Nursing Rehabilitation interventions in the prevention of parastomal hernias

Abstract

Abdominal surgery and the confection of a stoma causes trauma to the abdominal muscles.
The quality of life and the adaptation of the person with ostomy are conditioned by complications that may arise in the postoperative period. Among the complications of ostomies, parastomal hernias are those with a higher incidence, making it essential to develop specifically targeted interventions for their prevention.
The UK Association of Stoma Care Nurses in 2016(1) recommended that patients with a stoma undergo an appropriate abdominal exercise program after surgery to strengthen the abdominal muscles and reduce the risk of hernia.
The teaching / learning process of the patients with a stoma should begin in the preoperative period, in order to achieve a more rapid adaptation to lifestyle modifications, thus ensuring a more effective management of the therapeutic regimen and, consequently, a better quality of life.