Prevalência, intensidade e desconforto da sede no paciente cirúrgico no pós-operatório imediato

Nascimento, Leonel Alves do; Nakaya, Takahiro; Conchon, Marilia Ferrari; Garcia, Aline Korki Arrabal; Pierotti, Isadora; Serato, Viviane Moreira; Fonseca, Lígia Fahl

doi:10.5327/z1414-4425201900020006

Cited by 19 publications

(44 citation statements)

References 15 publications

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“…The ND proposal for perioperative thirst contains 16 initial defining characteristics. Dry mouth is one of the main indicators present in the assessment of thirst, being reported by 51.8% (Gul et al, 2017), 69.2% (Nascimento et al, 2019), and 87.3% (Pierotti, Fracarolli et al, 2018) of patients. In addition, the perception of a dry mouth is also high and…”

Section: Discussionmentioning

confidence: 99%

“…Patients report that dry throat is one of the signs that denote the body's request for water and that it influences negatively even in speech, hindering verbalization of words (Silva et al, 2016). A dry throat is reported by 23.6%-75.2% (Nascimento et al, 2019;Pierotti, Fracarolli et al, 2018) of surgical patients with thirst.…”

Section: Population At Riskmentioning

confidence: 99%

“…The characteristic dry lips is present in 22.5% -79.1% (Nascimento et al, 2019;Pierotti, Fracarolli et al, 2018) of surgical patients with thirst, who also consider it one of the manifestations that cause greater discomfort (Garcia et al, 2019;Maldonado et al, 2020;Silva et al, 2016).…”

Section: Population At Riskmentioning

confidence: 99%

“…Thirst is one of the most stressful discomforts and generators of suffering in the perioperative period (Nascimento et al, 2020;Walker et al, 2016), with a prevalence of 84.5% (Pierotti, Nakaya et al, 2018), 89% (Pierotti, Fracarolli et al, 2018) and up to 90.8% (Njoroge et al, 2017) of the patients. It presents an average intensity of 6.94 (± 2.2) (Nascimento et al, 2019), and is associated with patients' dissatisfaction during related to anesthetic procedures (Sinbukhova & Lubnin, 2019). Perioperative thirst also causes suffering for pediatric patients (Campana et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of a new nursing diagnosis: Perioperative thirst

Nascimento

Lopes

Fonseca

2021

Int J of Nursing Knowl

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Purpose: To develop and validate the content of the nursing diagnosis proposal for perioperative thirst.Methods: A content analysis by 34 judges. An online Delphi panel was used in one round, evaluating criteria of relevance, clarity and precision. Wilcoxon's one-tailed test was used and the content validity index to maintain the item was set to 0.80. Findings:The content validity index in relation to the evaluated items reached levels between 0.87-1.00. The final components of the diagnosis proposal included the following items as defining characteristics: dry mouth, dry throat, dry lips, thick saliva, thick tongue, constant swallowing of saliva, desire to drink water, bad taste in the mouth, and caregiver's report. Related factors are as follows: pre-and postoperative fasting, oral breathing, dehydration, hypovolemia, insensitive loss of hydration by breathing, dry mouth, habit of drinking water, high room temperature. Associated conditions: intubation, use of muscarinic and nicotinic anticholinergics and water restriction. Conclusions:All components of the nursing diagnosis were validated in relation to relevance, clarity, and accuracy, demonstrating high levels of agreement between experts.Qualitative observations were found to be fundamental for both combining and excluding some items.Implications for Nursing Practice: Improvement of refinement and clarity levels of this nursing diagnosis proposal aiding its inclusion in the NANDA International taxonomy and thus enabling greater understanding of the phenomenon of thirst in surgical patients. This study helps to explain and facilitate the identification of defining characteristics, related factors, and associated conditions for nurses, nursing students, and researchers on this subject.

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Section: Discussionmentioning

confidence: 99%

Section: Population At Riskmentioning

confidence: 99%

Section: Population At Riskmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development and validation of a new nursing diagnosis: Perioperative thirst

Nascimento

Lopes

Fonseca

2021

Int J of Nursing Knowl

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“…Considerando que o KT possibilita a realização de mudanças efetivas na prática clínica, ele torna-se útil em cenários complexos e ainda pouco explorados, como na questão da sede do paciente cirúrgico queimado em período pré-anestésico. Embora pouco valorizada na prática clínica, a sede apresenta-se prevalente, intensa, desconfortante e ainda não faz parte dos protocolos de cuidado a este grupo de pacientes (7) . Mesmo que existam evidências consistentes e robustas sobre a possibilidade da abreviação do tempo de jejum (8) , elas ainda são pouco difundidas na prática cirúrgica.…”

Section: Introductionunclassified

Barreiras e facilitadores no manejo da sede pré-operatória do paciente queimado à luz do Knowledge Translation

Garcia

Conchon

Pierotti

et al. 2021

Rev. esc. enferm. USP

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RESUMO Objetivo Explorar a percepção dos profissionais de saúde sobre barreiras e facilitadores e as estratégias de enfrentamento para a implantação do Modelo de Manejo da Sede no pré-operatório do paciente queimado. Método Qualitativo, ancorado no referencial teórico Knowledge Translation. A técnica de grupo focal foi escolhida para coleta de dados, sendo formada por oito profissionais-chave, a fim de identificarem barreiras e facilitadores na implantação da evidência e apontarem estratégias de enfrentamento para os nós críticos encontrados. Utilizou-se a técnica de Análise de Conteúdo Temática para avaliar os dados. Resultados Emergiram cinco categorias: Estrutura física, ambiente e insumos; Particularidades do paciente queimado; Recursos humanos; Atitude da equipe; Capacitação e educação da equipe. As estratégias de enfrentamento foram levantadas para cada barreira identificada. Conclusão As principais barreiras identificadas foram encontradas nas categorias Recursos humanos e Atitude da equipe. Já os principais facilitadores foram Particularidades do paciente queimado e Capacitação e educação da equipe. A identificação possibilitou o planejamento das estratégias de enfrentamento sobre nós críticos, proporcionando a sustentação das evidências científicas na prática clínica.

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Advances in the Management of Perioperative Patients' Thirst

Nascimento¹,

Garcia²,

Conchon³

et al. 2020

AORN Journal

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reviewing the purpose/goal and objectives, and completing the online Examination and Learner Evaluation at http:// www.aornj ournal.org/conte nt/cme. A score of 70% correct on the examination is required for credit. Participants receive feedback on incorrect answers. Each applicant who successfully completes this program can immediately print a certificate of completion. Event: #20505 Session: #0001 Fee: Free for AORN members. For non-member pricing, please visit http://www.aornj ournal.org/conte nt/cme. The contact hours for this article expire February 28, 2023. Nonmember pricing is subject to change. PURPOSE/GOALTo provide the learner with knowledge of best practices related to the management of perioperative thirst. OBJECTIVES 1. Discuss the incidence and etiology of perioperative thirst. 2. Identify key factors related to mitigating perioperative thirst. 3. Describe safety factors affecting the management of perioperative thirst.

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Prevalência, intensidade e desconforto da sede no paciente cirúrgico no pós-operatório imediato

Cited by 19 publications

References 15 publications

Development and validation of a new nursing diagnosis: Perioperative thirst

Development and validation of a new nursing diagnosis: Perioperative thirst

Barreiras e facilitadores no manejo da sede pré-operatória do paciente queimado à luz do Knowledge Translation

Advances in the Management of Perioperative Patients' Thirst

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