| Abstract [eng] |
Operation on stoma formation is one of the most psychologically traumatic so it is of vital importance to ensure that would-be patient with stoma is prepared for changes after operation and life with stoma. The attendance of such patients is still insufficient in Lithuania. This subject was chosen with intention to spotlight the need for organized and qualified help for people with stoma. Objective - assessment of preoperative care and induction of patients with stoma. Tasks: 1. Evaluate the induction and training of patients before operation on stoma formation; 2. Evaluate the induction and training of patients after operation on stoma formation; 3. Estimate the importance and quality of nursing during preoperative care; 4. Compare the induction and training of patients with Colostoma and Ileostoma. Research objective – training and induction of patients on stoma care. Research was conducted in the Abdominal Surgery Department of Oncological Institute of Vilnius University. Patients who due to rectum cancer had colostoma and ileostoma formed during 2005 (the 1st of January 2005 – the 31st of December 2005) were examined. An anonymous questionnaire of 25 questions was given for in-patients during their last days in hospital to gather data. Thus, 110 forms of 137 possible were collected during year 2005. According to research preoperative induction of patients on care of stoma is much lesser (28,2 %) compared to induction after operation (90,9 %). In 78 % of cases the optimal position of stoma was not selected before operation. As much as 72 % of patients have no sufficient information and are unable to take care of themselves. The help of nurses on care of stoma is still inadequate. The induction and training of patients with stoma is better than that of patients with ileostoma. |
