Early hospital rehabilitation in patients with a performed intestinal stoma

Kucharczuk Magda, Sikorska Hanna, Juraszek Karolina, Tkaczyński Karol. Early hospital rehabilitation in patients with a performed intestinal stoma. Journal of Education, Health and Sport. 2019;9(8):603-610. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3383219 http://ojs.ukw.edu.pl/index.php/johs/article/view/7358 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2019. Revised: 15.08.2019. Accepted: 01.09.2019. Early hospital rehabilitation in patients with a performed intestinal stoma Wczesna rehabilitacja szpitalna u osób z wyłonioną stomią jelitową Magda Kucharczuk1,2, Hanna Sikorska2, Karolina Juraszek1,3, Karol Tkaczyński4 1 Department of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland 2 Surgery Unit, 10th Military Research Hospital and Polyclinic, Bydgoszcz, Poland 3 Eskulap Hospital in Osielsko, Rehabilitation Center, Poland 4 Department of Surgical Oncology, Oncology Centre, Bydgoszcz, Poland Address to correspondence: mgr Magda Kucharczuk magdakucharczuk1@wp.pl Abstract An intestinal stoma is an intentional connection between the light of the small intestine (ileostomy) or the large intestine (colostomy) and the skin surface. The aim of the study was to present the topic of early hospital rehabilitation in patients who had to have a selected stoma as a result of the procedure. Rehabilitation is a supplement to surgical treatment and conditions good functioning of the patient after surgery. The main components of the therapy are: respiratory exercises, exercises of expectoration and effective coughing, wound stabilization, learning to change position from lying to sitting, anticoagulation exercises, general developmentexercises, verticalisation. More and more often, the rehabilitation is complemented by the use of kinesiology taping. Properly conducted physiotherapy may bring measurable benefits to the patient in the form of functional improvement and return to efficiency before surgery, or reduction of the degree of disability. The patient improvement plan is subject to constant modification by the therapist and is adapted to the physical and mental abilities of the patient on a given day. An important element in the healing process of patients with a performed stoma is the interdisciplinary care provided by all members of the therapeutic team: a doctor, a nurse, a physiotherapist, a psychologist, a nutritionist. Key words: physiotherapy, rehabilitation, stoma, surgery