Objective To evaluate the sociodemographic and clinical factors related to patients with intestinal stoma and correlate them to the health locus of control, spirituality and hope for a cure. Method This study was conducted at the Polo of Ostomized Patients of the city of Pouso Alegre, Minas Gerais. Participants were 52 patients with intestinal stoma. The scale for Health Locus of Control, the Herth Hope Scale, and the Self-rating Scale for Spirituality were used for data collection. Results The patients were aged up to 50 years, with the following means: Herth Hope Scale: 17.53; Self-rating Scale for Spirituality: 19.33. With regard to marital status, single people had a mean of 21.00 for the Herth Hope Scale. Retired ostomized patients had a mean of 20.53 for the Herth Hope Scale, of 10.38 for the Self-rating Scale for Spirituality, and of Scale for Health Locus of Control, of 18.79. The patients whose cause of making the stoma was neoplasia attained a mean of 19.43 for the Self-rating Scale for Spirituality. Regarding the character of the stoma, the mean for the Herth Hope Scale was 18.40. In the ostomized individuals who lived with the stoma for less than four years the means for the Herth Hope Scale, Self-rating Scale for Spirituality, and Scale for Health Locus of Control were 17.39, 20.35, and 23.09, respectively. Patients who did not participate of an association or support had means for the Herth Hope Scale, Self-rating Scale for Spirituality, and Scale for Health Locus of Control of 19.08, 17.25, and 20.63 respectively. Conclusion Ostomized patients believe they can control their health and that those involved in their care and rehabilitation can contribute to their improvement.
Objetivo: construir e validar o conteúdo de um manual para prevenção do pé diabético. Método: estudo metodológico. Para a construção do manual, realizou-se uma revisão junto às bases de dados de Ciências da Saúde, incluindo a Biblioteca Cochrane, SCIELO, LILACS, MEDLINE. O processo de validação teve a participação de 38 profissionais (enfermeiros, médicos e fisioterapeutas) com experiência em tratar e prevenir úlcera no pé em indivíduos com diabetes. Para validação do manual foi utilizado a técnica Delphi. Resultados: o índice de validade de conteúdo global do manual na primeira avaliação foi de 0,84. Após realizadas as correções sugeridas pelos juízes, o manual foi reenviado para outra avaliação e nessa reavaliação o índice de validade de conteúdo global foi de 0,99. Conclusão: o manual para prevenção do pé diabético proposto foi considerado validado por especialistas quanto ao conteúdo, aparência e medidas preventivas, sugerindo que o manual tem potencial para contribuir na educação em saúde sobre prevenção da ulceração no indivíduo diabético.
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