Enfermagem no transplante renal : comparação da demanda de cuidado por meio de duas escalas

• Autor(a) principal: Kochhann, Daiana Saute
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/9080
• topic: Transplante Renal; Enfermagem; Dimensionamento de Pessoal; Escalas; Renal Transplantation; Nursing; Personnel Dimensioning; Scales; CIENCIAS DA SAUDE::MEDICINA

Introduction: Renal transplantation represents the best treatment option for chronic renal failure, since it is more effective in the rehabilitation of the patient with this pathology. Despite the diversity of instruments and legislation that recommends the number or employees that have to take care of the patients, there is no specific instrument for evaluating the patient undergoing kidney transplantation. Objectives: To compare the number of hours of nursing care demand to the patient in the renal transplant postoperative period, using the Patient Classification System (SCP) and Nursing Activity Score (NAS) instruments. Method: Prospective cohort study. The population was composed of patients who underwent renal transplantation with a deceased donor at the São Lucas Hospital of PUCRS, were evaluated by SCP and NAS, from 6 to 24 hours in the immediate postoperative period, on the days following discharge from the Surgical ICU and at the 15th postoperative day or on discharge day (which occurred first). Results: 75 patients were initially evaluated, two were excluded from the study, the mean SCP in the first evaluation was 31.6, defined as type of intermediate care, while in the NAS, the mean was 86.5%, characterized as intensive care. In the last evaluation the SCP score was 15.5 (minimum care type) and in the NAS the median was 50.1% (type of semi-intensive care). There was no significant difference when compared to the scores obtained on discharge from the surgical ICU at hospital discharge. Conclusion: The findings of this study suggest that there is a difference between the number of hours of care demand for the renal transplant in the postoperative period compared to the SCP and NAS instruments, and this also affects the type of care.