Abstract:
This aim of this study was to describe the psychological care strategies used with stomized patients and their relatives in a hospital inpatient unit of a public university of the Brazil's largest public university in the preoperative period and preparation for the hospital discharge. This is an exploratory-descriptive study with a qualitative approach that focuses on an extension program that offers interdisciplinary care for this population. Psychological interventions were recorded in a field diary and data were submitted to content analysis and interpreted in the perspective of theoretical assumptions of Health Psychology. Psychological assistance includes the following strategies: clinical history survey, identification of psychological needs of the patient in the pre-surgical period, meetings with the health team providers to discuss the cases in order to elaborate the therapeutic plan, orientation to family, psychological and qualified listening in the bed, orientation to the patient and evaluation of his/her psychological state, with a view to preparing him for discharge. Psychological care has enabled the welcoming of these patients, during the hospitalization, focusing on the patient's needs resulting from surgical intervention and stomization. The psychological support has strengthened the autonomy and minimized the suffering associated with the surgery and its consequences, in view of the limits imposed by the chronic intestinal illness, besides enabling articulated care with the surgical and nursing staff, ensuring continued patient assistance focused on development of the self-care skills.
Keywords:
Surgery; Ostomy; User Embracement; Self Care Skills; Hospital Psychology