Caracterização dos pacientes readmitidos após confecção de ostomias intestinais em Hospital Universitário de Minas Gerais

Abstract

Introduction. Intestinal elimination ostomies refer to the surgical opening in the abdomen, in which there is the exteriorization of part of the intestinal segment, with the purpose of diverting feces and flatus and are causes of hospital readmissions, which cause impacts on the patient's life and high costs. hospital. Objective. To know the hospital readmission rate in patients with intestinal elimination ostomies and the correlation between personal, social, demographic and environmental factors, from the hospital process of making intestinal ostomies until discharge. Methodology. This is a study with a quantitative and qualitative methodological approach, of the descriptive type, with a non-experimental retrospective design, being a triangulation method formed by two stages. The population consists of patients who underwent intestinal ostomy from 2015 to 2019. The study site was surgical clinic 2 of the Hospital de Clínicas of the Federal University of Uberlândia. Step 1 took place through the online application of a questionnaire with patients who had undergone intestinal ostomies and which was possible to contact by phone. Step 2 followed a data form, and collected them from the medical records of patients undergoing the procedure in question and readmitted within 30 days after discharge. The analyzes of the descriptive variables were calculated using the SPSS® software version 22.0. And the qualitative data were analyzed using the Thematic Content Analysis, proposed by Bardin (2016). Results. As a result, we present 2 articles submitted to journals. The readmission rate after making intestinal ostomies is high (39.13%). The main intrinsic and extrinsic factors that influence this condition include low education (39.13%), low income (47.8%), negative feelings and low orientation during hospitalization, in which only 3 (7.5%) of the medical records there were records of orientations. Conclusion. Through this study, it was possible to know that the hospital readmission rate in patients with intestinal elimination ostomies in a Teaching Hospital in the Triângulo Mineiro Region is high (39.1%) - in 5 years - and is related to personal, psychological, social, demographic, environmental and also failures in guidance, monitoring and definition of a care plan from the hospital network.