Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Methods: This study was performed in two different institutions located in Rio de Janeiro, Brazil. A total of 43 patients were enrolled. The experimental group consisted of 22 patients who had access to the telephone followup intervention, and the control group consisted of 21 patients who received conventional treatment without telephone follow-up. This was a randomized controlled study with patients who were 60 years or older and awaiting operative procedures of hernia repair and laparoscopic cholecystectomy who had a mobile or landline phone and were available for telephone contact. Results: There was a reduction in "loss of appetite with nausea" (p = 0.013); "need help to complete self-care" (p = 0.041); "pain" (p = 0.041); and "postoperative sensation" (p = 0.023). The experimental group showed a significantly larger decrease in factors related to the "Delayed surgical recovery" diagnosis, suggesting a positive effect of the intervention compared to the effect in control group.\. Conclusion: Telephone consultation identified factors that increased the risk of complications after surgery, recognized potential patients for delayed surgical recovery and helped perioperative nurses provide accurate interventions to prevent or mitigate delayed recovery. This study was registered in the platform Brazilian Registry of Clinical Trials (ReBEC)-link: http://www. ensaiosclinicos.gov.br under registration number RBR-4C249M, retrospectively registered on April 13, 2020.
Objetivo: identificar elementos da Síndrome de terminalidade a partir do cruzamento de termos registrados pelos enfermeiros no cuidado ao fim de vida em idosos com demência avançada. Método: estudo observacional, retrospectivo, da ferramenta metodológica mapeamento cruzado. Foram coletados registros dos últimos 10 dias de vida de 38 prontuários de pessoas com demência avançada. Resultados: foram identificados 97 termos de respostas humanas, e através do mapeamento cruzado, foram elencados 22 diagnósticos de enfermagem, desses 11 diagnósticos de enfermagem apresentaram relevância estatística em 50% ou mais dos pacientes e oito diagnósticos de enfermagem apresentaram-se relevantes estatisticamente quando avaliados de acordo com a prevalência nas 380 observações. A Síndrome de terminalidade foi verificada em todas 380 avaliações, em média 7,5 diagnósticos da síndrome foram observados. Conclusão: a alta prevalência da Síndrome de terminalidade sustenta a inclusão do diagnóstico de enfermagem na Taxonomia II da NANDA-I, dado que os enfermeiros já a observam e a registram em sua prática.
Objectives: to validate the nursing diagnosis “Terminality Syndrome” with experts. Methods: a quantitative research of content validation type based on collective wisdom approach. An online semi-structured questionnaire was used as an instrument for data collection, and Content Validity Index and Wilcoxon test were used for comparing possible differences. Results: the questionnaire was answered by 89 professionals after judges’ assessment in relation to the structural components of the diagnosis proposed. The mean Content Validity Index of items was above that recommended, except for title, which was ≥ 0.8. The suggestions were reviewed and accepted, being forwarded for a new analysis, reaching 83.7% of agreement among participants. Conclusions: the diagnosis’ content proved to be valid by judges. With that, it is expected to contribute with a useful nursing diagnosis for nursing practice documentation in palliative care.
Bacharel em biomedicina pela faculdade PIOXII e discente do curso de pós-graduação em circulação extracorpórea e assistência circulatória mecânica do Instituto Nacional de Cardiologia (INC-RJ), Rio de Janeiro, Rio de Janeiro.(2) Bacharel e licenciatura em enfermagem pela UFF e mestre em enfermagem pela UFF,
O objetivo desse estudo foi validar o conteúdo da proposta do diagnóstico de enfermagem Risco de recuperação cirúrgica retardada. Pesquisa metodológica, de validação de conteúdo por especialistas, com amostra de 34 especialistas. Utilizou-se um instrumento de coleta de dados contendo escala do tipo Likert de 1 a 5. A análise de dados foi a proporção estimada pelo teste binomial. Obteve-se10 itens da proposta diagnóstica avaliada com proporção superior ou igual a 75%. Outros sete itens: Definição; Sentimentos expressos; Histórico de retardo da cicatrização; Procedimento cirúrgico prolongado; Idade avançada; Edema e trauma no local da cirurgia; Classificação ASA elevada (American Society of Anesthesiologists); foram avaliados com proporção inferior a 75%, revisados até consenso dos especialistas. Conclui-se que o diagnóstico de enfermagem foi validado em conteúdo. Sua identificação pode possibilitar predizer a vulnerabilidade dos pacientes com Risco de recuperação cirúrgica retardada (00246), e o planejamento das intervenções perioperatórias de forma individualizada.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.