Protocolo de enfermagem no implante de valva aórtica transcateter direcionamento para o cuidado

• Autor(a) principal: Silva, Giselle Cristina da
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11437
• topic: Nursing care; Postoperative complications; Aortic stenosis; Implantation of heart valve prosthesis; Cuidados de enfermagem; Complicações pós-operatórias; Estenose aórtica; Implante de prótese de valva cardíaca; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Methodological, transversal and prospective study with a quantitative approach, addressing nursing care in patients submitted to transcatheter aortic valve (TAVI) implantation. For the construction of the research, an integrative review was carried out for the creation of a nursing protocol for patients submitted to TAVI and validation of it by specialist nurses using the Content Validation Index (IVC) in a hospital in Rio de Janeiro. It was delimited as a research question: what care does the nurse perform in patients undergoing TAVI? The proposed objectives were: to create a nursing care protocol for patients undergoing transcatheter aortic valve implantation; to seek scientific evidence for the construction of the protocol through an integrative literature review; validate the protocol with the specialist nurses for the validity of content, pertinence, clarity and comprehensiveness. For the construction of the protocol, 10 articles were used in international and national publications, from 2006 to 2016, in English and Portuguese. The Scopus database was the one that most evidenced articles representing (50%) of the study publications. The year 2015 was the year with the highest number of publications (40%). In terms of language, English publications represented (90%) of the publications. The complications most described in the articles were: renal failure (14.8%), stroke (12.9%), hemorrhagic complications (12.9%), vascular complications and conduction disorders (11.1%), aortic dissection (5.5%), acute myocardial infarction, endocarditis, tamponade and ventricular perforation (3.7%), among others. Regarding the characterization of the profile of specialist nurses (56.6%), participants were the most representative of the participants (70.6%), the mean age of participants was 35.88 years. The unit with the highest number of participants was the postoperative ICU (88.24%) and the experience time was 2.18 years, with the specialization of the participants being more frequent the Intensive Therapy with (52.9%). In relation to the validation of the content of the protocol, an evaluation instrument was distributed that included a Likert scale of 1 to 5, in which the participant verified in relation to the items, the validity of the content, pertinence, clarity and comprehensiveness. The calculation was performed by the number of responses that obtained 4 (agree) and 5 (totally agree) divided by the number of participants (17). The mean values with respect to content validity of 0.96, relative to relevance was 0.93, clarity 0.86 and content coverage was 0.85. The mean of agreement among all items was 0.90. It is concluded that the objectives of this research were achieved through the creation and validation of a nursing care protocol for patients submitted to TAVI. We believe that research such as this one can contribute to the effectiveness of nursing professional decision-making about the quality of care, aiming to contribute to the construction of evidence related to nursing care to patients submitted to TAVI.