Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/19026 |
Resumo: | The discussion about functional scales in the hospital environment is currently increasing, and new measures for the evaluation of physical function and mobility status have been developed specifically for use in Intensive Care Units (ICUs). In this context, the Perme Intensive Care Unit Mobility Score (Perme Score) has been shown to be a reliable tool to the evaluation of physical function and of mobility status of patients admitted to the Cardiology Intensive Care Unit (CICU) and can be an important tool for clinical practice. However, there are few studies using such instrument in Brazil. In addition, in the published studies involving Perme Score, it was applied only at a specific time of hospitalization in different patient profiles and had not yet been applied as a daily follow-up of the mobility status of CICU patients. Based on this assumption, in the present prospective observational study, the Perme Score was daily collected to evaluate the postoperative (PO) mobility status of patients undergoing elective coronary artery bypass graft surgery (CABG) and / or valve replacement during their stay in the CICU of the Hospital Universitário de Santa Maria (HUSM). The study included 44 patients of both sexes, over 18 years of age, admitted to the HUSM with indication of CABG and / or valve replacement surgery. In addition to the daily evaluation of the mobility status of patients in the CICU through Perme Score, the following preoperative evaluations were performed: pulmonary function, respiratory muscle strength (RMS) and handgrip strength (HGS), which were repeated in the CICU discharge. Pulmonary function was measured through spirometry, RMS through manovacuometry and HGS through handgrip dynamometry. The results demonstrated that there was a gradual increase in the mobility status of patients in PO of cardiac surgery during their hospitalization, culminating in their best performance in Perme Score in the CICU discharge. In addition, a reduced CICU length of stay was observed in patients who presented a better mobility status on the 2nd as well as in the 3rd day of PO, observed through high scores in Perme Score. However, there was a significant reduction of all variables of pulmonary function, RMS and HGS when comparing preoperative with post- CICU discharge evaluations. It was concluded that Perme Score was able to objectively measure the daily mobility status of patients after cardiac surgery during their entire stay in the CICU. The results of the study suggest that a higher mobility status may be related to the reduction of CICU stay time. These findings aim to contribute to the implementation of Perme Score as a routine in these units, as well as to increase the levels of scientific evidence related to ICU-specific functional scales, and to the physical function and mobility status of patients in the PO period of cardiac surgery during CICU stay. |
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Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíacaPre and postoperative physical function of patients undergoing cardiac surgeryDeambulação precoceCirurgia torácicaRevascularização miocárdicaUnidades de terapia IntensivaEarly ambulationThoracic surgeryMyocardial revascularizationIntensive care unitsCNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALThe discussion about functional scales in the hospital environment is currently increasing, and new measures for the evaluation of physical function and mobility status have been developed specifically for use in Intensive Care Units (ICUs). In this context, the Perme Intensive Care Unit Mobility Score (Perme Score) has been shown to be a reliable tool to the evaluation of physical function and of mobility status of patients admitted to the Cardiology Intensive Care Unit (CICU) and can be an important tool for clinical practice. However, there are few studies using such instrument in Brazil. In addition, in the published studies involving Perme Score, it was applied only at a specific time of hospitalization in different patient profiles and had not yet been applied as a daily follow-up of the mobility status of CICU patients. Based on this assumption, in the present prospective observational study, the Perme Score was daily collected to evaluate the postoperative (PO) mobility status of patients undergoing elective coronary artery bypass graft surgery (CABG) and / or valve replacement during their stay in the CICU of the Hospital Universitário de Santa Maria (HUSM). The study included 44 patients of both sexes, over 18 years of age, admitted to the HUSM with indication of CABG and / or valve replacement surgery. In addition to the daily evaluation of the mobility status of patients in the CICU through Perme Score, the following preoperative evaluations were performed: pulmonary function, respiratory muscle strength (RMS) and handgrip strength (HGS), which were repeated in the CICU discharge. Pulmonary function was measured through spirometry, RMS through manovacuometry and HGS through handgrip dynamometry. The results demonstrated that there was a gradual increase in the mobility status of patients in PO of cardiac surgery during their hospitalization, culminating in their best performance in Perme Score in the CICU discharge. In addition, a reduced CICU length of stay was observed in patients who presented a better mobility status on the 2nd as well as in the 3rd day of PO, observed through high scores in Perme Score. However, there was a significant reduction of all variables of pulmonary function, RMS and HGS when comparing preoperative with post- CICU discharge evaluations. It was concluded that Perme Score was able to objectively measure the daily mobility status of patients after cardiac surgery during their entire stay in the CICU. The results of the study suggest that a higher mobility status may be related to the reduction of CICU stay time. These findings aim to contribute to the implementation of Perme Score as a routine in these units, as well as to increase the levels of scientific evidence related to ICU-specific functional scales, and to the physical function and mobility status of patients in the PO period of cardiac surgery during CICU stay.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESÉ crescente, na atualidade, a discussão a respeito de escalas funcionais no ambiente hospitalar e novas medidas para avaliação de função física e status de mobilidade vêm sendo desenvolvidas especificamente para uso em Unidades de Terapia Intensiva (UTI). Nesse contexto, o Escore Perme de Mobilidade em UTI (Perme Escore) já demonstrou ser uma ferramenta confiável para avaliação da função física e do status de mobilidade de pacientes admitidos em Unidade de Cardiologia Intensiva (UCI) e pode ser uma importante ferramenta para a prática clínica. Entretanto, há escassez de estudos utilizando tal instrumento no Brasil. Além disso, nas pesquisas já publicadas que utilizaram o Perme Escore, o mesmo foi aplicado somente em um momento específico da internação de diferentes perfis de pacientes e ainda não havia sido aplicado como forma de acompanhamento diário do status de mobilidade dos pacientes internados em UCI. Partindo desse pressuposto, no presente estudo, de caráter observacional prospectivo, foi realizada a aplicação do Perme Escore diariamente para se avaliar o status de mobilidade pós-operatório (PO) de pacientes submetidos à cirurgia eletiva de revascularização do miocárdio (CRM) e/ou troca valvar ao longo de sua permanência na UCI do Hospital Universitário de Santa Maria (HUSM). Foram incluídos no estudo 44 sujeitos, de ambos os sexos, maiores de 18 anos, internados no HUSM com indicação de CRM e/ou troca valvar. Além da avaliação diária do status de mobilidade dos pacientes na UCI, através do Perme Escore, foram realizadas as seguintes avaliações pré-operatórias: função pulmonar, força muscular respiratória (FMR) e força de preensão palmar (FPP), as quais foram repetidas na alta da UCI de cada paciente. A função pulmonar foi mensurada pela espirometria, a FMR pela manovacuometria e a FPP pela dinamometria de preensão palmar. Os resultados demonstraram que houve um aumento gradativo no status de mobilidade dos pacientes em PO de cirurgia cardíaca durante sua internação, culminando na alta da UCI seu melhor desempenho no Perme Escore. Além disso, observou-se um menor tempo de permanência na UCI nos pacientes que apresentaram um melhor status de mobilidade tanto no 2º, quanto no 3º dia de PO constatado através de pontuações elevadas no Perme Escore. Entretanto, houve redução significativa de todas as variáveis de função pulmonar, FMR e FPP ao se comparar a avaliação pré-operatória com a da alta da UCI. Concluiu-se que o Perme Escore foi capaz de mensurar de forma objetiva o status de mobilidade diário de pacientes em PO de cirurgia cardíaca durante toda sua permanência na UCI. Os resultados do estudo sugerem que um maior status de mobilidade pode estar relacionado à redução do tempo de permanência na UCI. Tais achados visam contribuir com a implementação do Perme Escore como rotina nessas unidades, bem como ampliar os níveis de evidência relacionados às escalas funcionais específicas para UTI e à função física e status de mobilidade de pacientes em PO de cirurgia cardíaca durante o período de internação na UCI.Universidade Federal de Santa MariaBrasilCiências da SaúdeUFSMPrograma de Pós-Graduação em Reabilitação FuncionalCentro de Ciências da SaúdeAlbuquerque, Isabella Martins dehttp://lattes.cnpq.br/5579735303815692Silva, Antônio Marcos Vargas dahttp://lattes.cnpq.br/9981854873337898Nawa, Ricardo Kenjihttp://lattes.cnpq.br/5212623508363668Real, Amanda Albiero2019-11-22T18:35:34Z2019-11-22T18:35:34Z2017-08-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/19026porAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2019-11-23T06:02:11Zoai:repositorio.ufsm.br:1/19026Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2019-11-23T06:02:11Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca Pre and postoperative physical function of patients undergoing cardiac surgery |
title |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca |
spellingShingle |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca Real, Amanda Albiero Deambulação precoce Cirurgia torácica Revascularização miocárdica Unidades de terapia Intensiva Early ambulation Thoracic surgery Myocardial revascularization Intensive care units CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca |
title_full |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca |
title_fullStr |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca |
title_full_unstemmed |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca |
title_sort |
Função física pré e pós-operatória de pacientes submetidos à cirurgia cardíaca |
author |
Real, Amanda Albiero |
author_facet |
Real, Amanda Albiero |
author_role |
author |
dc.contributor.none.fl_str_mv |
Albuquerque, Isabella Martins de http://lattes.cnpq.br/5579735303815692 Silva, Antônio Marcos Vargas da http://lattes.cnpq.br/9981854873337898 Nawa, Ricardo Kenji http://lattes.cnpq.br/5212623508363668 |
dc.contributor.author.fl_str_mv |
Real, Amanda Albiero |
dc.subject.por.fl_str_mv |
Deambulação precoce Cirurgia torácica Revascularização miocárdica Unidades de terapia Intensiva Early ambulation Thoracic surgery Myocardial revascularization Intensive care units CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
topic |
Deambulação precoce Cirurgia torácica Revascularização miocárdica Unidades de terapia Intensiva Early ambulation Thoracic surgery Myocardial revascularization Intensive care units CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
The discussion about functional scales in the hospital environment is currently increasing, and new measures for the evaluation of physical function and mobility status have been developed specifically for use in Intensive Care Units (ICUs). In this context, the Perme Intensive Care Unit Mobility Score (Perme Score) has been shown to be a reliable tool to the evaluation of physical function and of mobility status of patients admitted to the Cardiology Intensive Care Unit (CICU) and can be an important tool for clinical practice. However, there are few studies using such instrument in Brazil. In addition, in the published studies involving Perme Score, it was applied only at a specific time of hospitalization in different patient profiles and had not yet been applied as a daily follow-up of the mobility status of CICU patients. Based on this assumption, in the present prospective observational study, the Perme Score was daily collected to evaluate the postoperative (PO) mobility status of patients undergoing elective coronary artery bypass graft surgery (CABG) and / or valve replacement during their stay in the CICU of the Hospital Universitário de Santa Maria (HUSM). The study included 44 patients of both sexes, over 18 years of age, admitted to the HUSM with indication of CABG and / or valve replacement surgery. In addition to the daily evaluation of the mobility status of patients in the CICU through Perme Score, the following preoperative evaluations were performed: pulmonary function, respiratory muscle strength (RMS) and handgrip strength (HGS), which were repeated in the CICU discharge. Pulmonary function was measured through spirometry, RMS through manovacuometry and HGS through handgrip dynamometry. The results demonstrated that there was a gradual increase in the mobility status of patients in PO of cardiac surgery during their hospitalization, culminating in their best performance in Perme Score in the CICU discharge. In addition, a reduced CICU length of stay was observed in patients who presented a better mobility status on the 2nd as well as in the 3rd day of PO, observed through high scores in Perme Score. However, there was a significant reduction of all variables of pulmonary function, RMS and HGS when comparing preoperative with post- CICU discharge evaluations. It was concluded that Perme Score was able to objectively measure the daily mobility status of patients after cardiac surgery during their entire stay in the CICU. The results of the study suggest that a higher mobility status may be related to the reduction of CICU stay time. These findings aim to contribute to the implementation of Perme Score as a routine in these units, as well as to increase the levels of scientific evidence related to ICU-specific functional scales, and to the physical function and mobility status of patients in the PO period of cardiac surgery during CICU stay. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-08-15 2019-11-22T18:35:34Z 2019-11-22T18:35:34Z |
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.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/19026 |
url |
http://repositorio.ufsm.br/handle/1/19026 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Reabilitação Funcional Centro de Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Reabilitação Funcional Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Manancial - Repositório Digital da UFSM |
collection |
Manancial - Repositório Digital da UFSM |
repository.name.fl_str_mv |
Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
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1805922163701579776 |