Assessment of quality of life using the EQ-5D-3L instrument for hospitalized patients with femoral fracture in Brazil.

BACKGROUND: Quality of life has become a key outcome in assessing the effectiveness of treatments and interventions in health. METHODS: Accordingly, this research study aimed to measure quality of life using the EQ-5D-3L instrument for patients from the Jamil Haddad National Institute of Traumatology and Orthopedics (Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad - INTO) with femoral fractures, hospitalized between 11/2015 and 10/2016. RESULTS: A total of 165 orthopedic trauma patients with femoral fractures, aged 18 years or older, who were hospitalized and operated upon in the INTO were assessed. The assessment instruments were applied at admission and in the first and second follow-up visits to the outpatient clinic. Most study subjects were women and older than 60 years. Proximal femoral fracture was the most commonly found fracture. The Visual Analog Scale (VAS) assessments over the study period showed an increasing gain in self-assessed quality of life. Similarly, the EQ-5D-3L showed significant improvements in quality of life assessed in the five dimensions of the instrument: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. CONCLUSION: This type of assessment may help in decision-making and cost-utility assessments related to orthopedic trauma.

Educação permanente em enfermagem e a interface com a ouvidoria hospitalar / Permanent education in nursing and the interface with the hospital ombudsman / Educación permanente en enfermería y la interrelación entre el servicio de defensoría del puebo y el hospital

Trata-se de um estudo descritivo-exploratório, com abordagem qualitativa, que tem como objetivo investigar as demandas dos usuários em ouvidoria relacionadas à assistência de enfermagem e discutir sua contribuição para a educação continuada. A pesquisa foi desen¬volvida em hospital público federal, de referência na realização de procedimentos diagnósticos e terapêuticos de alta complexidade em Ortopedia. A coleta de dados baseou-se na técnica de análise documental, incluindo o manejo de informações e materiais a partir das demandas dos usuários contidas nos registros no Serviço de Ouvidoria, referentes ao ano de 2009, computando um total de 3.895 ma¬nifestações. As manifestações recebidas estão classificadas, neste estudo, por natureza da comunicação: elogio, pedido de informação, reclamação, sugestão e denúncia. Considerou-se a importância do Serviço da Ouvidoria para o aprimoramento da atuação de enferma¬gem, tendo em vista as contribuições extraídas do contexto das demandas e que o relacionamento interdisciplinar possibilita perceber e avaliar as necessidades evidenciadas.

This is a descriptive-exploratory study, with a qualitative approach, which has the purpose of investigating users demands to ombudsmanregarding nursing assistance and to discuss their contribution for continuous education. This research work was carried out in the publicFederal hospital, which is a national reference in diagnostics and therapy of high complexity in Orthopedics. Data collection was based onthe technical analysis of documents, including information and material management based on users demands contained in the recordsof the Ombudsman Service about 2009, totaling 3,895 statements. The statements received were classified in this study by the nature ofthe message: Praise, request for information, complaint, suggestions and denounce. This study considered the importance of OmbudsmanService for the improvement of nursing performance, considering the contributions taken from the context of demands, and that theinterdisciplinary relationship enables us to perceive and evaluate the needs highlighted.

Se trata de un estudio descriptivo-exploratorio, con enfoque cualitativo, cuyo objetivo fue investigar las demandas de los usuarios delservicio de Defensoría del Pueblo relacionadas con la asistencia de enfermería y discutir su contribución para la educación permanente.La investigación se desarrolló en hospital público federal, con notoriedad en realización de procedimientos diagnósticos y terapéuticos dealta complejidad en Ortopedia. La recolección de datos se basó en la técnica de análisis documental, incluyendo la gestión de informacionesy materiales, de las demandas de los usuarios que figuran en los registros de la Oficina de Defensoría del Pueblo, relativos al año 2009,(total de 3.895 declaraciones). Hemos clasificado las declaraciones recibidas- en este estudio- según la naturaleza de la comunicación:elogio, pedido de información, queja, sugerencia y denuncia. Hemos considerado la importancia del Servicio de Defensoría del Pueblopara mejorar la actuación de enfermería, teniendo en cuenta las contribuciones extraídas del contexto de las demandas y que la relacióninterdisciplinar permite percibir y evaluar las necesidades evidenciadas.