Abstract
Objective: to demonstrate the influence of the preoperative nursing consultation in the practice of self-care performed by patients with respiratory ostomy at the A.C. Camargo Cancer Center and to describe what are the self-care practices performed and their limiting factors. Method: qualitative, exploratory study, carried out with 7 patients aged 18 years or older, who underwent preoperative nursing consultation, who underwent surgery with the manufacture of a respiratory ostomy and were able to establish verbal communication. Data was collected through semi-structured interviews and a digital recorder and submitted to content analysis. Results: male participants predominated, aged 56 years or over and completed high school. Two analytical categories were identified: “Repercussions of the actions promoted by the preoperative nursing consultation”; and “Obstacles in the search for autonomy in the care of the tracheostomy cannula”. Conclusion: nursing consultation is an important instrument to guide, form bonds and clarify doubts about care with ostomy and respiratory devices, and nursing actions can limit and even prevent the patients from developing their self-care, making it necessary that the therapeutic nursing project is planned to aggregate the patient in this process.
Highlights
IntroductionHead and neck cancer comprises a group of malignant neoplasms that originate in the oral cavity, oropharynx, larynx and hypopharynx, being often described as “squamous cell carcinoma of the upper aerodigestive tract (UADT)”[1]
Head and neck cancer comprises a group of malignant neoplasms that originate in the oral cavity, oropharynx, larynx and hypopharynx, being often described as “squamous cell carcinoma of the upper aerodigestive tract (UADT)”[1].Worldwide, it is the 6th most prevalent type of cancer with 9.2% of cases, being responsible for 4.6% of cancer-related deaths
After reading the speeches collected in the interviews, two analytical categories were identified: “Repercussions of the actions promoted by the preoperative nursing consultation” and “Obstacles in the search for autonomy in the care of the tracheostomy cannula”
Summary
Head and neck cancer comprises a group of malignant neoplasms that originate in the oral cavity, oropharynx, larynx and hypopharynx, being often described as “squamous cell carcinoma of the upper aerodigestive tract (UADT)”[1]. Worldwide, it is the 6th most prevalent type of cancer with 9.2% of cases, being responsible for 4.6% of cancer-related deaths. In more than 60% of patients, the diagnosis of head and neck cancer occurs when the disease is in advanced clinical stages, this is because the first symptoms presented are of a non-specific nature and, due to the fact that they can access the lymphatic channels in the beginning of its appearance and develop quickly. Patients with advanced disease need more complex treatment, with the association of different therapeutic modalities, such as surgery, radiotherapy and chemotherapy, and with greater morbidity and impaired quality of life[1,3]
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