptation; Rehabitlitation; Review

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