Study’s purpose: To analyze the effectiveness of telephone intervention for the nursing diagnosis of delayed surgical recovery in older persons who have undergone cataract surgery. Design: Blinded, randomized, and controlled trial. A total of 95 patients of both sexes who were over 60 years old and had undergone cataract surgery were divided into an intervention group (48 patients) and a control group (47 patients), allocated using BioEstat 5.3 Software. Results: The intervention included postoperative follow-up recovery of cataracts and prevention of complications performed on the 1st, 4th, 10th, and 20th postoperative days. After the intervention, the intervention group had a decrease in the length of surgical recovery ( p = .000). The occurrence in the intervention group was 6.3%, while in the control group, it was 36.2% (odds ratio (OR) = 0.118; confidence interval (CI) = 1.02, 10.23). The number of nursing interventions nevertheless decreased during the telephone follow-up. Conclusion: For older persons, the telephone guidelines increase adherence to treatment, promote clinical improvement, promote surgical recovery over time, and improve independence and autonomy.
Objetivo: relatar o desenvolvimento e aplicabilidade de uma Central de Telecuidado comointervenção de enfermagem.Método: estudo descritivo, do tipo relato de experiência, de um projeto tecnológico financiadopara criação de uma rede de tecnologia da informação e comunicação para acompanhamento portelefone de adultos e idosos, utilizando um software on-line para realização das intervenções.Resultados: o sistema de informação possibilitou a intervenção por telefone de forma sistematizada,bem como o armazenamento dos dados coletados. No exemplo adotado, de seguimento defacectomia, demonstrou-se a demanda aumentada de orientações no 1º e 4º dia de pós-operatório,referente ao controle do desconforto, uso do tampão ocular, limpeza do olho operado, utilizaçãodo colírio, uso dos óculos escuros e orientações quanto ao autocuidado.Conclusão: o acompanhamento por telefone realizado pela enfermeira favorece a continuidadedos cuidados em domicílio.
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