Qualidade de vida prévia à internação em unidade de terapia intensiva

Tereran, N; Zanei, Suely Sueko Viski; Whitaker, Iveth Yamaguchi

doi:10.1590/s0103-507x2012000400008

Cited by 9 publications

(11 citation statements)

References 23 publications

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“…In this paper, there was no significant relationship between the life quality of patients discharged from the intensive care unit and type of critical care unit and diagnosis (in terms of having trauma or not having trauma). Toein et al's study conducted in 2012 is parallel with this research, whereas Tereran's study is not (21,44). In Tereran's study, patients hospitalized in ICU were assessed based on internal, surgical, and general conditions, while they were not checked out based on having trauma or not having trauma, as well as the devastating mechanism.…”

Section: Discussionmentioning

confidence: 84%

“…In 2013, Vainiola et al voiced the idea that the quality of life in patients who need to undergo surgical procedures is lower than in other patients. Whereas, Tereran et al (2012) reported that there is no significant association between the patients' life quality, type of critical care unit, and their diagnosis as traumatically and nontraumatically (21).…”

Section: Introductionmentioning

confidence: 98%

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Quality of Life and Related Factors Among Patients Discharged from Critical Care Units

Zaheri¹,

Sadat²,

Abasian³

et al. 2017

Crit Care Nurs J

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Background: Quality of life is considered as the sense of well-being and life satisfaction. The healthcare professionals' final mission is health amelioration to increase the patients' life quality. The aim of the present study was to examine the effect of different factors on the quality of life in patients discharged from critical care units. Methods: This cross-sectional study was performed in 325 patients admitted to critical care units of Kashan Shahid Beheshti hospital using a convenience sampling method in 2015. Data were gathered one month after patients' discharge through a demographic questionnaire, the quality of life standardized ShortForm-36 (SF-36) questionnaire, and the post-traumatic stress disorder checklist (PCL). The obtained data were analyzed using statistical tests such as t-test and (one-way) ANOVA test. Results: The enrolled sample consisted of 185 (56.9%) males and 140 (43.1%) females with a mean age of 54 ± 16.15. The mean total score of life quality in the study sample was 54.32 ± 27.52 and the total score of PCL was 43.99 ± 19.94. The mean score of the life quality was lower among patients with features including over 60 years, unemployed, a long-term hospitalization, more than five children, drug abuse, using mechanical ventilation, and post-traumatic stress disorder; however, the mean score was higher in employed and highly educated people. This analysis indicated no relationship between quality of life and patient's gender, type of critical care unit, marital status, and admission for trauma reason. Conclusion: The mean score of the quality of life of patients discharged from intensive care units is low. Some of the individual and medical features such as age, drug abuse, a long-term hospitalization, using mechanical ventilation, and post-traumatic stress disorder are risk factors that decrease the quality of life. Nurses can identify and control the risk factors in intensive care units.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 98%

Quality of Life and Related Factors Among Patients Discharged from Critical Care Units

Zaheri¹,

Sadat²,

Abasian³

et al. 2017

Crit Care Nurs J

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“…These data are similar to the characteristics of patients admitted in other ICUs of the country, where a predominance of male patients and mean age of 53.69 years, 55.8 years, and 60.0 years was observed. [21][22][23] Population aging in the country, resulting in an increased number of individuals with noncommunicable chronic diseases, leads to a higher level of vulnerability of older age groups and increases morbidity and the frequency of hospitalizations of elderly individuals.…”

Section: Discussionmentioning

confidence: 99%

“…21 It is noteworthy that the higher the level of severity of the patient, the higher their level of dependence and length of stay in the intensive care unit. 21,25 High levels of severity increase the risk of healthcareassociated infections because patients are unstable, require invasive procedures, present longer length of stay in the ICU, and require insertion of multiple catheters and excessive manipulation of CVC lines. 25 A multicenter study evidenced that dressing disruption is a common event in ICUs.…”

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confidence: 99%

Frequency of change of chlorhexidine-impregnated gel dressings for central venous catheters in critically ill patients

2017

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A total of 159 dressings were applied at the insertion site of 64 central venous catheters whose mean frequency of dressing changes was 3.04 days. The mean number of dressing per patient was 3.1, but 83 unscheduled changes occurred before 7 days of stay, due to detachment, wetness, soiling, and loss of dressing. Conclusion: The frequency of dressing changes was less than seven days, resulting in greater quantities of dressings per patient. Detachment was the most common reason for unscheduled dressing changes. Keywords:Intensive Care Units; Central Venous Catheters; Occlusive Dressings; Chlorexidine; Nursing Care. resumenObjetivos: Identificar el tiempo de permanencia del apósito gel de clorhexidina aplicado en sitio de inserción del catéter venoso central, describir razones del cambio e identificar cantidad de apósitos utilizados por paciente adulto internado en unidad de terapia intensiva. Métodos: Estudio descriptivo consistente en registro diario de evaluación de ocurrencia, motivo del cambio de apósito y cantidad utilizada por paciente, de abril a diciembre de 2014. Análisis por estadística descriptiva. Resultados:Se aplicaron 159 apósitos en sitio de inserción de 64 catéteres venosos centrales, con tiempo medio de permanencia de 3.04 días. El promedio de apósitos por paciente fue 3.1, aunque ocurrieron 83 cambios no programados, previos a siete días de permanencia, por despegado, humedad, suciedad y pérdida del apósito. Conclusión: La permanencia del apósito fue inferior a siete días, determinando mayor número de apósitos utilizados por paciente. El despegado del apósito fue el motivo prevalente de cambio no programado.

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“…7 When it is referred to as health care, it is called" health-related quality of life, "thereby encompassing the level of well-being and satisfaction in an individual's life and how, from the perspective of the patient, he is affected by illnesses, accidents and treatments. 8 As therapy progresses in intensive care, overall mortality decreases, but ICU survivors experience increased morbidity and a worse functional prognosis. The hospitalization often results in kinetic-functional changes in the post-discharge period, which lead to the inability to perform certain activities, restricting social participation.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of functionality and quality of life in critical patients: case series report

Wiethan¹,

Soares

Souza³

2017

Acta Fisiátrica

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Hospitalization in Intensive Care Unit (ICU) usually results in decreased functionality and quality of life. Risk long-term sequelae may result from factors related to disease, treatment performed and time staying in bed. Objective: To evaluate the functionality and quality of life of patients who received physiotherapy in the ICU and correlate these variables after 30 days of discharge. Methods: A case series report study was conducted with 15 patients. Evaluation of functionality by the Functional Independence Measure -FIM (before ICU, at immediate release and after 30 days), evaluation of quality of life by Short-Form (SF-36) Health Survey (after 30 days). Results: The mean age was 43.20 ± 16.92 years, predominant causes of hospitalization were neurological, mechanical ventilation time was 14 (9-14) days and ICU 15.80 ± 7.16 days and all had complications. Before the ICU the patients were with full or modified independence (FIM 1=126), after discharge there was a decline to modified dependence (FIM 2=48) and after 30 days there was improvement, but functionality continued as modified dependence (FIM 3=92). The functionality areas like self-care, mobility and locomotion had major changes after the ICU and a significant improvement at 30 days; sphincter control, communication and social cognition had minor changes after the ICU and after 30 days the values approached the previous ones. The quality of life was affected 30 days after discharge with reduction in scores for all areas, the most affected ones were functional capacity, limitation by physical aspects, pain and social aspects. There were positive correlations between the areas of sphincters control, mobility and mobility (functionality) and functional capacity (quality of life). Conclusion: ICU negatively affected the functionality, especially at immediate release. After 30 days, there was an improvement, in part, that can be attributed to physical therapy, because all patients received this treatment in the ICU and many continued it after discharge. However, some deficits still remained, also affecting their quality of life.

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Qualidade de vida prévia à internação em unidade de terapia intensiva

Cited by 9 publications

References 23 publications

Quality of Life and Related Factors Among Patients Discharged from Critical Care Units

Quality of Life and Related Factors Among Patients Discharged from Critical Care Units

Frequency of change of chlorhexidine-impregnated gel dressings for central venous catheters in critically ill patients

Evaluation of functionality and quality of life in critical patients: case series report

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