THE PREPARATION OF INTESTINAL ELIMINATION OSTOMIAS AND HOSPITAL READMISSION

Abstract

The research aimed to correlate personal, social, demographic and environmental factors with hospital management during the first hospitalization and that interfere in the process of hospital readmission in patients with intestinal elimination ostomies. The research method was quantitative-qualitative, descriptive, exploratory and documentary, with triangulation, composed of two stages, developed, after approval by the Ethics Committee, with patients submitted to the manufacture of intestinal ostomies in the period from 2015 to 2019. SPSS software was used to analyze descriptive variables®. Qualitative data were analyzed through thematic content analysis. The results of the profile of patients submitted to intestinal ostomies were from a public with incomplete elementary school. In the socio-environmental aspects, acquired in step 1, it was observed that most have treated water and sewage, access to the health unit and income between 1 and 11/2 minimum wage. In step 2, there was a high rate of readmission (39.1%), the majority (92.5%) of the patients did not receive any guidance on ostomy care, in the main causes of readmission, the records in the medical records are very subjective, a large part of 12 (30%) only indicated the basic diagnosis itself. It was concluded that, by correlating personal, social, demographic and environmental factors with hospital behaviors that interfere in the process of hospital readmission in patients with intestinal elimination ostomies, it was observed that the low schooling of patients interferes with self-care. Paradoxically, there is a huge lack of communication, guidance and monitoring between the multidisciplinary.