Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/7982 |
Resumo: | AIM: to analyse the process of the implementation of nursing office for output follow-up of postoperative patientes of peripheral obstructive arterial disease, according to the structure, process and outcome indicators. METHOD: an uncontrolled, prospective intervention study conducted from 2013 to 2016 at the outpatient clinic of a university hospital in the Brazilian Midwest. Patients admitted to the nursing office for ambulatory follow-up in the postoperative period of peripheral obstructive arterial disease participated in the study. Two instruments were used to collect the data, the first to verify the sociodemographic profile and the second to measure the Patient Satisfaction index with the quality of nursing care. For statistical analysis, we used: absolute frequencies, median, mean and standard deviation, Raw Scale with logistic binary regression, Pearson correlation coefficient. RESULTS: the structure comprised: situational diagnosis, partnerships, training of the executing team and acquisition of physical and material resources. In the process, the methodology used for the care was the systematization of nursing care and as an outcome of the implementation of nursing office, the level of satisfaction of the patients with the nursing care was evaluated. A total of 39 patients, 51,3% male, mean age 63 years, 71.8% retired, 66.7% diabetic, 84.6% hypertensive, 71.8% dyslipidemic, 51.3% smoker, 84.9% sedentary. A total of 303 nursing consultations were performed, of which 80% of the patients evaluated were discharged and 15% needed rehospitalization. Nursing care reached an index of positivity (>80%) considered safe and of quality, and a high level of the patient satisfaction (mean: 4,195 and median 4). Five postoperative complications emerged: 53,9% surgical site infection, 10,3% amputations, 7,7% pain, 2,6% sepsis and 2,6% deaths. Statistically (p<0,05) more satisfied patients with nursing care were those that presented normal nutritional status (p=0,049), who assessed their health as poor or normal (p=0,020) and did not use anti-hypertensives (p=0,031). The Pearson Coefficients showed significant correlation, with an increasing association (r>0,0) between the technical-professional, educational and nurse's confidence domains. CONCLUSION: the structure of the nursing office, signaled important indicators in relation to the nursing practice, as a systematized service model for the follow-up of patients in the postoperative period of peripheral obstructive arterial disease, positively reflecting the improvement of the patients’ health. It emphasizes the early identification of some complications and the promotion of the quality of care with the lesion, in addition to narrowing the bond between the team and the patient. It impacted on the level of patient satisfation regarding the assistance provided by the nursing office team, in the outpatient follow-up of patients in the postoperative period of peripheral obstructive arterial disease. |
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Barbosa, Maria Alveshttp://lattes.cnpq.br/5025797873585225Prado, Marinésia Aparecida dohttp://lattes.cnpq.br/1151975582155991Barbosa, Maria AlvesPrado, Marinésia Aparecida doMrué, FátimaBarreto, Regiane Aparecida dos Santos SoaresBezerra, Ana Lúcia Queirozhttp://lattes.cnpq.br/6381118150257039Gebrim, Cyanéa Ferreira Lima2017-11-22T10:08:58Z2017-08-31GEBRIM, Cyanéa Ferreira Lima. Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica. 2017.183 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017.http://repositorio.bc.ufg.br/tede/handle/tede/7982AIM: to analyse the process of the implementation of nursing office for output follow-up of postoperative patientes of peripheral obstructive arterial disease, according to the structure, process and outcome indicators. METHOD: an uncontrolled, prospective intervention study conducted from 2013 to 2016 at the outpatient clinic of a university hospital in the Brazilian Midwest. Patients admitted to the nursing office for ambulatory follow-up in the postoperative period of peripheral obstructive arterial disease participated in the study. Two instruments were used to collect the data, the first to verify the sociodemographic profile and the second to measure the Patient Satisfaction index with the quality of nursing care. For statistical analysis, we used: absolute frequencies, median, mean and standard deviation, Raw Scale with logistic binary regression, Pearson correlation coefficient. RESULTS: the structure comprised: situational diagnosis, partnerships, training of the executing team and acquisition of physical and material resources. In the process, the methodology used for the care was the systematization of nursing care and as an outcome of the implementation of nursing office, the level of satisfaction of the patients with the nursing care was evaluated. A total of 39 patients, 51,3% male, mean age 63 years, 71.8% retired, 66.7% diabetic, 84.6% hypertensive, 71.8% dyslipidemic, 51.3% smoker, 84.9% sedentary. A total of 303 nursing consultations were performed, of which 80% of the patients evaluated were discharged and 15% needed rehospitalization. Nursing care reached an index of positivity (>80%) considered safe and of quality, and a high level of the patient satisfaction (mean: 4,195 and median 4). Five postoperative complications emerged: 53,9% surgical site infection, 10,3% amputations, 7,7% pain, 2,6% sepsis and 2,6% deaths. Statistically (p<0,05) more satisfied patients with nursing care were those that presented normal nutritional status (p=0,049), who assessed their health as poor or normal (p=0,020) and did not use anti-hypertensives (p=0,031). The Pearson Coefficients showed significant correlation, with an increasing association (r>0,0) between the technical-professional, educational and nurse's confidence domains. CONCLUSION: the structure of the nursing office, signaled important indicators in relation to the nursing practice, as a systematized service model for the follow-up of patients in the postoperative period of peripheral obstructive arterial disease, positively reflecting the improvement of the patients’ health. It emphasizes the early identification of some complications and the promotion of the quality of care with the lesion, in addition to narrowing the bond between the team and the patient. It impacted on the level of patient satisfation regarding the assistance provided by the nursing office team, in the outpatient follow-up of patients in the postoperative period of peripheral obstructive arterial disease.OBJETIVO: analisar o processo de implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica, segundo os indicadores de estrutura, processo e resultado. MÉTODO: estudo de intervenção não controlado, prospectivo, realizado de 2013 a 2016, no ambulatório de um hospital universitário do Centro-Oeste brasileiro. Participaram do estudo pacientes admitidos no consultório de enfermagem para seguimento ambulatorial no pós-operatório de doença arterial obstrutiva periférica. Para a coleta dos dados, foram utilizados dois instrumentos, sendo o primeiro para verificar o perfil sociodemográfico, e o segundo para medir o índice de satisfação do paciente com a qualidade do cuidado de enfermagem. Para análise estatística, utilizaram-se frequências absolutas, mediana, média e desvio padrão, Raw Scale com regressão binária logística, coeficiente de correlação de Pearson. RESULTADOS: a estrutura compreendeu: diagnóstico situacional, parcerias, capacitação da equipe executora e aquisição de recursos físicos e materiais. No processo, a metodologia utilizada para o atendimento foi a sistematização da assistência de enfermagem, e como resultado da implantação do consultório, avaliou-se o nível de satisfação dos pacientes com os cuidados de enfermagem. Participaram 39 pacientes, 51,3% do sexo masculino, com média de idade de 63 anos, 71,8% aposentados, 66,7% diabéticos, 84,6% hipertensos, 71,8% dislipidêmicos, 51,3% tabagistas, 84,9% sedentários. Foram realizadas 303 consultas de enfermagem, das quais 80% dos pacientes avaliados receberam alta, e 15% necessitaram de reinternação. O cuidado de enfermagem alcançou índice de positividade (>80%) considerado seguro e de qualidade e alto nível de satisfação dos pacientes (média: 4,195 e mediana 4). Em meio às complicações pós-operatórias identificadas emergiram cinco: 53,9% infecções do sítio cirúrgico, 10,3% amputações, 7,7% dores, 2,6% sepses e 2,6% óbitos. Os pacientes estatisticamente (p<0,05) mais satisfeitos com os cuidados de enfermagem foram os que apresentaram estado nutricional normal (p=0,049), que autoavaliaram sua saúde como ruim ou regular (p=0,020) e que não faziam uso de anti-hipertensivos (p=0,031). Os Coeficientes de Pearson mostraram correlação significativa com associação crescente (r>0,0) entre os domínios Técnico-profissional, Educacional e Confiança do enfermeiro. CONCLUSÃO: a estruturação do consultório de enfermagem sinalizou indicadores importantes em relação ao consultório de enfermagem, como modelo de serviço sistematizado para o seguimento dos pacientes em pós-operatório de doença arterial obstrutiva periférica, refletindo positivamente na melhoria da saúde dos pacientes. Destacaram-se a identificação precoce de algumas complicações e a promoção da qualidade do cuidado com a lesão, além de estreitar o vínculo entre a equipe e o paciente. Impactou, no nível de satisfação dos pacientes em relação, a assistência prestada pela equipe do consultório de enfermagem, no seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica.Submitted by Franciele Moreira (francielemoreyra@gmail.com) on 2017-11-21T18:22:22Z No. of bitstreams: 2 Tese - Cyanéa Ferreira Lima Gebrim - 2017.pdf: 7795939 bytes, checksum: cb62a1c3e0f9541bf8bb295f89af4846 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-11-22T10:08:58Z (GMT) No. of bitstreams: 2 Tese - Cyanéa Ferreira Lima Gebrim - 2017.pdf: 7795939 bytes, checksum: cb62a1c3e0f9541bf8bb295f89af4846 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-11-22T10:08:58Z (GMT). No. of bitstreams: 2 Tese - Cyanéa Ferreira Lima Gebrim - 2017.pdf: 7795939 bytes, checksum: cb62a1c3e0f9541bf8bb295f89af4846 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2017-08-31application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEnfermagem perioperatóriaDoença arterial periféricaSatisfação do pacienteIndicadores de qualidade em assistência à saúdePerioperative nursingPeripheral arterial diseasePatient satisfactionQuality indicatorsHealth careCIENCIAS DA SAUDE::ENFERMAGEMImplantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periféricaImplementation of nursing office for output follow-up of postoperative patients of peripheral obstructive arterial diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis-10068643126177453106006006001545772475950486338-7702826533010964327reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGCC-LICENSElicense_urllicense_urltext/plain; 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dc.title.eng.fl_str_mv |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
dc.title.alternative.eng.fl_str_mv |
Implementation of nursing office for output follow-up of postoperative patients of peripheral obstructive arterial disease |
title |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
spellingShingle |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica Gebrim, Cyanéa Ferreira Lima Enfermagem perioperatória Doença arterial periférica Satisfação do paciente Indicadores de qualidade em assistência à saúde Perioperative nursing Peripheral arterial disease Patient satisfaction Quality indicators Health care CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
title_full |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
title_fullStr |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
title_full_unstemmed |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
title_sort |
Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica |
author |
Gebrim, Cyanéa Ferreira Lima |
author_facet |
Gebrim, Cyanéa Ferreira Lima |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Barbosa, Maria Alves |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5025797873585225 |
dc.contributor.advisor-co1.fl_str_mv |
Prado, Marinésia Aparecida do |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/1151975582155991 |
dc.contributor.referee1.fl_str_mv |
Barbosa, Maria Alves |
dc.contributor.referee2.fl_str_mv |
Prado, Marinésia Aparecida do |
dc.contributor.referee3.fl_str_mv |
Mrué, Fátima |
dc.contributor.referee4.fl_str_mv |
Barreto, Regiane Aparecida dos Santos Soares |
dc.contributor.referee5.fl_str_mv |
Bezerra, Ana Lúcia Queiroz |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6381118150257039 |
dc.contributor.author.fl_str_mv |
Gebrim, Cyanéa Ferreira Lima |
contributor_str_mv |
Barbosa, Maria Alves Prado, Marinésia Aparecida do Barbosa, Maria Alves Prado, Marinésia Aparecida do Mrué, Fátima Barreto, Regiane Aparecida dos Santos Soares Bezerra, Ana Lúcia Queiroz |
dc.subject.por.fl_str_mv |
Enfermagem perioperatória Doença arterial periférica Satisfação do paciente Indicadores de qualidade em assistência à saúde |
topic |
Enfermagem perioperatória Doença arterial periférica Satisfação do paciente Indicadores de qualidade em assistência à saúde Perioperative nursing Peripheral arterial disease Patient satisfaction Quality indicators Health care CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Perioperative nursing Peripheral arterial disease Patient satisfaction Quality indicators Health care |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
AIM: to analyse the process of the implementation of nursing office for output follow-up of postoperative patientes of peripheral obstructive arterial disease, according to the structure, process and outcome indicators. METHOD: an uncontrolled, prospective intervention study conducted from 2013 to 2016 at the outpatient clinic of a university hospital in the Brazilian Midwest. Patients admitted to the nursing office for ambulatory follow-up in the postoperative period of peripheral obstructive arterial disease participated in the study. Two instruments were used to collect the data, the first to verify the sociodemographic profile and the second to measure the Patient Satisfaction index with the quality of nursing care. For statistical analysis, we used: absolute frequencies, median, mean and standard deviation, Raw Scale with logistic binary regression, Pearson correlation coefficient. RESULTS: the structure comprised: situational diagnosis, partnerships, training of the executing team and acquisition of physical and material resources. In the process, the methodology used for the care was the systematization of nursing care and as an outcome of the implementation of nursing office, the level of satisfaction of the patients with the nursing care was evaluated. A total of 39 patients, 51,3% male, mean age 63 years, 71.8% retired, 66.7% diabetic, 84.6% hypertensive, 71.8% dyslipidemic, 51.3% smoker, 84.9% sedentary. A total of 303 nursing consultations were performed, of which 80% of the patients evaluated were discharged and 15% needed rehospitalization. Nursing care reached an index of positivity (>80%) considered safe and of quality, and a high level of the patient satisfaction (mean: 4,195 and median 4). Five postoperative complications emerged: 53,9% surgical site infection, 10,3% amputations, 7,7% pain, 2,6% sepsis and 2,6% deaths. Statistically (p<0,05) more satisfied patients with nursing care were those that presented normal nutritional status (p=0,049), who assessed their health as poor or normal (p=0,020) and did not use anti-hypertensives (p=0,031). The Pearson Coefficients showed significant correlation, with an increasing association (r>0,0) between the technical-professional, educational and nurse's confidence domains. CONCLUSION: the structure of the nursing office, signaled important indicators in relation to the nursing practice, as a systematized service model for the follow-up of patients in the postoperative period of peripheral obstructive arterial disease, positively reflecting the improvement of the patients’ health. It emphasizes the early identification of some complications and the promotion of the quality of care with the lesion, in addition to narrowing the bond between the team and the patient. It impacted on the level of patient satisfation regarding the assistance provided by the nursing office team, in the outpatient follow-up of patients in the postoperative period of peripheral obstructive arterial disease. |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-11-22T10:08:58Z |
dc.date.issued.fl_str_mv |
2017-08-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
GEBRIM, Cyanéa Ferreira Lima. Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica. 2017.183 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/7982 |
identifier_str_mv |
GEBRIM, Cyanéa Ferreira Lima. Implantação do consultório de enfermagem para seguimento ambulatorial de pacientes em pós-operatório de doença arterial obstrutiva periférica. 2017.183 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017. |
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http://repositorio.bc.ufg.br/tede/handle/tede/7982 |
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Universidade Federal de Goiás |
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Programa de Pós-graduação em Ciências da Saúde (FM) |
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UFG |
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Brasil |
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Faculdade de Medicina - FM (RG) |
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Universidade Federal de Goiás |
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