Self-care of people with intestinal ostomy: beyond the procedural towards rehabilitation

Abstract

OBJECTIVES: to interpret the self-care experience of people with intestinal ostomy registered in an ostomy program, based on the framework of the Social Model of Disability. METHODS: qualitative exploratory research, with the participation of nine people with intestinal ostomy, based on the Social Model of Disability. RESULTS: majority were elderly, married, male with colostomy due to colorectal neoplasia. The self-care of these people was analyzed in two thematic groups: "Interdisciplinary assistance needed for people with intestinal ostomy" and "Self-care for the rehabilitation of the person with intestinal ostomy". It was proved that there was a need for a specialized health team, offering information on disabilities, teaching self-care and perioperative follow-up. FINAL CONSIDERATIONS: when the social barriers of physical disabilities are overcome in the context of assistance for health and life, self-care will go beyond the reductionist vision of procedural care, towards comprehensive care, favoring the achievement of rehabilitation and the quality of survival.