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1.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 894-899, jul.-set. 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005683

RESUMO

Objective: The study's purpose has been to delineate the clinical-epidemiological profile of patients undergoing cardiac catheterization; furthermore, to propose a management technology to create a database with information of epidemiological relevance. Methods: It is a retrospective study with a quantitative approach, which considers the databases and medical records of 1,890 patients who underwent cardiac catheterization at a hemodynamic unit from April 2014 to April 2016. Microsoft Office Excel® software was used to both organize and analyze the data. CAAE No. 55615616.0.0000.5282. Results: The average age was 61.45 years old. The majority of the assisted population is indicated by the National Regulation System (63%) with the following distribution: (52.86%) male and (47.14%) female. It was identified that 79.5% of the users have high blood pressure. It was found that the current strategy for monitoring the assisted users shows information deficiencies


Objetivo: Traçar o perfil clínico-epidemiológico de usuários submetidos ao cateterismo cardíaco; propor uma tecnologia gerencial para criar um banco de dados com informações de interesse epidemiológico. Método: Estudo quantitativo, retrospectivo de bases de dados e prontuários de 1890 usuários submetidos ao procedimento na unidade de hemodinâmica entre abril/2014 e abril/2016. Utilizou-se o software Microsoft Office Excel® para organização e análise dos dados. CAAE:55615616.0.0000.5282 Resultados: A idade média é de 61,45 anos. A maioria da população atendida é encaminhada pelo Sistema de Regulação (63%) e sua distribuição: (52,86%) masculino e (47,14%) feminino. Identificou-se que 79,5% dos usuários são hipertensos. Verificou-se que a atual estratégia para acompanhamento dos usuários atendidos apresenta falhas nas informações. Conclusão: A consulta de enfermagem com a obtenção de informações relevantes e determinantes para as condutas de enfermagem, contribui para a melhoria do Sistema Único de Saúde. Descritores: Cateterismo cardíaco; Enfermagem; Fatores de risco; Hemodinâmica; Perfil epidemiológico


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Cateterismo Cardíaco/enfermagem , Cateterismo Cardíaco/estatística & dados numéricos , Sistemas de Informação em Saúde , Perfil de Saúde , Hospitais Universitários
3.
Rev. enferm. UFPE on line ; 11(10): 3757-3763, out.2017.
Artigo em Português | BDENF - Enfermagem | ID: bde-33047

RESUMO

Objetivo: analisar as repercussões imediatas da ação educativa do enfermeiro realizada na sala de espera da hemodinâmica, voltada aos pacientes e acompanhantes, antes de um procedimento de intervenção cardiovascular. Método: estudo qualitativo, do tipo descritivo, comparativo, ancorado no referencial teórico metodológicoda hermenêutica dialética. Realizado por meio de entrevistas individuais, com roteiro semiestruturado, e de forma coletiva, na sala de espera da hemodinâmica. Resultados: emergiram duas categorias <>, <>. Conclusão: existem lacunas nas informações sobre cateterismo cardíaco e ausência de um mediador do conhecimento técnico-científico, situação que gera oportunidades para o enfermeiro auxiliar na construção de saberes e troca de experiências. (AU)


Assuntos
Humanos , Masculino , Feminino , Educação em Saúde , Cateterismo Cardíaco , Cateterismo Cardíaco/enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Relações Enfermeiro-Paciente , Epidemiologia Descritiva , Acompanhantes Formais em Exames Físicos , Humanização da Assistência
5.
Dimens Crit Care Nurs ; 36(2): 87-93, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28151785

RESUMO

BACKGROUND: Patients frequently complain of back pain after cardiac catheterization, and there is a lack of evidence to guide practice regarding patient comfort while maintaining hemostasis at femoral access site after cardiac catheterization. OBJECTIVE: The aim of this study was to examine if frequent position changes affect a patient's pain level or increase incidents of bleeding in the recovery period after cardiac catheterization. METHODS: A quasi-experimental pretest/posttest design was used to evaluate a patient's reported pain levels and positioning changes during bed rest period postprocedure. Twenty charts were reviewed to note documentation of patient position, self-reported pain rating related to pain relief goals, and occurrence of bleeding at the procedure site. A survey was conducted to reveal nurse attitudes, knowledge, and beliefs regarding positioning and pain management for patients in the post-cardiac catheterization period. Results from this survey were used to develop education and data collection tools. Education regarding perceived barriers and importance of maximizing activity orders for patient comfort was provided to nursing staff. After nurse education, an additional 20 charts were reviewed to note if increasing frequency of position change affects pain levels reported by patients or if any increased incidence of bleeding was noted with greater frequency of position change. RESULTS: Data were analyzed using correlation analyses. Greater levels of pain were associated with higher pain ratings (r = 0.796, P < .000). Use of position change only as a comfort measure was negatively associated with pain ratings; in other words, lower patient pain ratings were associated with use of positioning only without addition of medications to address complaint (r = -0.493, P < .023). There was a significant increase in number of pain management goals met from before to after education intervention (P < .046). DISCUSSION: Nurse concern for increased bleeding was found to be the most common barrier for use of position changes for comfort after cardiac catheterization. This initial analysis suggests position changes in conjunction with pain medication are beneficial in managing pain after cardiac catheterization. There was no increase in bleeding or complications reported; however this study had a small sample size, and caution should be used regarding generalization of findings.


Assuntos
Dor nas Costas/prevenção & controle , Cateterismo Cardíaco/efeitos adversos , Cateterismo Cardíaco/enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Manejo da Dor/enfermagem , Posicionamento do Paciente/enfermagem , Repouso em Cama , Veia Femoral , Hemostasia , Hospitais Comunitários , Humanos , Medição da Dor , Segurança do Paciente , Punções , Inquéritos e Questionários
6.
Rev. Rol enferm ; 40(1): 43-46, ene. 2017. tab, graf, ilus
Artigo em Espanhol | IBECS | ID: ibc-159320

RESUMO

El cateterismo cardiaco es un procedimiento que consiste en la introducción de un catéter por un acceso arterial (femoral, radial, braquial, cubital) que se lleva hasta el corazón para su estudio anatómico y funcional, grandes vasos y arterias coronarias. En nuestro centro, en la actualidad, se utiliza el acceso arterial radial como primera elección. Cuando finalizamos el estudio se retira el catéter y hay que comprimir el punto de punción por el que hemos realizado la prueba. La hemostasia de la arteria radial tras el cateterismo la realizamos mediante vendaje compresivo con Tensoplast®. Nuestra experiencia previa en el uso de Nobecutan® aerosol en los vendajes compresivos femorales nos hizo extender su uso al nuevo acceso vascular radial. En nuestro estudio, queremos mostrar la eficacia del uso de Nobecutan®, para la protección cutánea de la zona de punción donde se coloca el vendaje compresivo radial. Los resultados muestran una reducción de la lesión dermatológica tras la retirada del vendaje, sobre todo en los pacientes bajo tratamiento antiagregante y en los que hayan presentado lesión dermatológica secundaria al rasurado en la zona de punción (AU)


Cardiac catheterization consists in the introduction of a catheter through a peripheral arterial access (radial, femoral, brachial or cubital approach) directed to the heart, in order to study its anatomy or function, the presence coronary artery disease, and perform coronary interventions if indicated. Radial artery is our first option approach for cardiac catheterization. Once the study is finished, the catheter is removed from the arterial access and the puncture site is compressed to obtain hemostasis with a Tensoplast® compressive bandage. Based in our previous experience with the use of Nobecutan® aerosol in femoral bandage, we decided to extend it to the radial access. Our goal is to explore the Nobecutan® impact in puncture site cutaneous protection, where radial bandage is placed. Results show a reduction in dermatological lesion rate after removing the bandage, especially in patients under antiplatelet therapy and in those with previous dermatological lesion secondary to skin shaving rounding puncture site (AU)


Assuntos
Humanos , Masculino , Feminino , Cateterismo Cardíaco/enfermagem , Bandagens/normas , Bandagens , Hemostasia Cirúrgica/enfermagem , Biópsia por Agulha/enfermagem , Biópsia por Agulha Fina/enfermagem , Resultado do Tratamento , Avaliação de Eficácia-Efetividade de Intervenções , Estudos Prospectivos , Estudos de Coortes
7.
Notas enferm. (Córdoba) ; 15(26): 7-10, dez.2015.
Artigo em Espanhol | LILACS | ID: lil-776947

RESUMO

El cateterismo cardiaco es una técnica de diagnóstico precoz y tratamiento rápido respectivamente, la enfermera debe ser capaz de transmitir al paciente la seguridad necesaria para enfrentar esta técnica para su diagnostico y tratamiento. Para ello debe conocer los cuidados que se derivan de este paciente sometido a cateterismo, la información y educacion sanitaria, imprescindibles para asegurar unos cuidados integrales y un proceso asistencial de calidad, tanto del punto de vista físico como emocional...


Assuntos
Humanos , Cateteres Cardíacos , Cateterismo Cardíaco/enfermagem , Cuidados de Enfermagem
9.
Medsurg Nurs ; 24(3): 173-6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26285381

RESUMO

Primary treatment for coronary vascular disease focuses on therapeutic lifestyle changes. However, additional medical management or even coronary intervention may be required. Access sites for catheterization include the brachial, radial, and femoral arteries. As an increasing number of providers implement transradial cardiac catheterization, education for nurses is a priority.


Assuntos
Angioplastia Coronária com Balão/enfermagem , Cateterismo Cardíaco/enfermagem , Doença da Artéria Coronariana/enfermagem , Cuidados de Enfermagem/normas , Guias de Prática Clínica como Assunto , Artéria Radial/cirurgia , Humanos , Fatores de Risco , Estados Unidos
10.
J Clin Nurs ; 23(13-14): 2063-73, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24372795

RESUMO

AIMS AND OBJECTIVES: To evaluate the effectiveness of an accessibility-enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction with the information and materials received by patients undergoing cardiac catheterisation. BACKGROUND: Cardiac catheterisation is one of the most anxiety-provoking invasive procedures for patients. However, informational education using multimedia to inform patients undergoing cardiac catheterisation has not been extensively explored. DESIGN: A randomised experimental design with three-cohort prospective comparisons. METHODS: In total, 123 consecutive patients were randomly assigned to one of three groups: regular education; (group 1), accessibility-enhanced multimedia informational education (group 2) and instructional digital videodisc education (group 3). Anxiety was measured with Spielberger's State Anxiety Inventory, which was administered at four time intervals: before education (T0), immediately after education (T1), before cardiac catheterisation (T2) and one day after cardiac catheterisation (T3). A satisfaction questionnaire was administrated one day after cardiac catheterisation. Data were collected from May 2009-September 2010 and analysed using descriptive statistics, chi-squared tests, one-way analysis of variance, Scheffe's post hoc test and generalised estimating equations. RESULTS: All patients experienced moderate anxiety at T0 to low anxiety at T3. Accessibility-enhanced multimedia informational education patients had significantly lower anxiety levels and felt the most satisfied with the information and materials received compared with patients in groups 1 and 3. A statistically significant difference in anxiety levels was only found at T2 among the three groups (p = 0·004). CONCLUSIONS: The findings demonstrate that the accessibility-enhanced multimedia informational education was the most effective informational educational module for informing patients about their upcoming cardiac catheterisation, to reduce anxiety and improve satisfaction with the information and materials received compared with the regular education and instructional digital videodisc education. RELEVANCE TO CLINICAL PRACTICE: As the accessibility-enhanced multimedia informational education reduced patient anxiety and improved satisfaction with the information and materials received, it can be adapted to complement patient education in future regular cardiac care.


Assuntos
Adaptação Psicológica , Cateterismo Cardíaco/psicologia , Educação em Saúde , Multimídia , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo Cardíaco/enfermagem , Feminino , Acesso aos Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Inquéritos e Questionários
11.
J Contin Educ Nurs ; 44(3): 103-4, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23444876

RESUMO

This column explores the development and implementation of a cardiac catheterization laboratory nursing fellowship at a 600-bed, tertiary-care hospital that is part of a large, multi-facility health system.


Assuntos
Cateterismo Cardíaco/enfermagem , Educação Continuada em Enfermagem , Bolsas de Estudo , Humanos , Desenvolvimento de Programas , Estados Unidos
12.
Eur J Cardiovasc Nurs ; 12(5): 429-36, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23076977

RESUMO

PURPOSE: This study systematically examined previous studies on the effect of early ambulation on vascular complications in subjects who had just undergone a percutaneous coronary intervention (PCI), and analyzed the effects of early ambulation on both hemorrhage and hematoma formation at the puncture site. METHODS: Study data were analyzed using the R (version 2.13.1) program. Publication bias was verified via regression analysis, using the logarithm of the odds ratio (OR) and sample size, and a funnel plot using sample size. The risk ratio of the incidence of bleeding and hematoma formation at the puncture site, relative to early ambulation, was confirmed using ORs and the forest plot. RESULTS: The PCI recipients' bed rest time had no significant effect on the risk ratio of hematoma formation (OR = 0.89; 95% CI = 0.68-1.17) nor the incidence of bleeding (OR = 1.14; 95% CI = 0.77-1.7) at the puncture site. CONCLUSIONS: This retrospective study's findings show that early ambulation following PCI had no effect on the incidence of either hematoma formation nor bleeding at the puncture site; however, differences in demographic factors should be considered carefully, in order to avoid interpreting the results too broadly.


Assuntos
Angioplastia Coronária com Balão/enfermagem , Angioplastia Coronária com Balão/estatística & dados numéricos , Enfermagem Cardiovascular/métodos , Doença das Coronárias/epidemiologia , Doença das Coronárias/enfermagem , Deambulação Precoce/enfermagem , Deambulação Precoce/estatística & dados numéricos , Cateterismo Cardíaco/efeitos adversos , Cateterismo Cardíaco/enfermagem , Cateterismo Cardíaco/estatística & dados numéricos , Deambulação Precoce/efeitos adversos , Hematoma/epidemiologia , Hemorragia/epidemiologia , Humanos , Incidência , Fatores de Risco
13.
Dimens Crit Care Nurs ; 32(1): 1-5, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23222218

RESUMO

As transradial approaches to cardiac catheterizations and percutaneous coronary interventions steadily rise in the United States, we reviewed evidence-based studies to compare the radial and femoral approaches to cardiac catheterization. The purpose of this article was to provide an overview of transradial and femoral approaches for cardiac catheterizations and percutaneous coronary interventions, preparation for the procedure, and nursing management of these patients. The strategies used to develop the transition process are also discussed.


Assuntos
Cateterismo Cardíaco/métodos , Artéria Femoral , Intervenção Coronária Percutânea/métodos , Cuidados Pré-Operatórios/métodos , Artéria Radial , Cateterismo Cardíaco/enfermagem , Humanos , Intervenção Coronária Percutânea/enfermagem , Cuidados Pré-Operatórios/enfermagem
14.
Eur J Cardiovasc Nurs ; 12(4): 393-9, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23263275

RESUMO

BACKGROUND: Side effects of the medications used for procedural sedation and analgesia in the cardiac catheterisation laboratory are known to cause impaired respiratory function. Impaired respiratory function poses considerable risk to patient safety as it can lead to inadequate oxygenation. Having knowledge about the conditions that predict impaired respiratory function prior to the procedure would enable nurses to identify at-risk patients and selectively implement intensive respiratory monitoring. This would reduce the possibility of inadequate oxygenation occurring. AIM: To identify pre-procedure risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory. DESIGN: Retrospective matched case-control. METHODS: 21 cases of impaired respiratory function were identified and matched to 113 controls from a consecutive cohort of patients over 18 years of age. Conditional logistic regression was used to identify risk factors for impaired respiratory function. RESULTS: With each additional indicator of acute illness, case patients were nearly two times more likely than their controls to experience impaired respiratory function (OR 1.78; 95% CI 1.19-2.67; p = 0.005). Indicators of acute illness included emergency admission, being transferred from a critical care unit for the procedure or requiring respiratory or haemodynamic support in the lead up to the procedure. CONCLUSION: Several factors that predict the likelihood of impaired respiratory function were identified. The results from this study could be used to inform prospective studies investigating the effectiveness of interventions for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory.


Assuntos
Cateterismo Cardíaco/enfermagem , Sedação Consciente/efeitos adversos , Sedação Profunda/efeitos adversos , Hipnóticos e Sedativos/efeitos adversos , Complicações Intraoperatórias/etiologia , Insuficiência Respiratória/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Sedação Consciente/enfermagem , Sedação Profunda/enfermagem , Feminino , Humanos , Complicações Intraoperatórias/prevenção & controle , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória , Análise de Componente Principal , Insuficiência Respiratória/prevenção & controle , Estudos Retrospectivos , Fatores de Risco
15.
Rev. mex. enferm. cardiol ; 20(3): 112-116, sept-dic.2012.
Artigo em Espanhol | BDENF - Enfermagem | ID: bde-29423

RESUMO

La enfermedad coronaria es uno de los principales problemas de salud pública a nivel mundial, lo cual ha favorecido el desarrollo de diferentes estrategias de diagnóstico y tratamiento; dentro de éstas, se encuentra el cateterismo cardíaco, procedimiento que en la actualidad se considera como la prueba de oro de la cardiología. Debido al carácter invasivo del cateterismo cardíaco, éste puede generar un impacto emocional importante en el paciente, determinado por respuestas de ansiedad, las cuales pueden acrecentarse por el ambiente hospitalario y las creencias culturales, pero sobre todo, cuando no se recibe una adecuada y oportuna educación sobre todos los cuidados relacionados con éste. Por ello, es esencial el papel que desempeña el profesional de enfermería en la identificación de los niveles de ansiedad de los pacientes a través del uso de instrumentos validados, así como en la generación de intervenciones de enfermería basadas en la comunicación y la educación que reduzcan la ansiedad, lo cual evita la aparición de las complicaciones derivadas de la misma, favorece la satisfacción del paciente y con ello, la calidad de la atención recibida.(AU)


Coronary heart disease is a major public health problem worldwide, which has favored the development of different diagnostic and treatment strategies such as the cardiac catheterization, this procedure is now considered as the cardiology proof of gold. Due to the invasive character of the cardiac catheterization, this can generate a significant emotional impact on a patient, determined by his responses of anxiety, this aspect can increase by the hospital environment and cultural beliefs of the procedure, but especially when patient do not receive adequate and timely education about the procedure and all care related to it. It is therefore essential the role of the nurse to identify the anxiety levels of patients through the use of validated instruments and the generation of nursing interventions based on communication and education for reducing anxiety, and prevent the occurrence of complications arising from this, promoting patient satisfaction and thus the quality of care.(AU)


Assuntos
Humanos , Cuidados de Enfermagem , Cateterismo/enfermagem , Cateterismo Cardíaco/enfermagem , Ansiedade/enfermagem
18.
J Cardiovasc Med (Hagerstown) ; 12(2): 116-21, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21135588

RESUMO

BACKGROUND: Radial arterial access is becoming increasingly popular for coronary angiography and angioplasty. The technique is, however, more demanding than femoral arterial access, and hemostasis is not care-free. A quality assurance program was run by our nursing staff, with patient follow-up, to monitor radial arterial access implementation in our laboratory. METHOD: In 973 consecutive patients, both a hydrophilic sheath and an inflatable bandage for hemostasis were used. Bandage inflation volume and time were both reduced through subsequent data audit and protocol changes (A = 175 patients; B = 297; C = 501). RESULTS: An increase was achieved in the percentage of patients with neither loss of radial pulse nor hematoma of any size (A = 81.3%, B = 90.9%, C = 92.2%, P < 0.001), and no discomfort at all (A = 44.2%, B = 75.1%, C = 89.3%, P < 0.001). Follow-up was available for 965 patients (99%), and in 956, the access site could be re-inspected at least once. There were no vascular complications. Overall, the radial artery pulse was absent at latest follow-up in 0.6% of cases (95% confidence interval 0.21-1.05%). In 460 consecutive patients with complete assessment in protocol C, a palpable arterial pulse was absent in 5% of cases at about 20 h after hemostasis. Barbeau's test was positive in 26.5% of patients (95% confidence interval 22.5-30.6%). They had a significantly lower body weight, a lower systolic blood pressure at hemostasis, and a higher bandage inflation volume; a hematoma of any size and the report of any discomfort were also more frequent. Barbeau's test returned to normal in 30% of them 3-60 days later. CONCLUSION: Our nurse-led quality assurance program helped us in reducing minor vascular sequelae and improving patient comfort after radial access. Early occlusion of the radial artery as detected by pulse oxymeter is frequent, often reversible, and may be mostly related to trauma/occlusion of the artery during hemostasis.


Assuntos
Cateterismo Cardíaco/enfermagem , Hemorragia/prevenção & controle , Técnicas Hemostáticas/enfermagem , Recursos Humanos de Enfermagem no Hospital/normas , Garantia da Qualidade dos Cuidados de Saúde/normas , Artéria Radial , Idoso , Arteriopatias Oclusivas/etiologia , Arteriopatias Oclusivas/prevenção & controle , Cateterismo Cardíaco/efeitos adversos , Distribuição de Qui-Quadrado , Auditoria Clínica , Feminino , Hematoma/etiologia , Hematoma/prevenção & controle , Hemorragia/etiologia , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Oximetria/enfermagem , Punções , Medição de Risco , Fatores de Risco
19.
Can J Cardiovasc Nurs ; 20(4): 15-20, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-21141230

RESUMO

BACKGROUND: Despite a trend toward a reduction in bedrest time after left heart catheterization (LHC) in many Canadian centres, an evidence-based standard of practice has not been established. Canadian bedrest times range from two to four hours post-LHC. Two recent prospective non-randomized studies (n = 1,000) indicate safety of ambulation at 60 and 90 minutes post-LHC. PURPOSE: The purpose of this study was to determine safety of ambulating patients at 90 minutes post-LHC sheath removal compared to the current practice of ambulation at three to four hours post-sheath removal. DESIGN: The study was a prospective non-concurrent design with a retrospective control. METHOD/SAMPLE: Retrospective data from the APPROACH database and chart reviews were analyzed for a period of six months for the control group on the traditional three- to four-hour ambulation protocol (n = 402). Prospective data were gathered for six months for the experimental group (n = 193). RESULTS: There was no difference in complication rates for the two groups. CONCLUSIONS: The results suggest that early ambulation for selected patients at 90 minutes is safe and has the potential to increase both patient comfort and quality of care.


Assuntos
Cateterismo Cardíaco/enfermagem , Deambulação Precoce/métodos , Cuidados Pós-Operatórios/métodos , Alberta/epidemiologia , Repouso em Cama/enfermagem , Repouso em Cama/estatística & dados numéricos , Cateterismo Cardíaco/efeitos adversos , Cateterismo Cardíaco/instrumentação , Distribuição de Qui-Quadrado , Pesquisa em Enfermagem Clínica , Deambulação Precoce/efeitos adversos , Deambulação Precoce/enfermagem , Prática Clínica Baseada em Evidências , Feminino , Hematoma/epidemiologia , Hematoma/etiologia , Hemorragia/epidemiologia , Hemorragia/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Pós-Operatórios/efeitos adversos , Cuidados Pós-Operatórios/enfermagem , Guias de Prática Clínica como Assunto , Estudos Prospectivos , Estudos Retrospectivos , Segurança , Fatores de Tempo
20.
Rev. enferm. UFPE on line ; 4(4): 1735-1742, out.-dez. 2010. ilus
Artigo em Português | BDENF - Enfermagem | ID: bde-34534

RESUMO

Objetivo: descrever os desconfortos relatados pelos pacientes durante o repouso após cateterismo cardíaco, realizadoatravés da técnica de Judkins. Metodologia: trata-se de estudo de coorte, realizado com pacientes submetidos aocateterismo cardíaco em um serviço de hemodinâmica. A coleta de dados foi realizada no momento da admissão na salade recuperação, na 4ª e 6ª hora pós procedimento, através da utilização de um questionário e observação sistemática.Este estudo segue as normas da Resolução 196/96 do Conselho Nacional de Saúde, sendo aprovado pelo Comitê de Éticaem Pesquisa da ISCMPA (nº 311709). Resultados: dos 42 pacientes, 52,4% eram homens, com idade média de 62 anos.Quanto aos sintomas apresentados, o mais relevante foi a dor cervical relatada por 28,7% na 6ª hora, o desconfortourinário foi mencionado por 23,8% na hora inicial, permanecendo na 4ª e 6ª hora, a presença de cefaléia foi referida por19,2% na hora inicial e 4ª hora. A dor cervical foi presente em 16,7% como moderada na 6ª hora e a dor lombar foirelatada por 9,5% como moderada na 4ª hora, sendo baixos os percentuais de dor intensa. Entre os sinais, o hematomapequeno foi apresentado por 9,5% após a retirada da bainha. Conclusão: os desconfortos referidos pelos pacientes duranteo período de repouso pós cateterismo cardíaco não demonstram piora significativa entre a 4ª e 6ª hora.(AU)


Assuntos
Humanos , Masculino , Feminino , Cateterismo Cardíaco , Cateterismo Cardíaco/enfermagem , Cuidados de Enfermagem , Estudos de Coortes
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