Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Jéssica Barana
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da FAMERP
Texto Completo: http://bdtd.famerp.br/handle/tede/561
Resumo: Delineate the profile of children submitted to surgical treatment from forearm fracture during the postoperative period, in order to analyze which variables directly or indirectly affect the procedure for correction; Identify the major complications during the postoperative period of children submitted to surgical treatment of forearm fracture to allow us to create a guide of guidelines according to the indicated need; Propose the design of guidelines for children undergoing surgical treatment of forearm fracture using Information and Communication Technologies, so that postoperative doubts and / or complications must be avoided. Methods: This is a cross-sectional study with descriptive design and a quantitative approach developed at the Orthopedic Trauma Center, in the city of São José do Rio Preto, São Paulo State. The study included all children aged from 0 to 11 year, who were victims of forearm fracture and underwent a surgical procedure for correction and concluded the treatment at the orthopedic trauma center, from February to May / 2018. Results: The results showed that 13 children were attended at the Orthopedic Center. The majority was males; the predominant fracture site was the left forearm with ages ranging from 7 to 8 years-old. The period with the highest incidence of events was evening, occurring exclusively with children above eight years. The activity performed occurred during leisure activities. At the time of occurrence, our results show that the children were mostly unaccompanied, with the most affected age ranging from seven to eight 8 years-old. All the events were related to leisure and physical activities. Conclusion: Forearm fractures in children, which occur mostly with unaccompanied boys, require special attention in the postoperative period. This can determine the success of the treatment or the occurrence of new unexpected factors An effective communication line, in the form of a Health Education strategy, is needed between children and those principally responsible for the success of treatment, such as a doctor, nurse, children and their families and / or caregivers. We propose the preparation of a guide of care related to the postoperative period of children submitted to surgical treatment of forearm fracture. We intend to design an application for Smartphones of easy access to all, in which information will be made available in a clear and objective way, with playful access containing information that children do not absorb at the time of discharge and other explanatory access, for family and caregivers receive complete guidelines and withdraw doubts online. Involving in this way, all in the appropriate treatment and consequent success of the consolidation of the fracture, reducing the incidence of intercurrences and future damages.
id FMRP_cef540ae8c46f54b655f6401fdb94c3f
oai_identifier_str oai:localhost:tede/561
network_acronym_str FMRP
network_name_str Biblioteca Digital de Teses e Dissertações da FAMERP
repository_id_str 4711
spelling Werneck, Alexandre Linshttp://lattes.cnpq.br/7677409796920076Beani, Lilianhttp://lattes.cnpq.br/1666581374654510Parro, Maria Cláudiahttp://lattes.cnpq.br/6090977724483059Vieira, Maria Rita Rodrigueshttp://lattes.cnpq.br/4080527590785055Paula, Adriana Aparecida Delloiagono dehttp://lattes.cnpq.br/466118708752298439526088824http://lattes.cnpq.br/3461896963459843Rodrigues, Jéssica Barana2019-07-10T17:56:39Z2018-12-10Rodrigues, Jéssica Barana. Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações. 2018. 72 f. Dissertação (Programa de Pós-Graduação em Enfermagem) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.1442http://bdtd.famerp.br/handle/tede/561Delineate the profile of children submitted to surgical treatment from forearm fracture during the postoperative period, in order to analyze which variables directly or indirectly affect the procedure for correction; Identify the major complications during the postoperative period of children submitted to surgical treatment of forearm fracture to allow us to create a guide of guidelines according to the indicated need; Propose the design of guidelines for children undergoing surgical treatment of forearm fracture using Information and Communication Technologies, so that postoperative doubts and / or complications must be avoided. Methods: This is a cross-sectional study with descriptive design and a quantitative approach developed at the Orthopedic Trauma Center, in the city of São José do Rio Preto, São Paulo State. The study included all children aged from 0 to 11 year, who were victims of forearm fracture and underwent a surgical procedure for correction and concluded the treatment at the orthopedic trauma center, from February to May / 2018. Results: The results showed that 13 children were attended at the Orthopedic Center. The majority was males; the predominant fracture site was the left forearm with ages ranging from 7 to 8 years-old. The period with the highest incidence of events was evening, occurring exclusively with children above eight years. The activity performed occurred during leisure activities. At the time of occurrence, our results show that the children were mostly unaccompanied, with the most affected age ranging from seven to eight 8 years-old. All the events were related to leisure and physical activities. Conclusion: Forearm fractures in children, which occur mostly with unaccompanied boys, require special attention in the postoperative period. This can determine the success of the treatment or the occurrence of new unexpected factors An effective communication line, in the form of a Health Education strategy, is needed between children and those principally responsible for the success of treatment, such as a doctor, nurse, children and their families and / or caregivers. We propose the preparation of a guide of care related to the postoperative period of children submitted to surgical treatment of forearm fracture. We intend to design an application for Smartphones of easy access to all, in which information will be made available in a clear and objective way, with playful access containing information that children do not absorb at the time of discharge and other explanatory access, for family and caregivers receive complete guidelines and withdraw doubts online. Involving in this way, all in the appropriate treatment and consequent success of the consolidation of the fracture, reducing the incidence of intercurrences and future damages.Traçar o perfil de crianças no pós-operatório de fratura de antebraço, para analisar quais variáveis afetam direta ou indiretamente sua recuperação; Identificar as intercorrências durante o período pós-operatório de crianças com fratura de antebraço para criar um guia de orientações de acordo com a necessidade apontada; Propor a elaboração de um aplicativo para smartphones de fácil acesso, disponibilizando informações de forma clara e objetiva para crianças em tratamento cirúrgico de fratura de antebraço e seus familiares/cuidadores, para que as dúvidas e/ou intercorrências do pós-operatório sejam evitadas. Metodologia: Estudo transversal, com delineamento descritivo e abordagem quantitativa, desenvolvido em um Centro privado de Trauma Ortopédico. Foi aplicado questionário previamente estruturado às crianças de 0 a 11 anos, durante o pós-operatório de fratura de antebraço e realizaram o tratamento pelo período de 60 dias, entre fevereiro a maio/2018. Resultados: Os resultados mostraram que foram atendidas 13 crianças, a maioria do sexo masculino. O local de fratura predominante foi o antebraço esquerdo e idade entre 7 e 8 anos. O período com maior incidência de eventos foi o vespertino, quanto à atividade realizada, as ocorrências aconteceram com quedas durante atividades de lazer. No período da ocorrência, nas atividades de lazer e física, nossos resultados mostram que as crianças estavam desacompanhadas em sua maioria, com idade mais acometida entre 7 e 8 anos. Conclusões: Crianças durante o pós-operatório de fraturas de antebraço necessitam de atenção especial, a fim de evitar fatores indesejados como infecções e novas fraturas, sendo necessária uma linha de comunicação efetiva, na forma de uma estratégia de Educação em Saúde, entre as crianças e os principais responsáveis pelo sucesso do tratamento, como médico, enfermeiro, crianças e seus familiares e/ou cuidadores. Propomos a elaboração de um guia de cuidados no pós-operatório de crianças submetidas a tratamento cirúrgico de fratura de antebraço e a elaboração de um aplicativo para Smartphones de fácil acesso a todos, no qual serão disponibilizadas informações de forma clara e objetiva, com acesso lúdico contendo informações que as crianças não absorvem no momento da alta e outro acesso explicativo, para familiares e cuidadores receber orientações completas e retirar duvidas online. Envolvendo dessa forma, todos no tratamento adequado e consequente sucesso da consolidação da fratura, diminuindo a incidência de intercorrências e prejuízos futuros.Submitted by Suzana Dias (suzana.dias@famerp.br) on 2019-07-10T17:56:39Z No. of bitstreams: 1 JéssicaBaranaRodrigues_Dissert.pdf: 1615834 bytes, checksum: d84b656e342de48764991edd5b000a6f (MD5)Made available in DSpace on 2019-07-10T17:56:39Z (GMT). No. of bitstreams: 1 JéssicaBaranaRodrigues_Dissert.pdf: 1615834 bytes, checksum: d84b656e342de48764991edd5b000a6f (MD5) Previous issue date: 2018-12-10application/pdfporFaculdade de Medicina de São José do Rio PretoPrograma de Pós-Graduação em EnfermagemFAMERPBrasilFaculdade 1::Departamento 2Fraturas ÓsseasTraumatismos do AntebraçoFractures, BoneForearm InjuriesCIENCIAS DA SAUDE::ENFERMAGEMPós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientaçõesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis5708931012041588413500500600-2907770059257635076-7702826533010964327info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da FAMERPinstname:Faculdade de Medicina de São José do Rio Preto (FAMERP)instacron:FAMERPORIGINALJéssicaBaranaRodrigues_Dissert.pdfJéssicaBaranaRodrigues_Dissert.pdfapplication/pdf1615834d84b656e342de48764991edd5b000a6fMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165bd3efa91386c1718a7f26a329fdcb468MD51http://bdtd.famerp.br/bitstream/tede/561/2/J%C3%A9ssicaBaranaRodrigues_Dissert.pdfhttp://bdtd.famerp.br/bitstream/tede/561/1/license.txttede/5612019-07-10 14:56:39.671oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bdtd.famerp.br/PUBhttps://bdtd.famerp.br/oai/requestsbdc@famerp.br||joao.junior@famerp.bropendoar:47112019-07-10T17:56:39Biblioteca Digital de Teses e Dissertações da FAMERP - Faculdade de Medicina de São José do Rio Preto (FAMERP)false
dc.title.por.fl_str_mv Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
title Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
spellingShingle Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
Rodrigues, Jéssica Barana
Fraturas Ósseas
Traumatismos do Antebraço
Fractures, Bone
Forearm Injuries
CIENCIAS DA SAUDE::ENFERMAGEM
title_short Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
title_full Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
title_fullStr Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
title_full_unstemmed Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
title_sort Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações
author Rodrigues, Jéssica Barana
author_facet Rodrigues, Jéssica Barana
author_role author
dc.contributor.advisor1.fl_str_mv Werneck, Alexandre Lins
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7677409796920076
dc.contributor.referee1.fl_str_mv Beani, Lilian
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/1666581374654510
dc.contributor.referee2.fl_str_mv Parro, Maria Cláudia
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/6090977724483059
dc.contributor.referee3.fl_str_mv Vieira, Maria Rita Rodrigues
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/4080527590785055
dc.contributor.referee4.fl_str_mv Paula, Adriana Aparecida Delloiagono de
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/4661187087522984
dc.contributor.authorID.fl_str_mv 39526088824
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/3461896963459843
dc.contributor.author.fl_str_mv Rodrigues, Jéssica Barana
contributor_str_mv Werneck, Alexandre Lins
Beani, Lilian
Parro, Maria Cláudia
Vieira, Maria Rita Rodrigues
Paula, Adriana Aparecida Delloiagono de
dc.subject.por.fl_str_mv Fraturas Ósseas
Traumatismos do Antebraço
topic Fraturas Ósseas
Traumatismos do Antebraço
Fractures, Bone
Forearm Injuries
CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv Fractures, Bone
Forearm Injuries
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::ENFERMAGEM
description Delineate the profile of children submitted to surgical treatment from forearm fracture during the postoperative period, in order to analyze which variables directly or indirectly affect the procedure for correction; Identify the major complications during the postoperative period of children submitted to surgical treatment of forearm fracture to allow us to create a guide of guidelines according to the indicated need; Propose the design of guidelines for children undergoing surgical treatment of forearm fracture using Information and Communication Technologies, so that postoperative doubts and / or complications must be avoided. Methods: This is a cross-sectional study with descriptive design and a quantitative approach developed at the Orthopedic Trauma Center, in the city of São José do Rio Preto, São Paulo State. The study included all children aged from 0 to 11 year, who were victims of forearm fracture and underwent a surgical procedure for correction and concluded the treatment at the orthopedic trauma center, from February to May / 2018. Results: The results showed that 13 children were attended at the Orthopedic Center. The majority was males; the predominant fracture site was the left forearm with ages ranging from 7 to 8 years-old. The period with the highest incidence of events was evening, occurring exclusively with children above eight years. The activity performed occurred during leisure activities. At the time of occurrence, our results show that the children were mostly unaccompanied, with the most affected age ranging from seven to eight 8 years-old. All the events were related to leisure and physical activities. Conclusion: Forearm fractures in children, which occur mostly with unaccompanied boys, require special attention in the postoperative period. This can determine the success of the treatment or the occurrence of new unexpected factors An effective communication line, in the form of a Health Education strategy, is needed between children and those principally responsible for the success of treatment, such as a doctor, nurse, children and their families and / or caregivers. We propose the preparation of a guide of care related to the postoperative period of children submitted to surgical treatment of forearm fracture. We intend to design an application for Smartphones of easy access to all, in which information will be made available in a clear and objective way, with playful access containing information that children do not absorb at the time of discharge and other explanatory access, for family and caregivers receive complete guidelines and withdraw doubts online. Involving in this way, all in the appropriate treatment and consequent success of the consolidation of the fracture, reducing the incidence of intercurrences and future damages.
publishDate 2018
dc.date.issued.fl_str_mv 2018-12-10
dc.date.accessioned.fl_str_mv 2019-07-10T17:56:39Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv Rodrigues, Jéssica Barana. Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações. 2018. 72 f. Dissertação (Programa de Pós-Graduação em Enfermagem) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.
dc.identifier.uri.fl_str_mv http://bdtd.famerp.br/handle/tede/561
dc.identifier.doi.por.fl_str_mv 1442
identifier_str_mv Rodrigues, Jéssica Barana. Pós-operatório pediátrico de fratura de antebraço: perfil e proposta de orientações. 2018. 72 f. Dissertação (Programa de Pós-Graduação em Enfermagem) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.
1442
url http://bdtd.famerp.br/handle/tede/561
dc.language.iso.fl_str_mv por
language por
dc.relation.program.fl_str_mv 5708931012041588413
dc.relation.confidence.fl_str_mv 500
500
600
dc.relation.department.fl_str_mv -2907770059257635076
dc.relation.cnpq.fl_str_mv -7702826533010964327
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Faculdade de Medicina de São José do Rio Preto
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Enfermagem
dc.publisher.initials.fl_str_mv FAMERP
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade 1::Departamento 2
publisher.none.fl_str_mv Faculdade de Medicina de São José do Rio Preto
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da FAMERP
instname:Faculdade de Medicina de São José do Rio Preto (FAMERP)
instacron:FAMERP
instname_str Faculdade de Medicina de São José do Rio Preto (FAMERP)
instacron_str FAMERP
institution FAMERP
reponame_str Biblioteca Digital de Teses e Dissertações da FAMERP
collection Biblioteca Digital de Teses e Dissertações da FAMERP
bitstream.url.fl_str_mv
http://bdtd.famerp.br/bitstream/tede/561/2/J%C3%A9ssicaBaranaRodrigues_Dissert.pdf http://bdtd.famerp.br/bitstream/tede/561/1/license.txt
bitstream.checksum.fl_str_mv d84b656e342de48764991edd5b000a6f
bd3efa91386c1718a7f26a329fdcb468
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da FAMERP - Faculdade de Medicina de São José do Rio Preto (FAMERP)
repository.mail.fl_str_mv sbdc@famerp.br||joao.junior@famerp.br
_version_ 1796785401166299136