Incidence of gastric extubation in pediatric and adult groups in a home care program

Detalhes bibliográficos
Autor(a) principal: Naves, Larissa Kozloff
Data de Publicação: 2014
Outros Autores: Tronchin, Daisy Maria Rizatto, Melleiro, Marta Maria
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50181
Resumo: The objective of this study was to evaluate the gastric intubation assistential practice for enteral nutrition of users of the pediatric and adult/elderly groups in the Home Care Program from a university hospital. This is exploratory-descriptive study with a quantitative approach, using descriptive statistics with test of significance at 5%, and calculation of indicators. The population was composed of 37 subjects; 81.1% being in the adult/elderly group. The age of caregivers showed statistically significant difference between the studied groups and were 35.1 years old (sd+7.6) in the pediatric group and 54.2 years old (sd+11.9) in the adult/elderly group The incidence of unplanned extubation in the pediatric group was 1.05 and 0.73 in the adult/elderly group, with no statistically significant difference (p = 0.28) between the groups. However, all extubations in the pediatric group were unplanned. Home care is a field of knowledge to be exploited; the use of indicators allows the identification of actual and potential problems and implementation of effective actions to achieve quality in health. The analysis of gastric extubations measured through outcome indicators showed that the findings brought awareness to the reality of patients with gastric intubation, providing subsidies for the establishment of assistance and managerial goals for a continuous improvement in quality and the necessary reformulations of working procedures in the context of home care.
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spelling Incidence of gastric extubation in pediatric and adult groups in a home care programIncidencia de la extubación gástrica en los grupos pediátrico y adulto en el programa de atención domiciliariaIncidência de extubação gástrica nos grupos pediátrico e adulto em um programa de assistência domiciliarIntubação GastrintestinalAvaliação de Serviços de SaúdeAssistência DomiciliarEnfermagemIntubación GastrointestinalEvaluación de Servicios de SaludAtenciónDomiciliaria de SaludEnfermeríaIntubationGastrointestinalHealth Services EvaluationHome NursingNursingThe objective of this study was to evaluate the gastric intubation assistential practice for enteral nutrition of users of the pediatric and adult/elderly groups in the Home Care Program from a university hospital. This is exploratory-descriptive study with a quantitative approach, using descriptive statistics with test of significance at 5%, and calculation of indicators. The population was composed of 37 subjects; 81.1% being in the adult/elderly group. The age of caregivers showed statistically significant difference between the studied groups and were 35.1 years old (sd+7.6) in the pediatric group and 54.2 years old (sd+11.9) in the adult/elderly group The incidence of unplanned extubation in the pediatric group was 1.05 and 0.73 in the adult/elderly group, with no statistically significant difference (p = 0.28) between the groups. However, all extubations in the pediatric group were unplanned. Home care is a field of knowledge to be exploited; the use of indicators allows the identification of actual and potential problems and implementation of effective actions to achieve quality in health. The analysis of gastric extubations measured through outcome indicators showed that the findings brought awareness to the reality of patients with gastric intubation, providing subsidies for the establishment of assistance and managerial goals for a continuous improvement in quality and the necessary reformulations of working procedures in the context of home care.El objetivo de este estudio fue evaluar la práctica asistencial de intubación gástrica para nutrición enteral de usuarios de los grupos pediátrico y adulto/anciano en el programa de atención domiciliaria de un hospital universitario. Se trata de un estudio exploratorio descriptivo, de enfoque cuantitativo con estadística descriptiva, prueba de significancia del 5% y cálculo de indicadores. La muestra constó de 37 sujetos de los cuales el 81,1% pertenecía al grupo adulto/anciano. Con respecto a la edad del cuidador en el grupo pediátrico el promedio fue de 35,1 años (dp+7,6) y en el grupo adulto/anciano de 54,2 años (dp+11,9), con diferencia estadística significativa (p=0,00). La incidencia de extubación no planeada en el grupo pediátrico fue de 1,05 y en el adulto/anciano de 0,73, sin diferencia estadística significativa (p=0,28) entre los grupos. Sin embargo, todas las extubaciones del grupo pediátrico fueron no planeadas. La atención domiciliaria constituye un campo de conocimiento por explorar y el empleo de indicadores permite identificar problemas reales y potenciales con miras a implementar acciones efectivas para lograr calidad en la salud. Con respecto a las extubaciones gástricas medidas a través de indicadores de resultado, se constató que los resultados permitieron conocer la realidad de los pacientes con intubación gástrica, aportando datos para establecer metas asistenciales y gerenciales para la mejora continua de la calidad y la reformulación necesaria de los procesos de trabajo dentro del contexto de la atención domiciliaria.O objetivo deste estudo foi avaliar a prática assistencial da intubação gástrica para nutrição enteral dos usuários dos grupos pediátrico e adulto/idoso em um Programa de Assistência Domiciliar de um hospital universitário. Trata-se de estudo exploratório-descritivo, de abordagem quantitativa, adotando-se estatística descritiva, teste de significância de 5% e cálculo de indicadores. A população foi composta de 37 sujeitos sendo 81,1% do grupo adulto/idoso. Em relação à idade do cuidador, no grupo pediátrico a média foi de 35,1 anos (dp+7,6) e no grupo adulto/idoso 54,2 anos (dp+11,9), havendo diferença estatisticamente significante (p=0,00). A incidência de extubação não planejada no grupo pediátrico foi de 1,05 e no adulto/idoso 0,73, não havendo diferença estatística significante (p=0,28) entre os grupos. Porém, todas as extubações do grupo pediátrico foram não planejadas. A atenção domiciliar é um campo do conhecimento a ser explorado e o emprego de indicadores permite identificar problemas reais e potenciais, visando implementar ações efetivas para o alcance da qualidade em saúde. No tocante às extubações gástricas mensuradas por meio de indicadores de resultado, verificou-se que os achados permitiram conhecer a realidade dos portadores de intubação gástrica, fornecendo subsídios para o estabelecimento de metas assistenciais e gerenciais para a melhoria contínua da qualidade e as reformulações necessárias dos processos de trabalho no âmbito da assistência domiciliar.Universidade Federal de Minas Gerais2014-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5018110.5935/1415-2762.20140005REME-Revista Mineira de Enfermagem; Vol. 18 No. 1 (2014)REME-Revista Mineira de Enfermagem; Vol. 18 Núm. 1 (2014)REME-Revista Mineira de Enfermagem; v. 18 n. 1 (2014)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50181/41457https://periodicos.ufmg.br/index.php/reme/article/view/50181/41458https://periodicos.ufmg.br/index.php/reme/article/view/50181/41459Copyright (c) 2014 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessNaves, Larissa KozloffTronchin, Daisy Maria RizattoMelleiro, Marta Maria2024-01-24T13:09:36Zoai:periodicos.ufmg.br:article/50181Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T13:09:36Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Incidence of gastric extubation in pediatric and adult groups in a home care program
Incidencia de la extubación gástrica en los grupos pediátrico y adulto en el programa de atención domiciliaria
Incidência de extubação gástrica nos grupos pediátrico e adulto em um programa de assistência domiciliar
title Incidence of gastric extubation in pediatric and adult groups in a home care program
spellingShingle Incidence of gastric extubation in pediatric and adult groups in a home care program
Naves, Larissa Kozloff
Intubação Gastrintestinal
Avaliação de Serviços de Saúde
Assistência Domiciliar
Enfermagem
Intubación Gastrointestinal
Evaluación de Servicios de Salud
Atención
Domiciliaria de Salud
Enfermería
Intubation
Gastrointestinal
Health Services Evaluation
Home Nursing
Nursing
title_short Incidence of gastric extubation in pediatric and adult groups in a home care program
title_full Incidence of gastric extubation in pediatric and adult groups in a home care program
title_fullStr Incidence of gastric extubation in pediatric and adult groups in a home care program
title_full_unstemmed Incidence of gastric extubation in pediatric and adult groups in a home care program
title_sort Incidence of gastric extubation in pediatric and adult groups in a home care program
author Naves, Larissa Kozloff
author_facet Naves, Larissa Kozloff
Tronchin, Daisy Maria Rizatto
Melleiro, Marta Maria
author_role author
author2 Tronchin, Daisy Maria Rizatto
Melleiro, Marta Maria
author2_role author
author
dc.contributor.author.fl_str_mv Naves, Larissa Kozloff
Tronchin, Daisy Maria Rizatto
Melleiro, Marta Maria
dc.subject.por.fl_str_mv Intubação Gastrintestinal
Avaliação de Serviços de Saúde
Assistência Domiciliar
Enfermagem
Intubación Gastrointestinal
Evaluación de Servicios de Salud
Atención
Domiciliaria de Salud
Enfermería
Intubation
Gastrointestinal
Health Services Evaluation
Home Nursing
Nursing
topic Intubação Gastrintestinal
Avaliação de Serviços de Saúde
Assistência Domiciliar
Enfermagem
Intubación Gastrointestinal
Evaluación de Servicios de Salud
Atención
Domiciliaria de Salud
Enfermería
Intubation
Gastrointestinal
Health Services Evaluation
Home Nursing
Nursing
description The objective of this study was to evaluate the gastric intubation assistential practice for enteral nutrition of users of the pediatric and adult/elderly groups in the Home Care Program from a university hospital. This is exploratory-descriptive study with a quantitative approach, using descriptive statistics with test of significance at 5%, and calculation of indicators. The population was composed of 37 subjects; 81.1% being in the adult/elderly group. The age of caregivers showed statistically significant difference between the studied groups and were 35.1 years old (sd+7.6) in the pediatric group and 54.2 years old (sd+11.9) in the adult/elderly group The incidence of unplanned extubation in the pediatric group was 1.05 and 0.73 in the adult/elderly group, with no statistically significant difference (p = 0.28) between the groups. However, all extubations in the pediatric group were unplanned. Home care is a field of knowledge to be exploited; the use of indicators allows the identification of actual and potential problems and implementation of effective actions to achieve quality in health. The analysis of gastric extubations measured through outcome indicators showed that the findings brought awareness to the reality of patients with gastric intubation, providing subsidies for the establishment of assistance and managerial goals for a continuous improvement in quality and the necessary reformulations of working procedures in the context of home care.
publishDate 2014
dc.date.none.fl_str_mv 2014-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50181
10.5935/1415-2762.20140005
url https://periodicos.ufmg.br/index.php/reme/article/view/50181
identifier_str_mv 10.5935/1415-2762.20140005
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50181/41457
https://periodicos.ufmg.br/index.php/reme/article/view/50181/41458
https://periodicos.ufmg.br/index.php/reme/article/view/50181/41459
dc.rights.driver.fl_str_mv Copyright (c) 2014 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2014 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 18 No. 1 (2014)
REME-Revista Mineira de Enfermagem; Vol. 18 Núm. 1 (2014)
REME-Revista Mineira de Enfermagem; v. 18 n. 1 (2014)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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