Nursing actions in the perioperative period and in preparing prostatectomy patients for discharge.
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| Title: | Nursing actions in the perioperative period and in preparing prostatectomy patients for discharge. |
|---|---|
| Alternate Title: | Acciones de enfermería en el perioperatorio y en la preparación para el alta hospitalaria del paciente prostatectomizado. |
| Authors: | da Mata, Luciana Regina Ferreira1 lucianadamata@usp.br, Ferreira, Taciana Caldas2 tacicaldas@yahoo.com.br, de Carvalho, Emilia Campos3 ecdcava@usp.br |
| Source: | Investigación & Educación en Enfermería. nov2013, Vol. 31 Issue 3, p406-413. 8p. |
| Subjects: | PREVENTION of surgical complications, ANALGESIA, CANCER patients, PREVENTION of communicable diseases, LENGTH of stay in hospitals, HOSPITALS, NURSES, NURSING, NURSING practice, NURSING assessment, OPERATING room nursing, PATIENTS, POSTOPERATIVE care, POSTOPERATIVE pain, PREOPERATIVE care, PROSTATE tumors, PROSTATECTOMY, SURGERY, OCCUPATIONAL roles, SOCIAL support, SOCIOECONOMIC factors, PAIN measurement, PREOPERATIVE education, PATIENT discharge instructions, CROSS-sectional method, RETROSPECTIVE studies, SURGICAL site, DATA analysis software, DESCRIPTIVE statistics, MEDICAL drainage |
| Geographic Terms: | BRAZIL |
| Abstract (English): | Objective. To identify nursing actions in the perioperative period and in preparing prostatectomy patients for discharge. Methods. Cross-sectional, retrospective study. Data were collected from medical record of patients who underwent partial or total prostatectomy between August 2009 and August 2010 at hospitals in Divinopolis, Minas Gérais, Brazil. Results. A total of 121 patients were identified; the mean age was 67 years. The most frequent diagnosis was prostate cancer (70%). Main preoperative activities were measuring vital signs (55%), administering drugs (52%), educating patients about fasting (50%), and managing edema (45%). After surgery, the most frequent tasks were measuring vital signs (100%), measuring urine and emptying the urinary bag (100% for each), facilitating the healing of surgical wounds (77%), and evaluating Penrose drain discharge (48%). Among the 25 types of care observed, the activity that nurses performed most often for patients about to be discharged was providing education about urinary catheter manipulation (16%). Conclusion. This study identified weaknesses in care delivery for prostatectomy patients, particularly regarding home care education. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Identificar las acciones de enfermería en el perioperatorio y en la preparación para el alta hospitalaria del paciente prostatectomizado. Metodología. Estudio de corte transversal con toma de información retrospectiva. La recolección de los datos se hizo a partir de las historias clínicas de los pacientes sometidos a prostatectomía parcial o radical entre agosto de 2009 a agosto de 2010 en hospitales de Divinópolis, Minas Gérais, Brasil. Resultados. Se identificaron 121 pacientes, cuya edad promedio era de 67 años. El diagnóstico más frecuente fue el cáncer de próstata (70%). Los principales cuidados preoperatorio fueron: la medición de los signos vitales (55%), la administración de medicamentos (52%), la educación sobre el ayuno (50%) y la administración del enema (45%). En el postoperatorio, entre los que mayores porcentajes presentaron estuvieron: la toma de signos vitales (100%), la medición de la orina y el vaciado de la bolsa recolectara (100% cada uno), la curación de la herida quirúrgica (77%) y la evaluación de la secreción del drenaje de Penrose (48%). Para el alta hospitalaria, de 25 tipos de cuidados observados, el más realizado fue el de la educación sobre la manipulación del catéter urinario (16%). Conclusión. El estudio identificó debilidades en la atención del paciente prostatectomizado, especialmente en la educación para el cuidado en el hogar. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo, caracterizar o perfil de pacientes prostatectomizados em relaçâo às variáveis sócio-demográficas e clínicas, e identificar açôes de enfermagem realizadas no perioperatório e no preparo para alta hospitalar. Método, estudo transversal, retrospectivo. A coleta de dados foi realizada a partir de registros clínicos de pacientes submetidos a prostatectomía parcial ou radical entre agosto de 2009 a agosto de 2010 em hospitais de Divinópolis, Minas Gérais, Brasil. Resultados. Foram identificados 121 prontuários, cuja idade média foi de 67 anos. O diagnóstico mais frequente foi de cáncer de próstata (70%). Os principáis cuidados preoperatorios foram: avaliaçâo de sinais vitáis (55%), administraçâo de medicamentos (52%), ensino quanto ao jejum (50%) e lavagem intestinal (45%). No pós-operatório, os cuidados que apresentaram percentuais mais elevados foram: avaliaçâo dos sinais vitáis (100%), esvaziamento e mensuraçâo de urina em bolsa coletora (100%), curativo de incisäo cirúrgica (77%) e avaliaçâo de secreçâo do dreno de penrose (48%). Para alta hospitalar, de 25 cuidados registrados, o mais realizado foi quanto o ensino sobre manuseio da sonda vesical (16%). Conclusáo. o estudo identificou fragilidades no cuidado do paciente prostatectomizado, principalmente quanto ao ensino para o cuidado domiciliar. [ABSTRACT FROM AUTHOR] |
| Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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