Abstract
IntroductionCare provided to ostomized people is crucial in their progress and rehabilitation. The Registered Nurses’ Association of Ontario clinical practice guidelines include greatest evidence nursing interventions for ostomized patient care. The aim of the study is to analyse the impact on patients’ care and health outcomes after Care and management of ostomy guideline implementation. MethodPre-post quasi-experimental study, carried out in all patients who underwent a digestive or urological ostomy in 8 centres of Best Practices Spotlight Organisation® where the ostomy care and management guideline was implanted from 2012 to 2018. Clinical, process and health outcome variables were analysed and compared in 3 periods of time. Descriptive analysis and comparison of proportions between the periods was performed, using Chi square, applying Yates correction, considering a 95% confidence interval. ResultsPreoperative education went from 36.7 to 47.3% (p<.05); stoma site marking from 25.2 to 33.8% (p<.05); postoperative evaluation from 94.8 to 59% (p<.05); postoperative education from 75.5 to 91.9% (p<.05); peristomal skin complications from 16.6 to 10.9% (p<.05), and ostomy complications from 21.8 to 27.9% (p<.05). ConclusionsThe implementation of the ostomy care and management improved preoperative care, stoma site marking and peristomal skin complications.
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