Estressores percebidos por pacientes no pós-operatório imediato de cirurgia cardíaca

Dessotte, Carina Aparecida Marosti; Rodrigues, Hélen Francine; Furuya, Rejane Kiyomi; Rossi, Lídia Aparecida; Dantas, Rosana Aparecida Spadoti

doi:10.1590/0034-7167.2016690418i

Cited by 30 publications

(23 citation statements)

References 13 publications

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“…20 This group of patients classified thirst as the most significant stressor of 50 evaluated factors. 10 Preoperative fasting is one variable evaluated in this study; it is important to prevent pulmonary aspiration of the gastric contents after the loss of airway protective reflexes due to anesthetic drugs. 21,22 Pulmonary aspiration is a complication feared by the surgical team which may explain the long fasting time usually practiced.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] Thirst is considered one of the greatest stressors for patients during the IPO. 10 In an attempt to describe the amount of discomfort it causes in this period, patients use figurative speech, comparing themselves to 'a camel crossing the desert' or verbalizing that they have 'the sensation of having ingested a tube of glue.' In addition, the sensations described by the surgical patient when faced with no prospect of quenching their thirst due to the mandatory fasting in the surgical period are of despair even including thoughts of death.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the intensity and discomfort of perioperative thirst

et al. 2018

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Objective: To evaluate the intensity and discomfort of perioperative thirst and related factors during anesthesia recovery. Method: This is a quantitative, cross-sectional, descriptive study. Results: Of the 203 participants, 182 (89.6%) reported they were thirsty.The mean intensity of thirst was 6.9 measured using a verbal numerical scale of 0 to 10 and discomfort was 7.3 on a scale of 0 to 14. All attributes evaluated by the scale were cited including dry mouth and desire to drink water (87.3%), dry lips (79.1%), thick tongue feeling (43.4%), thick saliva (56.5%), dry throat (75.2%) and bad taste in the mouth (63.1%). There was a positive correlation between the intensity of thirst and discomfort assessed by the scale (Spearman coefficient: 0.474; p-value: <0.05). No correlation was found between age, length of fasting and use of opioids with the intensity of thirst and discomfort. Conclusion and implication in the clinical practice: Discomfort arising from the attributes of thirst is evidenced as the intensity of thirst increases.Keywords: Thirst; Nursing; Perioperative Care; Postoperative Period. resumoObjetivo: Avaliar a intensidade e o desconforto da sede perioperatória e fatores associados durante a recuperação anestésica.Método: Estudo quantitativo, transversal, descritivo. Resultados: Dos 203 participantes, 182 (89,6%) sentiram sede. A intensidade média da sede foi 6,9, avaliada em escala numérica analógica e a de seus desconfortos, 7,3, em escala de 0 a 14. Todos os atributos avaliados pela escala foram citados: boca seca e vontade de beber água (87,3%), lábios ressecados (79,1%), língua grossa (43,4%), saliva grossa (56,5%), garganta seca (75,2%), gosto ruim na boca (63,1%). Houve correlação positiva entre intensidade da sede e pontuação dos desconfortos avaliados pela escala (Spearman=0,474/p=<0,05). Não houve correlação entre idade, tempo de jejum e utilização de opioides com intensidade de sede e seus desconfortos. Conclusão e implicação para a prática: Desconfortos advindos dos atributos da sede são evidenciados à medida que a intensidade da sede aumenta. Palavras-chave:Sede; Enfermagem; Assistência Perioperatória; Período Pós-Operatório. resumenObjetivo: Evaluar intensidad e incomodidad de la sed perioperatoria y los factores asociados durante la recuperación anestésica.Método: Estudio cuantitativo, transversal, descriptivo. Resultados: De los 203 participantes, 182 (89,6%) sintieron sed. La intensidad media de la sed fue 6,9, evaluada en escala numérica analógica; sus incomodidades, 7,3, en escala de 0 a 14. Todos los atributos evaluados fueron citados: boca seca y ganas de beber agua (87,3%), labios resecados (79,1%), lengua gruesa (43,4%), saliva gruesa (56,5%), garganta seca (75,2%), gusto malo en la boca (63,1%). Se observó correlación positiva entre intensidad de la sed y puntuación de las molestias evaluadas por la escala (Spearman=0,474/p=<0,05). No hubo correlación entre edad, tiempo de ayuno y utilización de opioides con intensidad de sed y sus incomodidades. Conclusión e implic...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of the intensity and discomfort of perioperative thirst

et al. 2018

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“…In the perioperative period, patients are exposed to several factors predisposing to the thirst symptom, such as prolonged preoperative fasting, anesthetic-surgical medications, orotracheal intubation and blood loss (1)(2)(3)(4) . When the confluence of these factors are added to anxiety, irritability, stress and fear of anesthesia and surgery (2,(4)(5) , it results in thirst being one of the most distressing aspects for the patient.…”

Section: Introductionmentioning

confidence: 99%

Developing and validating the Perioperative Thirst Discomfort Scale

Martins

Fonseca

Rossetto

2017

Rev. esc. enferm. USP

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Objective: Developing and validating a scale to assess perioperative thirst discomfort. Method: A methodological research conducted in 2014 and 2015 at the surgical center of a public hospital in the north of Paraná, Brazil. The scale was developed after literature review, followed by face and content validation, and reliability assessment through its internal consistency and inter-observer equivalence. Results: Seven items make up the scale: dry mouth; dry lips; thick tongue; thick saliva; dry throat, bad taste and desire to drink water. The content validity index for attributes and items was 0.98, and the reliability index was 1 for the scale attributes and items. Internal consistency assessed by Cronbach's alpha was 0.91 and inter-rater equivalence was 1, as measured by weighted kappa coefficient. Conclusion: The Perioperative Thirst Discomfort Scale showed high content and reliability indexes.

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“…In a study (14) on perceived stressors in post-cardiac surgery patients, the variable "feeling pain"…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

“…In our study, a good cognitive situation was verified and this is an indication that these patients have potential to receive orientations and to execute the physical therapy techniques, helping in their postoperative improvement. Other studies (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) indicate that physical therapy integrates patient care with indication of cardiac surgery, both in the pre-and postoperative periods, using active and educative techniques in collaborative patients.…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Chiapinotto

Dallazen

Bodnar

et al. 2017

Rev. baiana enferm.

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How to cite this article: Chiapinotto S, Dallazen F, Bodnar ET, Winkelman ER. Level of pain and functional independence of patients submitted to cardiac surgery. Rev Baiana Enferm. 2017;31(4):e21388.Objective: to evaluate the correlation of pain and functional independence in the pre and postoperative period of patients submitted to cardiac surgery. Methods: A prospective, noninterventional study of 24 patients submitted to elective cardiac surgery. Clinical data was collected in patients' charts and a direct interview was done both in the preoperative and in the postoperative period. The pain intensity was rated according to the Numerical Visual Scale. Functionality was measured with the Functional Independence Measure. Results: in the first evaluation, the patients did not report pain. In the postoperative evaluation, patients presented an average of 4.75 ± 1.91 points on the pain scale. The functionality increased from 124.29 ± 6.38 in the preoperative period to 97.42 ± 12.73 in the postoperative. There was a significant correlation between pain and functionality. Conclusion: there was an increase in pain and reduced functionality in the postoperative period of cardiac surgery, in addition to a correlation between the variables, demonstrating that the higher the intensity of the pain, the lower the functional independence of the patient.Descriptors: Thoracic surgery. Pain measurement. Physical therapy. Rehabilitation. Objetivo: avaliar a correlação da dor e independência funcional no período pré e pós-operatório dos

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Estressores percebidos por pacientes no pós-operatório imediato de cirurgia cardíaca

Cited by 30 publications

References 13 publications

Evaluation of the intensity and discomfort of perioperative thirst

Evaluation of the intensity and discomfort of perioperative thirst

Developing and validating the Perioperative Thirst Discomfort Scale

Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

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