Consulta de enfermagem como instrumento de avaliação do protocolo assistencial de gastrostomia endóscópica percutânea
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Data
2012-02-14
Autores
Orsi, Gisele de Oliveira [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Avaliar a utilização do protocolo assistencial, utilizando a Sistematização da Assistência de Enfermagem (SAE), e a satisfação do cliente em relação às consultas de enfermagem nas gastrostomias endoscópicas percutâneas (GEP), de forma prospectiva. No período de novembro de 2009 a março de 2011, foram avaliadas todas as GEP, deforma prospectiva, utilizando a consulta de enfermagem como instrumento de avaliação de protocolo assistencial de satisfação do cliente, na Seção Técnica de Endoscopia do Hospital das Clínicas da Faculdade de Medicina de Botucatu – Unesp. As avaliações foram realizadas em 4 momentos: M1 a M4, sendo pós procedimento imediato, 1º, 30º e 90º dias após o procedimento, respectivamente, quando foram avaliados parâmetros da dor e características da região peri estomal, complicações precoces, tardias, menores e maiores. No período do estudo foram realizadas 38 GEP. A média de idade foi de 50,09 anos ± 20,12 anos, sendo 57,83 anos no sexo masculino e 61,14 anos no sexo feminino. Houve perda de seguimento por não comparecimento a consulta, no M3 de 5,2% e no M4 de 2,6% e por óbito no M3 de 10,52% e no M4 de 8,33%. Todos os pacientes contavam com a presença de cuidador. No M1, 28,9% não referiram dor, 63,16% referiram dor de fraca intensidade e 7,89% de moderada intensidade. No M2, 13,16% não referiram dor, 84,21% referiram dor de fraca intensidade e 2,63% de moderada intensidade. No M3, houve diminuição da queixa, sendo que 90,63% não referiram dor, 6,25% referiram dor de fraca intensidade e 3,13% de moderada intensidade. No M4, 93,10% não referiram dor e 6,90% referiram dor de fraca intensidade. Nenhum paciente queixou-se de dor intensa ou insuportável nos momentos de avaliação e 15,15% dos pacientes não apresentaram dor em nenhum momento. Entre as complicações...
Prospectively evaluate the use of an assistential care protocol for percutaneous endoscopic gastrostomy (PEG) using the systematization of nursing care and customer satisfaction regarding nursing consultations. A prospective study was conducted from November 2009 to March 2011 using nursing consultations to evaluate an assistential care protocol for PEG and customer satisfaction in all adults submitted to PEG in the Endoscopy Sector of the of Botucatu Medical School of São Paulo State University (UNESP).The parameters evaluated were pain and complications. Patient mean age was 50.1 ± 20.1 years-old (57.8 years-old for males and 61.1 years-old for females). Patient loss at follow-up occurred in 5,2% due to nonattendance at M3 (30 days postsurgery) and in 2,6% in M4 (90 days postsurgery) and to death in 10,5% at M3 and in 8,3% in M4, attributed to basic pathology and associated comorbidities. The parameters evaluated were pain and early,late, minor and major complications. In M1, 28,9% didn’t show pain, 63,16% refered weak pain and 7,89% had moderate pain. In M2, 13,16% didn’t present pain, 84,21% had weak pain, and 2,63% had moderate pain. In M3, 90,63% did not complain about pain, 6,25% had weak pain and 3,13% had moderate pain. In M4, 93,1% didn’t present pain and 6,9%had weak pain. None of the patients complained about severe pain in any moment, and 15,15% of the patients didn’t have pain at all. Hipoventilation was the main minor complication, in 15,79%, probably due to the patients main diagnosis. 7,89% presented aspirative pneumonia as an early major complication. In this study, all patients required the presence of a caregiver. The customer satisfaction questionnaire was validated by Cronbach's alpha, which showed coherence and consistency in its applicability, suggesting it can be used... (Complete abstract click electronic access below)
Prospectively evaluate the use of an assistential care protocol for percutaneous endoscopic gastrostomy (PEG) using the systematization of nursing care and customer satisfaction regarding nursing consultations. A prospective study was conducted from November 2009 to March 2011 using nursing consultations to evaluate an assistential care protocol for PEG and customer satisfaction in all adults submitted to PEG in the Endoscopy Sector of the of Botucatu Medical School of São Paulo State University (UNESP).The parameters evaluated were pain and complications. Patient mean age was 50.1 ± 20.1 years-old (57.8 years-old for males and 61.1 years-old for females). Patient loss at follow-up occurred in 5,2% due to nonattendance at M3 (30 days postsurgery) and in 2,6% in M4 (90 days postsurgery) and to death in 10,5% at M3 and in 8,3% in M4, attributed to basic pathology and associated comorbidities. The parameters evaluated were pain and early,late, minor and major complications. In M1, 28,9% didn’t show pain, 63,16% refered weak pain and 7,89% had moderate pain. In M2, 13,16% didn’t present pain, 84,21% had weak pain, and 2,63% had moderate pain. In M3, 90,63% did not complain about pain, 6,25% had weak pain and 3,13% had moderate pain. In M4, 93,1% didn’t present pain and 6,9%had weak pain. None of the patients complained about severe pain in any moment, and 15,15% of the patients didn’t have pain at all. Hipoventilation was the main minor complication, in 15,79%, probably due to the patients main diagnosis. 7,89% presented aspirative pneumonia as an early major complication. In this study, all patients required the presence of a caregiver. The customer satisfaction questionnaire was validated by Cronbach's alpha, which showed coherence and consistency in its applicability, suggesting it can be used... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Gastrostomia, Estomago - Cirurgia endoscópica, Enfermagem cirúrgica, Endoscopia, Gastrostomy
Como citar
ORSI, Gisele de Oliveira. Consulta de enfermagem como instrumento de avaliação do protocolo assistencial de gastrostomia endóscópica percutânea. 2012. 81 f. Dissertação (mestrado) - Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Medicina de Botucatu, 2012.