Evaluation of a specialized service for people with ostomies and alterations by the COVID-19 pandemic
DOI:
https://doi.org/10.36489/saudecoletiva.2023v13i85p12736-12749Keywords:
COVID-19, Ostomy, Stomatherapy, Health Services Administration, Health Services ResearchAbstract
Objectives: Evaluate the level of implementation of the Health Care Policy for Ostomy Persons in a Specialized Service and identify the service restructuring points as a result of the Pandemic. Method: Single case study, descriptive-exploratory, carried out in a service in the central macro-region of Minas Gerais. Data collection took place in May and June 2021, through a self-reported questionnaire by two professionals about the structure and processes of the service. Data were analyzed based on the Analysis and Judgment Matrix. Results: In the evaluation of one of the participants, the service obtained a score of 80% (full implementation) while the other, 76.25% (satisfactory implementation). Hygiene and safety were reinforced and there was a reduction in attendance due to the pandemic. Conclusion: There was divergence in the evaluation of the service resulting in different classifications of the level of implementation. The pandemic interfered with the assistance provided, which can make the rehabilitation process more difficult.
References
Moura RRA, Moraes JT, Guimarães EAA. Assessment of healthcareservices for peoplewithstoma: a multicasestudy. Rev Rene. [Internet]. 2018 [acesso em 12 jul 2021];19(e32961). Disponível em: https://doi.org/10.15253/2175-6783.20181932961
Sarti TD, Lazarini WS, Fontenele LF, Almeida APSC. Whatis the role of Primary Health Care in the COVID-19 pandemic? Epidemiol. Serv. Saúde. [Internet]. 2020 [acesso em 10 jul 2021];29(2). Disponível em: https://doi.org/10.5123/S1679-49742020000200024
Malta DC, Szwarcwald CL, Barros MBA, Gomes CS, Machado IE, Souza Júnior PRB et al. The COVID-19 Pandemic and changes in adultBrazilianlifestyles: a cross-sectionalstudy, 2020.Epidemiol. Serv. Saúde. [Internet]. 2020 [acesso em 30 jun 2021];29(4). Disponível em: 10.1590/S1679-49742020000400026
Tanaka AKSR, Paczek RS, Brum BN, Brito DT, Alexandre EM, Agostini AGF. Adaptation of the stomatherapyserviceduring the COVID-19 pandemic: anexperience report. Rev Gaúcha Enferm. [Internet]. 2021 [acesso em jul 2021];42(spe):e20200214. Disponível em: https://doi.org/10.1590/1983- 1447.2021.20200214
Moraes JT, Amaral CFS, Borges EL, Ribeiro MS, Guimarães EAA. Ostomypatientshealthcareservices:
diagnostic analysis in the State of Minas Gerais, Brazil. [Internet]. 2014 [acesso em 20 jun 2020];22(01). Disponível em: https://doi.org/10.1590/1414-462X201400010015
Moraes JT, Amaral CFS, Borges EL, Ribeiro MS, Guimarães EAA. Evaluation of implantation of ostomypatienthealthcareprogram. REME. [Internet]. 2017 [acesso em 21 jun 2020];21(e-1017). Disponível em: http://www.dx.doi.org/10.5935/1415-2762.20170027
Bernardes A. Contemporary perspectives onleadership and management in nursing [Editorial]. Rev Gaúcha Enferm. [Internet]. 2018 [acesso em 20 jul 2021];39:2018-0247. doi: https://doi.org/10.1590/1983-1447.2018.2018- 0247
Treviso P, Peres SC, Silva AD, Santos AA. Competências do enfermeiro na gestão do cuidado. Rev. Adm. Saúde. [Internet]. 2017 [acesso em 30 jul 2021];17(69). Disponível em: http://dx.doi.org/10.23973/ras.69.59
Báo ACP, Amestoy SC, Moura GMSS, Trindade LL. Qualityindicators: tools for the management of bestpractices in Health. RevBrasEnferm [Internet]. 2019 [acesso em 14 nov 2021];72(2):360-6. Disponível em: http://dx.doi.org/10.1590/0034-7167-2018-0479
Freitas JPC; Borges EL; Bodevan EC. Characterization of the clientele and evaluation of healthcareservice of the personwitheliminationstoma. ESTIMA, Braz. J. EnterostomalTher. [Internet]. 2018 [acesso em 25 jun 2021];16(e0918). Disponível em: http://doi:10.30886/estima.v16.402_PT
Flasch DMAM, Oliveira LGD, Cardoso GCP, Andrade M, Ribeiro WA. Health evaluation: health assessment for peoplewithostomies. RevBrasEnferm. [Internet]. 2020;73(4):e20180789. Disponível em: http://dx.doi.org/10.1590/0034-7167-2018-0789
Moraes JT; Santos VLCG; Dantas SRPE; Paula MAB. Cursos de estomaterapia acreditados para uma formação de excelência. ESTIMA, Braz. J. EnterostomalTher. [Internet], 2020 [acesso em 14 nov 2021]; 18: e0420. Disponível em: https://doi.org/10.30886/estima.v18.866_PT
Tinelli G, Sica S, Guarnera G, Roma AH, Pitocco D, Tshomba Y. WoundCare during COVID-19 Pandemic. Ann Vasc Surg [Internet] 2020[acesso em 14 nov 2021];68: 93–94. Disponível em: http://dx-.doi.org/10.1016/j.avsg.2020.06.044.
IBGE. Uso de internet, televisão e celular no brasil. Pesquisa Nacional por amostra de domicílios Continua. [Internet]. 2018 [acesso em 14 nov 2021]. Disponível em: https://educa.ibge. gov.br/jovens/materias-especiais/20787-uso-de-internet-televisao-e-celular-no-brasil.html).
Ribeiro IAP, Lira JAC, Maia SF, Almeida RN, Fernandes MA, Nogueira LT et al. Nursing management: reflectionson the challenges and strategiesfacing COVID-19. [Internet]. 2021 [acesso em jul 2021];95:33. Disponível em: https://doi.org/10.31011/reaid-2021-v.95-n.33-art.1053