Mestrado em Enfermagem e Saúde (FEN)

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Navegando Mestrado em Enfermagem e Saúde (FEN) por Por Orientador "Barreto , Regiane Aparecida dos Santos Soares"

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    Cancelamento de cirurgias como indicador de avaliação das dimensões da qualidade de um centro cirúrgico
    (Universidade Federal de Goiás, 2018-11-29) Froes, Elaine Ferreira; Barreto , Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Barreto, Regiane Aparecida dos Santos Soares; Bezerra, Ana Lucia Queiroz; Gebrim, Cyanéia Ferreira Lima
    Objective: to investigate the profile of cancellation of surgeries in a public teaching hospital. Method: retrospective, descriptive, quantitative study performed at the Surgical Center unit of a public teaching hospital, located in the city of Goiânia-GO, Brazil. This surgical center consists of 11 operating rooms and 01 anesthetic recovery room with 7 beds. In the institution, approximately 4,400 surgeries per year are performed: bucomaxillofacial, cardiac, general, plastic, coloproctology, gynecology, mastology, neuro, otorhinolaryngology, orthopedics, thoracic, urology and vascular. Surgery cancellation data were collected between May and July 2017, related to the year 2016, using as a research source the surgical warnings, hospital data computerization system and nursing reports. The data were computed in spreadsheets and divided into two factors: structural, like the incomplete surgical team and process, such as the change in medical conduct. The information collected was analyzed descriptively and through the chi-square test in STATA® (14.0). Results: in 2016, 4,423 surgeries were performed, 2,885 (74.95%) were elective and 1,538 (87.74%) were emergency / emergency. Of these, 1,179 (21.05%) were canceled. The specialties that presented the highest frequency of cancellation were orthopedics / traumatology (30.79%), otorhinolaryngology (16.11%) and general surgery (15.35%). Among the reasons for cancellation, 67.35% were related to the processes; 20.19%, due to lack of hospitalization; 12.46% patient without clinical conditions. Other reasons were related to the structure, 32.65%, standing out 7.46%, technical problems in the material center and sterilization. Conclusion: Most of the surgeries were canceled due to patient-related reasons, related to the process and not to the hospital unit, therefore considered avoidable. These data are of great relevance in the aid of an institutional planning, since, to minimize cancellations, implies to guarantee a higher quality in the health and safety services of the patient, as well as the rational use of human and financial resources.
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    Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go
    (Universidade Federal de Goiás, 2017-03-20) Melchior, Lorena Morena Rosa; Barreto , Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Barreto , Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Coelho, Maria Alice; Caetano, Karlla Antonieta Amorim
    INTRODUCTION: The anesthetic-surgical procedure is a complex and critical process, a moment that can generate important implications for the patients, and can generate diverse feelings such as anxiety and fear. Preoperative anxiety has affected about 60 to 80% of surgical patients. The patient's emotionally unstable surgery is scary and traumatic and is still predisposed to complications. PURPOSE: To investigate the profile of anxious patients hospitalized in preoperative elective surgery. METHOD: A cross-sectional, analytical study with subsequent cohort formation, performed at a public university hospital in the city of Goiânia-GO, Brazil. The population consisted of preoperative elective surgery patients hospitalized in surgical units, the sample was constituted of 200 patients in the preoperative period, by means of a sample calculation. Four instruments were used, one structured with sociodemographic and clinical-surgical questions; The Hamilton anxiety scale; The numerical scale of pain and the admission card of the surgical center. The study was carried out in total accordance with the Resolution 466/2012 regarding ethical issues. The analysis was expressed in absolute and relative frequencies and the Chi-square test was employed, with a significance level of 5%. The Prevalence Ratio (PR) was evaluated through gross and adjusted Poisson regression. RESULTS: The prevalence of anxiety was 53,0% (n=106) (CI 95% 46,06/59,85), mild anxiety was present in 67,0% (n=71) (CI 95%; 57,6-75,4), and 33,0% (n=35) (CI 95% 24,5/42,3) of the patients presented moderate and severe anxiety. In the multivariate analysis, sex, occupation and fear of anesthesia were significant, configuring as predictors to moderate and severe anxiety. The fear of anesthesia, of something going wrong, or of dying emerged in a predominant part of the sample, and the fear of errors showed significant relation to moderate and severe anxiety. CONCLUSIONS: The prevalence of preoperative anxiety found in the study was high. Most of the anxious patients expressed levels of mild anxiety. The most common factors that led to anxiety were the fear of death and of errors by the surgical team. Sex, occupation and fear of anesthesia configured as predictors to moderate and severe anxiety.