Preoperative nursing consultation and self-care of cancer patients with respiratory ostomy

Abstract

Objective: to demonstrate the influence of the preoperative nursing consultation in the practice of self-care performed by patients with respiratory ostomy at the A.C. Camargo Cancer Center and to describe what are the self-care practices performed and their limiting factors. Method: qualitative, exploratory study, carried out with 7 patients aged 18 years or older, who underwent preoperative nursing consultation, who underwent surgery with the manufacture of a respiratory ostomy and were able to establish verbal communication. Data was collected through semi-structured interviews and a digital recorder and submitted to content analysis. Results: male participants predominated, aged 56 years or over and completed high school. Two analytical categories were identified: “Repercussions of the actions promoted by the preoperative nursing consultation”; and “Obstacles in the search for autonomy in the care of the tracheostomy cannula”. Conclusion: nursing consultation is an important instrument to guide, form bonds and clarify doubts about care with ostomy and respiratory devices, and nursing actions can limit and even prevent the patients from developing their self-care, making it necessary that the therapeutic nursing project is planned to aggregate the patient in this process.

Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

“…The only study that answered the research question emphasized the role of nurses as educators in preoperative consultations [14], which agrees with the recommendations of other authors [9,[20][21][22]. Patients need advice (information and support) and guidance in the preoperative phase.…”

“…The final sample consisted of one article (Table 4). [14] To describe the implementation and feasibility of a new tool to improve preoperative care in geriatric head and neck cancer patients in preoperative nursing consultations.…”

“…Patients need advice (information and support) and guidance in the preoperative phase. This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations [19], which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices [14].…”

“…Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain [23][24][25][26][27][28]. Information given to head and neck cancer patients during the preoperative nursing consultation can also increase treatment tolerance [14]. This contributes to the average length of stay [23,24], promotes independence in self-care and activities of daily living [26,27], and ensures the autonomy of patients and their families during care provision [14,23].…”

“…Individuals with head and neck cancer must be informed about managing all the expected changes. This implies education and guidance to prepare them to face the new conditions in which they will find themselves after the surgical procedures, providing them with information and knowledge to acquire new skills aimed at self-care [14].…”