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Self-care is one of the main factors altered in the life of a person with an ostomy. Self-care requisites with nursing support are necessary. Objectives: To map the self-care requisites for people with intestinal ostomies in their adaptive process, guided by Orem’s theory. Materials and methodology: A scoping review was conducted between May and June 2022, in which studies published from 2000 to 2022 were selected, based on Orem’s self-care deficit nursing theory. The sources of evidence used were Medical Literature Analysis and Retrieval System Online, Cinahl, Scopus, Latin American and Caribbean Health Sciences Literature, Nursing database, Índice Bibliográfico Español en Ciencias de la Salud, Web of Science, Scientific Electronic Library Online, Brazilian Digital Library of Theses and Dissertations, Open Access Scientific Repositories of Portugal, Theses Canada, DART-Europe E-Theses Portal, and National ETD Portal. Studies presenting at least one requisite of self-care for people with intestinal ostomies, whether or not they addressed Orem’s theory, and that were published in full were included. We followed the recommendations of the Joanna Briggs Institute and the PRISMA International Guide, registered in the Open Science Framework (10.17605/OSF.IO/XRH5K). The following descriptors and search strategies were used: (ostomy OR colostomy OR ileostomy OR stoma) AND (self-care OR self-management) AND (adaptation OR adjustment). Results: The final sample was composed of 87 studies. In universal requisites, studies in the category “nutritional aspects” predominated, of which the most frequent was “eat regularly and follow a balanced diet” (23; 26.4%); in developmental requisites, the prevalent category was “stoma and peristomal skin care” and requisite “assess peristomal skin integrity” (27; 31.0%); in the health deviation requisites, the predominant category was “choice of collection equipment and adjuvant products” and the requisite “use hydrocolloid powder to absorb moisture in cases of dermatitis” (13; 14.9%). Conclusions: The study contributes to guiding the assistance to the person with an ostomy, improving the self-care learning process. However, new intervention studies are still needed.

Objective: To develop and validate a booklet on the use of the colostomy plug as a technological support for educational intervention. Methods: Methodological study focusing on the production of soft and hard technologies for colostomized people using a plug, developed in three stages: literature review; validation with 13 experts; and with seven colostomized persons. Results: The content for the booklet was selected based on the analysis of the articles identified in Step 1. In Step 2, regarding the content, the number of pages and appearance obtained a Content Validity Index of 0.85 and 1.00 respectively. In Step 3, the minimum Content Validity Index was 0.71 in two items related to organization and 0.86 for the writing style. The other items obtained a Content Validity Index of 1.0. Conclusion: The booklet was validated among experts and colostomized persons, and the final version, containing 50 pages, was offered to health professionals and colostomized people in use of a plug. RESUMEN Objetivo: Construir y validar cartilla de uso del obturador de colostomía como suporte tecnológico para intervención educativa. Métodos: Estudio metodológico basado en producción de tecnología leve-dura para personas colostomizadas en uso de obturador, desarrollado en tres etapas: revisión de la literatura; validación con 13 expertos; y 7 personas colostomizadas. Resultados: Contenido que compuso la cartilla fue seleccionado basado en análisis de artículos identificados en la Etapa 1. En la Etapa 2, cuanto al contenido, el número de páginas y la apariencia obtuvieron Índice de Validez de Contenido 0,85 y 1,00 respectivamente. En la Etapa 3, el Índice de Validez de Contenido mínimo fue de 0,71 en dos ítems referentes a la organización y 0,86 en el estilo de la escrita. Los demás ítems obtuvieron Índice de Validez de Contenido 1,0. Conclusión: Validó la cartilla con expertos y personas colostomizadas, y la versión final, conteniendo 50 páginas, ofertada a los profesionales de la área de salud y personas colostomizadas en uso del obturador. RESUMO Objetivo: Construir e validar cartilha sobre o uso do oclusor da colostomia como suporte tecnológico para intervenção educative Métodos: Estudo metodológico com foco na produção de tecnologia leve-dura para pessoas colostomizadas em uso de oclusor, desenvolvido em três etapas: revisão da literatura; validação com 13 experts; e com 7 pessoas colostomizadas. Resultados: O conteúdo que compôs a cartilha foi selecionado com base na análise dos artigos identificados na Etapa 1. Na Etapa 2, quanto ao conteúdo, o número de páginas e a aparência obtiveram Índice de Validade de Conteúdo 0,85 e 1,00 respectivamente. Na Etapa 3, o Índice de Validade de Conteúdo mínimo foi de 0,71 em dois itens referentes à organização e 0,86 no estilo da escrita. Os demais itens obtiveram Índice de Validade de Conteúdo 1,0. Conclusão: Validou-se a cartilha com experts e pessoas colostomizadas, e a versão final, contendo 50 páginas, foi ofertada aos profissionais da área de saúde e pessoas colostomizadas em uso do oclusor.

Objective: To evaluate the association of socio-demographic and clinical characteristics, and risk factors with occurrence of pressure ulcers in institutionalized elderly people. Method: This cross-sectional, analytical study, in quantitative approach, performed from the database analysis linked to the project “Pressure Ulcer in institutionalized elderly people: Association of incidence with the risk factors to functional and nutritional assessment” developed in six long-stay institutions for the elderly people in Jo&atildeo Pessoa. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 20.0. Associations were made through chi square test and Odds Ratio. Results: The clinical conditions of significant associations with the occurrence of pressure ulcers were the variables neurological disorders (p = 0.011) and visual impairment (p = 0.005). As for risk factors, the most important was fecal incontinence (p < 0.001), urinary incontinence (p < 0.001), cognitive impairment (p = 0.007) and physical limitation (p < 0.001). The chance for the occurrence of injury was nine times higher for elderly people with physical limitations and about three times higher among those who use diapers. Conclusion: The analysis of the associations pointed out problems that require intervention in order to prevent health implications of the elderly people and to minimize the risk and occurrence of this injury.

Objetivo: Identificar instrumentos que subsidiem a avaliação da cicatrização de lesões por pressão. Metodologia: Trata-se de uma revisão integrativa realizada nas seguintes fontes de dados: Cumulative Indez to Nursing and Allied Health Literature (CINAHL), Scopus, Science Direct, Web of Science, Cochrane Library, Medline, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), U. S. National Library of Medicine (PubMed Central) e Biblioteca Virtual em Saúde (BVS). Foram incluídos artigos que respondem a questão de pesquisa, disponíveis na íntegra, nos idiomas português, inglês ou espanhol. E excluídos artigos repetidos, revisões de literatura e opiniões de especialistas. Resultados: Foram coletados 279 estudos entre 2009 a maio de 2020, destes 16 foram analisados. Dentre os sete instrumentos identificados, o Pressure Ulcer Scale for Healing foi o mais frequente (36,6%). As características mais predominantes dos instrumentos foram o tamanho da lesão, tipo de tecido e quantidade de exsudato. Em relação às propriedades psicométricas, a escala BWAT apresentou tradução e adaptação para a cultura brasileira, a DESIGN-R demonstrou validade preditiva, PUSH obteve responsividade interna e externa e a HPR realizou validade preliminar. Nenhum dos instrumentos possui validade clínica. Conclusão: Os resultados obtidos revelaram que o tema é pouco explorado, especialmente em países da língua portuguesa. A ausência de uniformidade entre os instrumentos de avaliação de cicatrização dificulta à padronização de parâmetros necessários a avaliação, ao registro dos procedimentos e a comparação de resultados entre pesquisas na mesma temática.

BACKGROUND: the detection of obesity is shown relevant considering that with aging there is progressive loss of lean body mass and increased the proportion of body fat, and also metabolic changes and reduced physical activities that require increased energy and weight loss, contributing to obesity installation, which in turn exert implications on health and social life of the elderly. Before with these consequences of obesity and its impact on the health of the elderly, the study aimed to identify the prevalence of obesity among elderly participants of a university extension project. METHOD: Exploratory and descriptive study with a quantitative approach. The sample is constituted by 96 elderly people of both sexes registered in the project. RESULT: It appears that the 37 elderly people (38.54%) had some degree of obesity. Obesity classification prevailed 57.63% of non-obese overweight status, while among the obese, 67.57% is in obesity I. CONCLUSION: It is believed that knowing this reality helps medical and nursing actions in promotion of strategies of healthy lifestyles and encouragement, making interaction for personal responsibility in training for self-care and improved quality of life.

Objective: To synthesize scientific literature published on the control of pain, exudation, odor and bleeding of neoplastic wounds. Methods: This is an integrative review of the literature in the databases CINAHL, SciELO, MEDLINE and LILACS with articles that approached the theme. Twenty-two articles were included, of which 18 were written in the English language and three in the Spanish language, published between 2004 and 2014. Results: From the articles studied, categories were constructed: Interventions for pain control; Interventions for the control of exudate; Interventions for the control of odor and Interventions for the control of bleeding. Conclusion: Most of the studies were bibliographical research originating from opinions of authorities and / or reports of committees of experts in the area. Therefore, it is urgent to carry out randomized clinical trials. Keywords: Cutaneous ulcer; Injuries and injuries; Nursing oncology; Nursing care.

BACKGROUND: Leprosy is endemic in Brazil, while the number of diagnosed cases of the disease has made considerable decrease since the implementation of treatment with multidrug therapy. The objective of this research, analyze time trends in sociodemographic and clinical-epidemiological profile of leprosy in Paraiba, in the 2001-2011 period, and identify differences between the epidemiological trends within the period. METHODS: Epidemiological study of time, retrospective and documentary based series, produced using secondary data and Notification Diseases Information System. RESULTS: They evaluated data on 10.476 Sheets Notification single, between the years 2001-2011, based on descriptive and inferential statistics. The results showed statistically significant differences between the two areas evaluated time, starting with the suggestive reduction of 42.7% of cases in P2 (2007-2011), although this timeline, the clinical characterization refers to the most serious states or late leprosy. CONCLUSION: Leprosy remains a relevant epidemiological dilemma, especially in view of the increase in the proportion of MB cases, glimpsed for the period studied.

BACKGROUND: Pressure ulcers represent a serious public health problem, serving as a quality indicator (negative) the assistance provided by the health services. The aim of this study was to identify the prevalence of pressure ulcers in the Intensive Care Unit of a University Hospital in Joao Pessoa-PB and check the associations between socio-demographic and clinical data of customers and risk factors for the development of these. METHODS: The study of the sectional, quantitative, carried out with 78 patients in the Intensive Care Unit of a University Hospital in Joao Pessoa. Data were collected from medical record information from January to December 2014. RESULTS: Ten patients had pressure ulcers, and 6 already admitted with injuries and the 4 developed during hospitalization in the studied sector. The prevalence of these lesions in the sample was 12.8%. Has been identified as risk factors associated with pressure ulcer (p

Objective: To assess the quality of life of people with intestinal stoma and its association with sociodemographic and clinical characteristics. Method: Cross-sectional and analytical study conducted with people with intestinal stoma. An instrument was used for sociodemographic and clinical characterization: COH-QOL-OQ, validated in Brazil. Results: The sample included 152 people with stomas. There were significant differences among all dimensions (p-value < 0.01) of quality of life. The dimension spiritual well-being had the highest mean, with 6.69 (±1.56), followed by the psychological well-being dimension, 5.00 (±1.94), social well-being, 4.63 (±1.83), and physical well-being, 4.54 (±1.77). Marital status, religion, type of stoma, and permanence had statistically significant associations with dimensions of quality of life (p-value < 0.05). Conclusion: The assessment of quality of life in people with intestinal stoma presented lower scores in the physical, social, and psychological dimensions. There was an association between better quality of life scores and people with definitive ileostomy, in a domestic partnership and practicing other religions. RESUMEN Objetivo: Evaluar la calidad de vida de las personas con estoma intestinal y su asociación con las características sociodemográficas y clínicas. Método: Estudio transversal y analítico realizado con personas con estoma intestinal. Se utilizó un instrumento de caracterización sociodemográfica y clínica y uno de calidad de vida, COH-QOL-OQ, validado en Brasil. Resultados: La muestra incluyó a 152 personas con estoma. Se verificó que había diferencias significativas entre todas las dimensiones (p-valor < 0,01) de la calidad de vida. La dimensión de bienestar espiritual obtuvo la media más alta, con 6,69 (±1,56), seguida de la dimensión de bienestar psicológico, 5,00 (±1,94), bienestar social, 4,63 (±1,83), y bienestar físico, 4,54 (±1,77). El estado civil, la religión, el tipo de estoma y el criterio de permanencia mostraron asociaciones estadísticamente significativas con las dimensiones de la calidad de vida (valor p < 0,05). Conclusión: La evaluación de la calidad de vida de las personas con estoma intestinal mostró puntuaciones más bajas en las dimensiones física, social y psicológica. Hubo una asociación entre las mejores puntuaciones de calidad de vida y las personas conileostomía definitiva, en unión estable y seguidores de otras religiones. RESUMO Objective: Avaliar a qualidade de vida de pessoas com estoma intestinal e sua associação com as características sociodemográficas e clínicas. Método: Estudo transversal e analítico, realizado com pessoas com estomia intestinal. Utilizou-se um instrumento de caracterização sociodemográfica e clínica e um de qualidade de vida, COH-QOL-OQ, validado no Brasil. Resultados: A amostra incluiu 152 pessoas com estomia. Verificou-se que houve diferenças significativas entre todas as dimensões (p-valor < 0,01) de qualidade de vida. A dimensão bem-estar espiritual obteve a maior média, com 6,69 (±1,56), seguida pela dimensão bem-estar psicológico, 5,00 (±1,94), bem-estar social, 4,63 (±1,83), e bem-estar físico, 4.54 (±1,77). O estado civil, religiosidade, tipo de estoma e critério de permanência apresentaram associações estatisticamente significantes com dimensões da qualidade de vida (p-valor < 0,05). Conclusão: A avaliação da qualidade de vida de pessoas com estoma intestinal apresentou menores escores nas dimensões física, social e psicológica. Houve associação entre melhores escores de qualidade de vida e pessoas com ileostomia definitiva, em união estável e adeptas de outras religiões.