Assistência de enfermagem perioperatória aos pacientes com câncer de bexiga.
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| Title: | Assistência de enfermagem perioperatória aos pacientes com câncer de bexiga. |
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| Alternate Title: | Perioperative nursing care to patients with bladder cancer. Asistencia de enfermería perioperatoria a pacientes con cáncer de vejiga. |
| Authors: | Megumi Sonobe, Helena1 megumi@eerp.usp.br, Sabino Ravena, Rouziane2, Saia Moreno, Fábio3, Scatralhe Buetto, Luciana4, Silva de Oliveira, Marissa5 |
| Source: | Avances en Enfermería. 2016, Vol. 34 Issue 2, p159-169. 11p. |
| Subjects: | BLADDER tumors, UROLOGICAL surgery, MEDICAL records, NURSING, OPERATING room nursing, RESEARCH, EDUCATIONAL attainment, RETROSPECTIVE studies, PERIOPERATIVE care |
| Geographic Terms: | BRAZIL |
| Abstract (English): | Objective: The perioperative nursing care planning for patients with bladder cancer needs scientific knowledge and incorporation of technology. Our study aimed to characterize the profile of bladder cancer population in a surgical unit of a hospital specializing in oncology in São Paulo State, and to analyze the nursing care made for this population. Methodology: Retrospective exploratory study, whose data were collected in 80 medical records of patients undergoing urology surgical treatment from January to September of 2008. Results: There were prevalence of male gender, in the age group from 60 to 80 years-old, with incomplete elementary school education, white people, staging cancer I and tumor resection. The perioperative nursing care includes educational interventions of self-care, procedural care as antivenin therapy, bowel's prepare, patient position, administration of drugs, monitoring of vital signs, care with catheters and drains, water control, change of shift, and routing of medical records and exams. In the specific case of patients with urostomy it is important to evaluate clinical situation and ostomy conditions; to teach the specific action of self-care, to plan hospital discharge; and to give equipment routing it to community resources. Conclusion: To give perioperative care to this population, it is necessary a planning based on scientific knowledge, permanent education and job supervision by a nurse. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: El planeamiento de la asistencia de enfermería perioperatoria para los pacientes con cáncer de vejiga requiere del conocimiento científico y de la incorporación tecnológica. El objetivo de este estudio fue caracterizar el perfil de los pacientes con cáncer de vejiga en una unidad quirúrgica de un hospital especializado en oncología del interior de São Paulo y analizar los cuidados de enfermería realizados para estos pacientes. Metodología: Estudio exploratorio retrospectivo, cuyos datos fueron recolectados en 80 prontuarios de pacientes sometidos a tratamiento quirúrgico urológico en el periodo enero-septiembre de 2008. Resultados: Hubo predominio del género masculino en la franja etaria de 60 a 80 años, con formación fundamental incompleta, de raza blanca, estadiamiento I y procedimiento quirúrgico de Resección Tran-suretral. La asistencia de enfermería perioperatoria abarca intervenciones educativas de autocuidado y cuidados procedimentales como suerote-rapia, preparación colónica, administración de medicamentos, posiciona-miento del paciente, monitorización de signos vitales, cuidados con sonda y drenaje, control hídrico, cambio de turno, envío de historia clínica y exámenes. En el caso específico de los pacientes con ostomía urológica, es importante tener en cuenta la evaluación clínica y de las condiciones del estoma; enseñar las acciones específicas del autocuidado; planear la alta hospitalaria proporcionar equipos y enviarlos a los recursos de la comunidad. Conclusión: Para brindarle asistencia quirúrgica a los pacientes, es necesario un planeamiento fundamentado en conocimientos científicos, educación permanente del equipo de enfermería y supervisión del trabajo realizado por el enfermero. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo: O planejamento da assistência de enfermagem periope-ratória para pacientes com câncer de bexiga requer conhecimento científico e incorporação tecnológica. Este estudo objetivou caracterizar o perfil de pacientes com câncer de bexiga em uma unidade cirúrgica de um hospital especializado em oncologia do interior paulista e analisar os cuidados de enfermagem realizados para esses pacientes. Metodologia: Estudo exploratório retrospectivo, cujos dados foram coletados em 80 prontuários de pacientes submetidos ao tratamento cirúrgico urológico no período de janeiro a setembro de 2008. Resultados: Houve predomínio do sexo masculino, na faixa etária de 60 a 80 anos, com formação fundamental incompleta, de raça branca, estadiamento I e procedimento cirúrgico de Ressecção Transure-tral. A assistência de enfermagem perioperatória abarca intervenções educativas de autocuidado, cuidados procedimentais como sorotera-pia, preparo colônico, administração de medicamentos, posicionamento do paciente, monitorização de sinais vitais, cuidados com sonda e drenos, controle hídrico, passagem de plantão e encaminhamento de prontuário e exames. No caso específico de pacientes com urostomia, é importante a avaliação clínica e das condições do estoma; ensinar as ações específicas do autocuidado; planejar a alta hospitalar, fornecer equipamentos e encaminhar aos recursos da comunidade. Conclusão: Para prestar assistência perioperatória para esses pacientes é necessário um planejamento fundamentado em conhecimentos científicos, educação permanente da equipe de enfermagem e supervisão do trabalho pelo enfermeiro. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective: The perioperative nursing care planning for patients with bladder cancer needs scientific knowledge and incorporation of technology. Our study aimed to characterize the profile of bladder cancer population in a surgical unit of a hospital specializing in oncology in São Paulo State, and to analyze the nursing care made for this population. Methodology: Retrospective exploratory study, whose data were collected in 80 medical records of patients undergoing urology surgical treatment from January to September of 2008. Results: There were prevalence of male gender, in the age group from 60 to 80 years-old, with incomplete elementary school education, white people, staging cancer I and tumor resection. The perioperative nursing care includes educational interventions of self-care, procedural care as antivenin therapy, bowel's prepare, patient position, administration of drugs, monitoring of vital signs, care with catheters and drains, water control, change of shift, and routing of medical records and exams. In the specific case of patients with urostomy it is important to evaluate clinical situation and ostomy conditions; to teach the specific action of self-care, to plan hospital discharge; and to give equipment routing it to community resources. Conclusion: To give perioperative care to this population, it is necessary a planning based on scientific knowledge, permanent education and job supervision by a nurse. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01214500 |
| DOI: | 10.15446/av.enferm.v34n2.37465 |
