Profile Characterization of Intestinal Ostomates in a Small Town in the State of São Paulo (BRAZIL)

Introduction: In Brazil estimate for 2012, 30,140 new cases of colorectal cancer that can result in intestinal ostomy. The physical and emotional consequences can happen in life these people like changes in body image, adjustment of difficulties and specialized care necessary for resolution of problems at home and work. The goal was characterize the profile of forty-two (42) intestinal ostomates by colorectal cancer in the small town (Ourinhos). Methodology: The longitudinal research used evaluation instrument of home infrastructure, displacement to specialized health care, realization of self-care and social activities the town with 100,000 habitants in the state of São Paulo (Brazil), with statistic analysis (SPSS 19.0). Results:  A majority these  participants live in the town (95%), have own home (62%),  basic sanitation/electricity/telephone (100%), use the public health system and live with relatives (99%), change the pouch and ostomy care in the room (59%) and bathroom (35%). The teaching self-care in the hospital (47%) and had not received (52%). After the hospital discharged the teaching self-care had (80%) and not (19%); none were stoma marking. The teaching self-care was made by the nurse (54%) and physician (16%); the modifications after ostomy: foods (52%), clothes (76%) and impossibility of social and daily activities and hobby like fishing, dancing, go to church, swimming and playing soccer (54%). The time of displacement to health assistance was between fifteen minutes (15) and sixty minutes (60). Conclusions: There is necessity of specialized health assistance like WOC nurses for stoma marking and the teaching of self-care during all perioperative to support the ostomate rehabilitation in this town, still there is not systematic care. This specialized assistance should to consider the real necessity and resources for patient and family. However, we have the challenge of the public service in health to implement the specialized center of ostomate care.