RESUMEN
Objective: The objective of this study is to investigate effective pain management strategies for women undergoing labiaplasty surgery. By focusing on pain relief, patient rehabilitation, and satisfaction improvement, we aim to enhance the overall patient experience and outcomes of this common gynecological plastic surgery. Methods: A total of 126 individuals diagnosed with labia minora hypertrophy and who underwent plastic surgery on their labia minora within the period of July 2020 to July 2023 were chosen as the participants for this study. They were divided into an observation group and a comparison group, each consisting of 63 cases, based on the different nursing methods. The comparison group was treated with routine perioperative nursing after labia minora surgery, and the observation group was treated with perioperative pain nursing management based on the comparison group. Postoperative pain score, comfort score, incision healing time, first urination time, night Pittsburgh Sleep Quality Index (PSQI) score, complications, and satisfaction were compared between the two groups. All data were established in an Excel database, and statistical analysis was performed using SPSS26.0. Statistical methods used include descriptive analysis, t tests, and Chi-square tests. Results: The mean incision healing time of the observation group was 3.90±0.61 days, and that of the control group was 3.62±0.64 days. The mean incision healing time of the observation group was significantly different from that of the control group (P < .05). VRS scores and PSQI scores were significantly lower in both groups 1 week aftercare compared with 1 day before care, indicating improvements in pain and sleep quality. The improvement degree of VRS score and PSQI score in the observation group was significantly different (P < .05). The number of incision infections, hematoma, flap necrosis, skin scar, delayed healing, and total complication rate were 3 in the observation group and 11 in the comparison group, indicating that the complication rate in the observation group was significantly lower than that in the comparison group. The comparison difference was statistically significant (P < .05). Through the Chi-square test, the nursing satisfaction and perineal aesthetic effect satisfaction of the observation group were significantly higher than those of the comparison group, and the difference was statistically significant (P < .05). Conclusions: The implementation of perioperative pain nursing management has been shown to effectively alleviate pain in patients diagnosed with labia minora hypertrophy. This approach not only enhances treatment comfort but also significantly reduces the occurrence of postoperative complications. Additionally, it accelerates the healing process of incisions, improves the quality of incision healing, and enhances patient satisfaction with both the aesthetic outcome of the perineal area and the quality of nursing care provided.
Asunto(s)
Manejo del Dolor , Dolor Postoperatorio , Vulva , Humanos , Femenino , Manejo del Dolor/métodos , Vulva/cirugía , Adulto , Procedimientos de Cirugía Plástica/métodos , Persona de Mediana Edad , Satisfacción del Paciente , Dimensión del Dolor , Atención Perioperativa/métodos , Atención Perioperativa/enfermería , Procedimientos Quirúrgicos Ginecológicos/métodosRESUMEN
Objective: This study is aimed at analyzing the effects of individualized nursing based on the zero-defect theory on perioperative patients undergoing laparoscopic cholecystectomy. Methods: 174 patients who underwent laparoscopic cholecystectomy from 1st November 2019 to 30th November 2020 were enrolled as the research subjects and randomly divided into control and observation groups. The patients in the control group received conventional perioperative nursing care, and the patients in the observation group were treated with individualized nursing based on the zero-defect theory. Results: The heart rate, diastolic blood pressure, and systolic blood pressure level of patients in two groups after nursing decreased significantly, and the reduction in the observation group was more significant than that in the control group. The depression and anxiety scores of the two groups after nursing were decreased, and the decrease in the observation group was significantly greater than that in the control group. The time to first postoperative exhaust, return to normal intake, out-of-bed activity, and hospital stay in the observation group was less than that in the control group. The incidence of postoperative complications in the observation group was substantially lower than that in the control group. The satisfaction degree of nursing care in the observation group was significantly higher than that in the control group. Conclusion: Individualized nursing care based on zero-defect theory can effectively reduce the perioperative psychological stress response of patients with laparoscopic cholecystectomy. It helps to improve the negative emotions of depression and anxiety, promotes the recovery of disease, reduces postoperative complications, and improves nursing satisfaction, which is worthy of clinical promotion.
Asunto(s)
Colecistectomía Laparoscópica , Atención de Enfermería , Atención Perioperativa , Medicina de Precisión , Ansiedad/etiología , Ansiedad/prevención & control , Colecistectomía Laparoscópica/efectos adversos , Colecistectomía Laparoscópica/enfermería , Colecistectomía Laparoscópica/psicología , Depresión/etiología , Depresión/prevención & control , Humanos , Tiempo de Internación , Atención de Enfermería/métodos , Atención de Enfermería/psicología , Atención Perioperativa/métodos , Atención Perioperativa/enfermería , Atención Perioperativa/psicología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Complicaciones Posoperatorias/psicología , Periodo Posoperatorio , Medicina de Precisión/enfermería , Medicina de Precisión/psicologíaRESUMEN
Objetivo: compreender o conhecimento dos enfermeiros sobre prevenção de queda do paciente cirúrgico à luz do processo de enfermagem. Método: pesquisa de natureza exploratório-descritiva, qualitativa, realizada com enfermeiros de um hospital universitário da cidade de Petrolina, Pernambuco, Brasil. A coleta de dados ocorreu no mês de fevereiro de 2020, por meio de questionário e entrevista semiestruturada. Os dados foram analisados por análise de conteúdo temático-categorial. Resultados: emergiram três categorias: Coleta e registro de dados sobre as principais causas de queda do paciente cirúrgico; Diagnóstico de enfermagem risco de quedas; e Planejamento, implementação e avaliação para prevenção de queda no perioperatório. Conclusão: o conhecimento dos enfermeiros sobre a prevenção de queda no paciente cirúrgico é imprescindível para uma assistência de qualidade, envolvendo o domínio das etapas do processo de enfermagem.
Objetivo: comprender el conocimiento de los enfermeros sobre prevención de caída del paciente quirúrgico a la luz del proceso de enfermería. Método: investigación de naturaleza exploratorio-descriptiva, cualitativa, realizada con enfermeros de un hospital universitario de la ciudad de Petrolina, Pernambuco, Brasil. La recolección de datos tuvo lugar en el mes de febrero de 2020, por medio de cuestionario y entrevista semiestructurada. Los datos fueron analizados por análisis de contenido temático-categorial. Resultados: emergieron tres categorías: Recolección y registro de datos sobre las principales causas de caída del paciente quirúrgico; Diagnóstico de enfermería riesgo de caídas; y Planificación, implementación y evaluación para prevención de caída en el Perioperatorio. Conclusión: el conocimiento de los enfermeros sobre la prevención de caída en el paciente quirúrgico es imprescindible para una asistencia de calidad, involucrando el dominio de las etapas del proceso de enfermería.
Objective: to understand the knowledge of nurses about fall prevention of surgical patients in the light of the nursing process. Method: exploratory-descriptive, qualitative research conducted with nurses from a university hospital in the city of Petrolina, Pernambuco, Brazil. Data collection took place in February 2020, through a questionnaire and semi-structured interview. Data were analyzed by thematic-categorical content analysis. Results: three categories emerged: Data collection and recording on the main causes of fall of the surgical patient; Nursing diagnosis risk of falls; and Planning, implementation and evaluation for fall prevention in the Perioperatory. Conclusion: the knowledge of nurses about the prevention of falls in the surgical patient is essential for quality care, involving the mastery of the stages of the nursing process.
Asunto(s)
Humanos , Femenino , Accidentes por Caídas/prevención & control , Atención Perioperativa/enfermería , Terminología Normalizada de Enfermería , Proceso de Enfermería , Investigación CualitativaRESUMEN
Objetivo: avaliar o risco para desenvolvimento de lesões relacionadas ao posicionamento cirúrgico. Método: estudo transversal com amostra (n=146) de adultos cirúrgicos eletivos do Paraná, Brasil. Aplicou-se a Escala de Avaliação de Risco para o Desenvolvimento de Lesões decorrentes do Posicionamento Cirúrgico e extração de variáveis sociodemográficas. Procedeu-se análise estatística descritiva e inferencial. Resultados: homens (49,3%) e mulheres (50,7%) tiveram distribuição equânime de atendimento majoritariamente pela ortopedia (39,7%). Pela escala aplicada, destacou-se: uso de colchão convencional+coxins de campo de algodão como superfície de suporte (100%); posição supina (78%); membros superiores com abertura inferior a 90º (70,5%); anestesia regional (54,1%) e tempo cirúrgico de 1-2h (46,6%). Constatou-se escore médio de 17,6±3,29 pontos e 75,3% da amostra apresentou baixo risco de desenvolver lesões do posicionamento cirúrgico. Conclusão: em torno de um quarto da amostra apresentou maior risco de lesão decorrente da posição cirúrgica.
Objetivo: evaluar el riesgo de desarrollar lesiones relacionadas con la posición quirúrgica. Método: estudio transversal con una muestra (n=146) de adultos sometidos a cirugías electivas en Paraná, Brasil. Se aplicó la Escala de Evaluación del Riesgo de Desarrollar Lesiones a raíz de la Posición Quirúrgica y se extrajeron variables sociodemográficas. Se realizó un análisis estadístico descriptivo e inferencial. Resultados: hubo distribución igualitaria entre hombres (49,3%) y mujeres (50,7%), atendidos mayoritariamente en la especialidad de Ortopedia (39,7%). Al aplicar la escala se destacó lo siguiente: utilización de colchón convencional + almohadones de campo de algodón como superficie de apoyo (100%); posición supina (78%); extremidades superiores con abertura de menos de 90º (70,5%); anestesia regional (54,1%) y duración de la cirugía de 1 a 2 horas (46,6%). Se verificó una puntuación media de 17,6±3,29 puntos y el 75,3% de la muestra presentó bajo riesgo de desarrollar lesiones a raíz de la posición quirúrgica. Conclusión: aproximadamente el 25% de la muestra presentó un riesgo más elevado de lesiones resultantes de la posición quirúrgica.
Objective: to assess the risk for the development of injuries related to surgical positioning. Method: a cross-sectional study with a sample comprised by adults undergoing elective surgeries (n=146) in Paraná, Brazil. The Risk Assessment Scale for the Development of Injuries arising from Surgical Positioning was applied, with extraction of sociodemographic variables. Descriptive and inferential analyses were performed. Results: men (49.3%) and women (50.7%) presented equal distribution of appointments, mostly in the Orthopedics specialty (39.7%). The following stood out as per the scale applied: use of conventional mattress + cotton field cushions as a support surface (100%); supine position (78%); upper limbs with opening less than 90º (70.5%); regional anesthesia (54.1%), and surgical time of 1h-2h (46.6%). A mean score of 17.6±3.29 points was found and 75.3% of the sample presented low risk for the development of injuries related to surgical positioning. Conclusion: around 25% of the sample presented a higher risk of injuries arising from surgical positioning.
Asunto(s)
Humanos , Masculino , Femenino , Medición de Riesgo/estadística & datos numéricos , Atención Perioperativa/enfermería , Úlcera por Presión/prevención & control , Posicionamiento del Paciente/efectos adversos , Estudios TransversalesRESUMEN
The effect of the severe acute respiratory syndrome coronavirus 2 pandemic on the National Health Service in the United Kingdom has been profound and unprecedented with suspension of most elective surgeries. As we are emerging from lockdown now, restarting elective surgical procedures in a safe and effective manner is an expected challenge. Many perioperative factors including patient prioritisation, risk assessment, health infrastructure and infection prevention strategies need to be considered for patient safety. The British Orthopaedic Association, along with the National Health Service, have provided recent guidelines for restarting non-urgent and orthopaedic care in the United Kingdom. In this article we review the current guidelines and literature to provide some clarity for clinical practice.
Asunto(s)
COVID-19/enfermería , Procedimientos Quirúrgicos Electivos/enfermería , Procedimientos Ortopédicos/enfermería , Planificación de Atención al Paciente/organización & administración , Atención Perioperativa/enfermería , Recuperación de la Función , Adhesión a Directriz , Humanos , Seguridad del Paciente , Pautas de la Práctica en Medicina , Medición de Riesgo , Reino UnidoRESUMEN
BACKGROUND: Ambulatory surgery presents unique challenges regarding adequate pain management and education. Studies have documented issues with transfer of information and patient comfort. Our objective was to explore perioperative nurses' perspectives of current practices and challenges with pain management and education. MATERIALS AND METHODS: We used a qualitative descriptive design and conducted four focus group interviews, with 24 total participants from two perioperative areas of an academic medical center, using a standardized script. Using qualitative analysis software, two investigators reviewed the data and coded major themes and subthemes. The consolidated criteria for reporting qualitative studies guidelines were followed for reporting the data. RESULTS: We identified four major themes impacting current perioperative pain management and education practices: communication among the perioperative care team, sources of nurses' frustrations in the perioperative setting, patient expectations for pain, and nurse-driven pain management and education. Nurses highlighted their work became easier with adequate information transfer and trust from physicians. Frustrations stemmed from surgeon, system, and patient factors. Nurses often use their clinical experience and judgment in managing patients throughout the perioperative period. Furthermore, nurses felt patients have limited pain education and stressed education throughout the surgical care pathway could improve overall care. CONCLUSIONS: Perioperative pain management, assessment, and education practices are inconsistent, incomplete, and sources of frustrations according to participants. Participant experiences highlight the need for improved and standardized models. Patient pain education should use a multidisciplinary approach, beginning at the point of surgery scheduling and continuing through postoperative follow-up.
Asunto(s)
Procedimientos Quirúrgicos Ambulatorios , Actitud del Personal de Salud , Enfermeras y Enfermeros/psicología , Manejo del Dolor/enfermería , Dolor Postoperatorio/terapia , Educación del Paciente como Asunto/métodos , Atención Perioperativa/enfermería , Adulto , Femenino , Grupos Focales , Humanos , Relaciones Interprofesionales , Masculino , Persona de Mediana Edad , Manejo del Dolor/métodos , Manejo del Dolor/normas , Grupo de Atención al Paciente , Educación del Paciente como Asunto/normas , Atención Perioperativa/métodos , Atención Perioperativa/normas , Pautas de la Práctica en Enfermería , Pautas de la Práctica en Medicina , Investigación Cualitativa , Adulto JovenRESUMEN
Objetivo: avaliar a atuação e a percepção da equipe de enfermagem quanto a Sistematização da Assistência de Enfermagem no centro cirúrgico de um hospital. Método: estudo exploratório, descritivo, documental, de abordagem mista, desenvolvido de janeiro a abril de 2019, em duas fases: análise de prontuários e entrevista com 14 profissionais de enfermagem. O cenário foi um centro cirúrgico de um hospital público no nordeste brasileiro. Organização dos dados pela análise estatística descritiva e análise temática. Resultados: a avaliação dos prontuários apontou que os registros da anamnese e exame físico são frágeis e em algumas fases não há registros da fase pré-operatória e pós-operatória. Verificou-se que para os profissionais o papel da equipe é prestar um cuidado holístico ao paciente e a fase mais dificultosa é a pós-operatória. Conclusão: a falta do planejamento para a implantação, execução e entendimento atrapalham o processo e dificulta uma assistência de qualidade ao paciente
Objective: to evaluate the performance and perception of the nursing team regarding the systematization of nursing care in the operating room of a hospital. Method: exploratory, descriptive, documentary study, with a mixed approach, developed from January to April 2019, in two phases: analysis of medical records and interview with 14 nursing professionals. The setting was a surgical center in a public hospital in northeastern Brazil. Data organization by descriptive statistical analysis and thematic analysis. Results: the evaluation of the medical records showed that the records of anamnesis and physical examination are fragile and in some phases there are no records of the preoperative and postoperative phase. It was found that for the professionals the role of the team is to provide holistic care to the patient and the most difficult phase is the post-operative. Conclusion: the lack of planning for the implementation, execution and understanding hinder the process and hinder quality patient care
Objetivo: evaluar el desempeño y la percepción del equipo de enfermería con respecto a la sistematización de los cuidados de enfermería en el quirófano de un hospital. Método: estudio exploratorio, descriptivo, documental, con enfoque mixto, desarrollado de enero a abril de 2019, en dos fases: análisis de historias clínicas y entrevista con 14 profesionales de enfermería. El escenario era un centro quirúrgico en un hospital público en el noreste de Brasil. Organización de datos mediante análisis estadístico descriptivo y análisis temático. Resultados: la evaluación de los registros médicos mostró que los registros de anamnesis y examen físico son frágiles y en algunas fases no hay registros de la fase preoperatoria y postoperatoria. Se descubrió que para los profesionales, el papel del equipo es proporcionar atención integral al paciente y la fase más difícil es la postoperatoria. Conclusión: la falta de planificación para la implementación, ejecución y comprensión dificulta el proceso y dificulta la calidad de la atención al paciente
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Calidad de la Atención de Salud , Centros Quirúrgicos/métodos , Atención Perioperativa/enfermería , Proceso de Enfermería/tendencias , Grupo de Enfermería/métodos , Atención de EnfermeríaRESUMEN
This article provides clinical guidance on the care of a patient undergoing an elective surgical procedure. It discusses preoperative care and the preparation of the patient. It aims to provide an awareness of the complications associated with perioperative care. Through the use of a patient case study, the authors demonstrate the care required across the full perioperative journey from diagnosis to discharge.
Asunto(s)
Procedimientos Quirúrgicos Electivos , Enfermería Perioperatoria , Procedimientos Quirúrgicos Electivos/enfermería , Humanos , Atención Perioperativa/efectos adversos , Atención Perioperativa/enfermería , Cuidados Preoperatorios/enfermeríaRESUMEN
OBJECTIVE: To understand the nursing team's perception about the use of technology for safe perioperative pediatric care, through photographs. METHOD: A qualitative study using the theoretical framework of Nietsche Specific Nursing Technology, with a total of 18 perioperative nursing professionals from a general hospital in southern Brazil. Data collection occurred from June to August 2018, from a semi-structured interview and photograph production. They were analyzed through the Thematic Content Analysis. Approved by the Research Ethics Committee of the Federal University of Santa Catarina. RESULTS: The Nursing Technologies category used for the safety of the pediatric patient in the perioperative period, with 250 photographs illustrating facts, situations and artifacts considered nursing technologies used in safe care. CONCLUSIONS: In the team's perception, patient safety involves the use of technologies integrated to perioperative care and structural, physical and input aspects.
Asunto(s)
Actitud del Personal de Salud , Tecnología Biomédica , Enfermería Pediátrica/métodos , Enfermería Pediátrica/normas , Atención Perioperativa/enfermería , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Seguridad del Paciente , Investigación CualitativaRESUMEN
AIM: To determine whether outcomes for people with diabetes undergoing elective surgery improve following the introduction of innovations in the peri-operative care pathway. METHODS: Following a baseline audit of 185 people with diabetes listed for elective surgery (July to December 2017) with a length of stay > 24 hours, a number of changes in practice were implemented. These included dissemination of a 'diabetes peri-operative passport' to participants preoperatively, formation of a diabetes surgery working group, recruitment of surgical diabetes champions and the roll-out of surgical diabetes study days. Crucial was recruitment of a diabetes peri-operative nurse, whose role included engaging and educating others and supporting individuals throughout their peri-operative diabetes care. Records of 166 individuals listed for surgery during the implementation period (July to December 2018) were then audited using the same methodology. RESULTS: The availability of a recent HbA1c measurement significantly increased (63% vs 92%; P ≤ 0.001). The mean HbA1c of those seen for optimizations by the diabetes peri-operative nurse significantly decreased [84 mmol/mol (9.8%) vs 62 mmol/mol (7.8%); P ≤ 0.001]. Recurrent hypoglycaemia significantly decreased (7.0% vs 0.6%; P = 0.002) and the mean number of hyperglycaemic events in people experiencing hyperglycaemia almost halved (3.0 vs 1.7; P=0.007). The mean length of hospital stay significantly decreased (4.8 vs 3.3 days; P=0.001) and, crucially, 30-day readmissions did not increase (12% vs 9%; P=0.307). Postoperative complications significantly decreased (28% vs 16%; P=0.008), including a composite of dysglycaemic complications, poor wound healing, wound infection and other infections (12% vs 5.4%; P=0.023). CONCLUSION: The new pathway improved important peri-operative outcomes for people with diabetes undergoing elective surgery with the potential for cost savings. These findings could have important implications for peri-operative care on a wider scale.
Asunto(s)
Diabetes Mellitus/terapia , Procedimientos Quirúrgicos Electivos , Hipoglucemia/epidemiología , Tiempo de Internación/estadística & datos numéricos , Enfermeras Especialistas , Readmisión del Paciente/estadística & datos numéricos , Atención Perioperativa/métodos , Complicaciones Posoperatorias/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Diabetes Mellitus/metabolismo , Femenino , Hemoglobina Glucada/metabolismo , Control Glucémico , Humanos , Hipoglucemia/inducido químicamente , Masculino , Persona de Mediana Edad , Atención Perioperativa/enfermería , Enfermería Perioperatoria , Infección de la Herida Quirúrgica/epidemiologíaRESUMEN
INTRODUCTION: The report summarizes the intraoperative rescue and nursing intervention of malignant hyperthermia (MH) in the correction surgery for 3 patients with spinal deformity. Although rare, MH may occur in up to 1 of 5000 cases. INTERVENTION: The key points of nursing care include preoperative MH risk assessment, MH early warning, cessation of anesthetic, use of a validated scoring system, and initiation of cooling measures. CONCLUSION: Prompt nursing recognition and team-fcoused interventions provided successful rescue of 3 patients with MH.
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Hipertermia Maligna , Enfermería en Neurociencias , Atención Perioperativa/enfermería , Escoliosis/complicaciones , Adolescente , Femenino , Humanos , Masculino , Hipertermia Maligna/enfermería , Hipertermia Maligna/terapia , Estudios RetrospectivosAsunto(s)
Hipotermia/prevención & control , Complicaciones Intraoperatorias/enfermería , Atención Perioperativa/enfermería , Enfermería Perioperatoria/métodos , Temperatura Corporal , Humanos , Hipotermia/enfermería , Complicaciones Intraoperatorias/prevención & control , Atención Perioperativa/métodos , Ensayos Clínicos Controlados Aleatorios como Asunto , Factores de RiesgoRESUMEN
En diciembre de 2019, una serie de casos de neumonía de causa desconocida surgieron en Wuhan, Hubei, China, con presentaciones clínicas muy parecidas a la neumonía viral. El análisis de secuenciación profunda de muestras del tracto respiratorio inferior indicó un nuevo coronavirus, que se denominó nuevo coronavirus 2019 (2019-nCoV o SARS-CoV2) [15]. La propagación del virus ha sido extremadamente rápida, tanto así que el 11 de marzo de 2020 y luego de más de 118.000 infectados en 114 países con 4.300 fallecidos a esa fecha, la organización mundial de la salud declaró a la enfermedad COVID-19, causada por 2019-nCoV, como una pandemia.
Asunto(s)
Neumonía Viral/prevención & control , Desinfección de las Manos , Infecciones por Coronavirus/diagnóstico , Atención Perioperativa/enfermería , Periodo Perioperatorio/enfermería , Extubación Traqueal/instrumentación , BetacoronavirusRESUMEN
ABSTRACT Objective: To understand the nursing team's perception about the use of technology for safe perioperative pediatric care, through photographs. Method: A qualitative study using the theoretical framework of Nietsche Specific Nursing Technology, with a total of 18 perioperative nursing professionals from a general hospital in southern Brazil. Data collection occurred from June to August 2018, from a semi-structured interview and photograph production. They were analyzed through the Thematic Content Analysis. Approved by the Research Ethics Committee of the Federal University of Santa Catarina. Results: The Nursing Technologies category used for the safety of the pediatric patient in the perioperative period, with 250 photographs illustrating facts, situations and artifacts considered nursing technologies used in safe care. Conclusions: In the team's perception, patient safety involves the use of technologies integrated to perioperative care and structural, physical and input aspects.
RESUMEN Objetivo: Entender la percepción del equipo de Enfermería sobre el uso de la tecnología para una assistência segura en el perioperatory, por medio de la imagen. Método: Investigación cualitativa, utilizó la referencia teórica a la Tecnología de Enfermería Específica de Nietsche, con 18 profesionales de enfermería perioperatoria de un hospital general de la región sur de Brasil. La recopilación de datos se llevó a cabo de junio a agosto de 2018, a partir de una entrevista semiestructurada y la producción de imágenes. Analizado a través del Análisis de Contenido Temático. Aprobado por el Comité de Ética de la Universidad Federal de Santa Catarina. Resultados: La categoría Tecnologías de enfermería utilizadas para la seguridad del paciente pediátrico en el período perioperatory, con 250 fotografías que ilustran hechos, situaciones y artefactos considerados tecnologías de enfermería utilizadas en la atención segura. Conclusiones: Según la percepción del equipo, la seguridad del paciente implica el uso de tecnologías integradas en la atención perioperatoria y aspectos estructurales, físicos y de insumos.
RESUMO Objetivo: Compreender a percepção da equipe de enfermagem quanto ao uso da tecnologia para uma assistência segura no perioperatório pediátrico, por meio da imagem. Método: Pesquisa qualitativa, utilizou o referencial teórico a Tecnologia Específica de Enfermagem de Nietsche, com 18 profissionais de enfermagem do perioperatório de um hospital geral da região sul do Brasil. A coleta de dados ocorreu de junho a agosto de 2018, a partir de entrevista semiestruturada e a produção de imagens. Analisados por meio da Análise Temática de Conteúdo. Aprovado pelo Comitê de Ética da Universidade Federal de Santa Catarina. Resultados: A categoria Tecnologias de Enfermagem utilizadas para a segurança do paciente pediátrico no perioperatório, com 250 fotografias ilustrando fatos, situações e artefatos considerados tecnologias de enfermagem usadas na assistência segura. Conclusões: Na percepção da equipe, a segurança do paciente envolve uso de tecnologias integradas à assistência perioperatória e a aspectos estruturais, físicos e de insumo.
Asunto(s)
Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermería Pediátrica/normas , Enfermería Pediátrica/métodos , Actitud del Personal de Salud , Atención Perioperativa/enfermería , Tecnología Biomédica , Investigación Cualitativa , Seguridad del PacienteRESUMEN
BACKGROUND: This study will explore the effects of high-quality nursing care (HQNC) for patients with lung cancer (LC) during the perioperative period (PPP). METHODS: A literature search will be performed at Cochrane Library, MEDLINE, EMBASE, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure since its inception until October 1, 2019. All electronic databases will be searched with no restrictions of language and publication status. Two authors will perform study selection, data collection, and study quality assessment, respectively. We will use RevMan 5.3 software for statistical analysis. RESULTS: This study will summarize the latest evidence on assessing the depression, anxiety, quality of life, and adverse events of HQNC in patients with LC during PPP. CONCLUSION: The results of this study may provide helpful evidence of HQNC on psychological effects in patients with LC during PPP. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42019155982.
Asunto(s)
Neoplasias Pulmonares/enfermería , Atención de Enfermería/normas , Atención Perioperativa/enfermería , Atención Perioperativa/psicología , Calidad de la Atención de Salud , Ansiedad/etiología , Depresión/etiología , Humanos , Neoplasias Pulmonares/psicología , Neoplasias Pulmonares/cirugía , Atención de Enfermería/métodos , Atención de Enfermería/psicología , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Proyectos de Investigación , Revisiones Sistemáticas como AsuntoRESUMEN
INTRODUCTION: Augmentation cystoplasty (AC) is a surgical option to restore a good capacity bladder reservoir able to fill at low pressure. METHODS: The authors present the main principles for perioperative management for urologic nurses. RESULTS: AC is usually made with a piece of ileum patched to the bladder. Patient education programs are very important and are usually managed by urologic nurses. It begins in preoperative phase with the self-catheterization learning and continue in the postoperative phase with advises and prevention of the urinary mucus. CONCLUSION: AC are tricky surgeries but management and education of patients by urological nurses are key points to avoid chronic infection, stones or AC perforation.
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Enfermería en Nefrología/métodos , Atención Perioperativa/enfermería , Vejiga Urinaria/cirugía , Reservorios Urinarios Continentes , Humanos , Procedimientos Quirúrgicos Urológicos/métodosRESUMEN
PURPOSE: To examine whether nurse anesthetists and postanesthesia nurses' administration of intravenous (IV) fluid therapy during surgery and in the postanesthesia care unit is based on evidence. Secondarily to investigate if providing indications for IV fluid administration changed nursing practice. DESIGN: Prospective, descriptive, single-center study in Scandinavia comparing two cohorts. METHODS: Descriptive, fluid volume, and type data were obtained in both cohorts. Cohort 1 (n = 126) was used as baseline data. In cohort 2 (n = 130), nurses recorded indications for type and volume of fluid therapy using a validated list. Analysis compared median volumes of crystalloid or colloid fluids of surgical types by cohort. Analysis compared frequency of given indication reasons for each IV fluid by surgical type. FINDINGS: Basic static variables were chosen most frequently for indications of IV fluid needed for all surgeries except high-risk abdominal surgery where dynamic variables were more frequent. Signs and symptoms of inadequate tissue perfusion were only sparsely indicated. The volume of intraoperative crystalloid fluids was statistically different for patients with hip fracture surgery in cohort 2. Volumes of both colloid and crystalloid fluids were significantly higher for high-risk abdominal surgery in cohort 2. CONCLUSIONS: Nurse anesthetists and nurses in the postanesthesia care unit rely more on basic static parameters than signs of inadequate tissue perfusion when they make decisions about fluid administration. The indications cited for fluid administered to high-risk abdominal surgery and hip fracture patients did not always fit guidelines. This indicates the need of a stronger intervention to change practice to follow evidence-based clinical guidelines.
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Fluidoterapia/enfermería , Atención de Enfermería/métodos , Administración Intravenosa/enfermería , Administración Intravenosa/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Dinamarca , Femenino , Fluidoterapia/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Atención de Enfermería/normas , Atención de Enfermería/estadística & datos numéricos , Atención Perioperativa/enfermería , Atención Perioperativa/estadística & datos numéricos , Estudios ProspectivosRESUMEN
This study investigated the level of nurses' knowledge regarding the perioperative care of neurological patients. An author-developed questionnaire of 20 items was used in a sample of 94 hospital nurses serving in the neurology, surgery and anesthesiology departments and the intensive care unit. The average percentage of participants with correct answers was 49.2%. The mean value of participants' score was 9.8 ±3.4. Preexisting experience in the care of cases with multiple sclerosis and Parkinson's disease was positively related to the level of knowledge (p = 0.001 and 0.014 respectively). The ascertained level of nurses' knowledge regarding the perioperative care of neurological patients was moderate, questioning their adequacy to handle such cases. Previous experience in the care of particular diseases had significantly positive impact on knowledge, suggesting potential improvement strategies through targeted education and specialization of nurses. In conclusion, nurse's knowledge regarding perioperative care of neurological patients was insufficient, requiring appropriate improvement interventions.
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Competencia Clínica , Enfermedades del Sistema Nervioso/cirugía , Atención Perioperativa/enfermería , Encuestas y Cuestionarios , Adulto , Femenino , Humanos , Masculino , Esclerosis Múltiple/diagnóstico , Esclerosis Múltiple/cirugía , Enfermedades del Sistema Nervioso/diagnóstico , Rol de la Enfermera , Enfermedad de Parkinson/diagnóstico , Enfermedad de Parkinson/cirugía , Atención Perioperativa/métodos , Reproducibilidad de los Resultados , Reino Unido , Adulto JovenRESUMEN
This article details the obstacles of implementing a cardiac-specific enhanced recovery after surgery (ERAS) program in a 919-bed not-for-profit community-based health system and the benefits of ERAS programs for different patient populations.