Reinserción laboral de personas con una ostomía en la Comunidad Autónoma de Galicia

  1. Mª Beatriz Crespo Fontán
  2. Corbal Obelleiro, Ana Isabel
  3. Fernández García, María Adelina
  4. Sebio Brandariz, Purificación
  5. Pazos Orosa, María del Carmen
  6. Louzao Méndez, Silvia
  7. Gago Ferreiro, María Cruz
  8. Riveiro García, María Rosario
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2017

Volume: 20

Issue: 1

Type: Article

DOI: 10.35667/METASENF.2019.20.1003081017 DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

Abstract

Objective: to understand and analyze the reality of patients with ostomy from the point of view of their potential reintegration into the work force in the Autonomous Community of Galicia. Method: a descriptive, transversal and multicenter study on patients with ostomy from the perspective of their reintegration to the work activity. The period of research was from October, 2014 to September, 2015. A single visit was conducted, where a series of basal data were collected regarding the ostomy, background, quality of life, and questions about the working status of the patient. The Questionnaire on Quality of Life (Stoma-QoL) and the Tool for Peristomal Skin Assessment (DET Score) were used. Results: in total, 138 patients were recruited from the six participating centres in the Autonomous Community of Galicia. The mean age of participants was 52.97 years, with a median 54.50 years. In 71% of cases included, the ostomy was permanent, vs. 29% of cases where it was intended as temporary. Neoplasia appeared as the most frequent reason, with a >68% percentage of cases, followed by inflammatory conditions in >15% of cases. An 80.26% of ostomates declared their intention to reincorporate to working life; however, only 21.80% could return to their previous job position. From those patients already reintegrated to working life, 18.18% stated that they had been forced to do it by demands outside their own will, while 16.03% of the sample declared that the status of their skin had been a major barrier to their reincorporation to work. Conclusions: even though there are numerous barriers for ostomates to work again, this study showed that those patients with ostomy who returned to the work activity they held previously to surgery had a better quality of life; this makes evident the need for support by staff with expertise on care for ostomates, as well as for a multidisciplinary team, not only for care from a physical health perspective, but in order to try to include and provide social and occupational support.

Bibliographic References

  • García Arco AB, Fernández-Sevilla Leyva AB, Sánchez Coca R. Calidad de vida en pacientes con colostomía e ileostomía. Portales Médicos. 2015 [citado 9 ene 2016]. Disponible en: http://www.revista-portalesmedicos.com/revista-medica/calidad-de-vida-colostomia-e-ileostomia/4/
  • Coca C, Fernández I, Serrano R. Complicaciones tempranas en pacientes portadores de ostomías con y sin atención de Enfermería especializada en ostomías. Metas Enferm 2014; 17(1):23-31.
  • Crespo Fontán MB, Corbal Obelleiro AI, Abilleira Torres MF, Comesaña Goberna MD, Suárez Sanmartín MD, Núñez Losada ME, et al. La ostomía como causa de incapacidad laboral. Metas Enferm feb 2016; 19(1):27-31.
  • Fernández A, Pastor A, Pérez P, Castells A, López J, Camacho S, et al. (coords.). Cribado del cáncer de colon en España. ¿Es coste eficaz? Alianza para la Prevención del Cáncer de Colon en España. Madrid, 2011 [citado 9 ene 2016]. Disponible en: https://www.aecc.es/Comunicacion/publicaciones/Documents/Informe%20Coste%20Efectividad.pdf
  • Martín Muñoz B, Panduro Jiménez RM, Crespillo Díaz Y, Rojas Suárez L, González Navarro S. El proceso de afrontamiento en personas recientemente ostomizadas. Index Enferm. 2010; 19(2-3):115-9.
  • Vieira Cascais FM, Gue Martín J, dos Santos Almeida PJ. El impacto de la ostomía en el proceso de la vida humana. Texto contexto enferm. 2007; 16(1): 163-7.
  • Silva A, Shimizu HE. El significado del cambio en el modo de vivir de la persona con ostomía intestinal definitiva. Rev Latino-Am Enfermagem. 2006; 14(4): 483-90.
  • Burch J. Resuming a normal life: holistic care of the person with an ostomy. Br J Community Nurs 2011 08; 16(8):366-76.
  • Bodega C, Marrero CM, Muñíz N, Pérez AJ, Rojas AA, Vongsavath S. Cuidados holísticos y atención domiciliaria al paciente ostomizado. ENE. Revista de Enfermería ago 2013; 7(2) [citado 9 ene 2016]. Disponible en: http://ene- enfermeria.org/ojs/index.php/ENE/article/view/262
  • Campillo Martínez J. Estudio “Stoma Life”. Calidad de vida en los pacientes ostomizados un año después de la cirugía. Metas Enferm 2015 oct; 18(8):25-31
  • Kent DJ, Long MA, Bauer C. Does colostomy irrigation affect functional outcomes and quality of life in persons with a colostomy? J Wound Ostomy Continence Nurs. 2015; 42(2):155-61.
  • Tallman NJ, Cobb MD, Grant M, Wendel CS, Colwell J, Ercolano E, Krouse R. Colostomy Irrigation: Issues Most Important to Wound, Ostomy and Continence Nurses. J Wound Ostomy Continence Nurs. 2015; 42(5):487-93.
  • Bonill C, Celdrán M, Hueso C, Morales JM, Rivas C, Fernández MC. Conviviendo con estomas digestivos: estrategias de afrontamiento de la nueva realidad corporal. Rev. Latino-Am. Enfermagem. 2014; 22(3): 394-400.
  • De Frutos Muñoz R et al. Calidad de vida de los pacientes con colostomía e ileostomía a corto y medio plazo. Metas Enferm 2011; 14(2):24-31.
Data source: Dialnet