Juliano Teixeira Moraes

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

ABSTRACT Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures. Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05. Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall. Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.Objetivo: evaluar los factores asociados al riesgo de caida en pacientes sometidos a procedimientos quirurgicos. Metodo: estudio cuantitativo, transversal, realizado en 257 pacientes adultos en un hospital de Minas Gerais, Brasil. La recoleccion de datos se realizo por medio de un cuestionario sociodemografico y clinico, Morse Fall Scale Quality of Recovery Score. Los datos fueron sometidos al analisis estadistico descriptivo y regresion logistica multinomial. El nivel de significacion adoptado fue de 0,05. Resultados: 35,4% de los pacientes presentaron elevado riesgo de caidas, 38,9% moderado riesgo y 25,7% bajo riesgo. La escala de recuperacion quirurgica indico valor promedio de 175,37 puntos y ningun paciente presento recuperacion quirurgica precaria. En relacion a los resultados del analisis bivariado, se identifico que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caida y el cancer (p=0,004) estuvo asociado positivamente con moderado riesgo de caida. La recuperacion quirurgica (p=0,008) estuvo asociada inversamente con alto riesgo de caida. Conclusion: los resultados de este estudio posibilitaran la identificacion de cinco factores asociados al riesgo de caida en adultos de internacion quirurgica. Los hallazgos podran auxiliar la planificacion de acciones de enfermeria dirigidas para prevenir el riesgo de caida en el posoperatorio.

Fatores associados ao risco de queda em adultos no pós-operatório: estudo transversal

ABSTRACT Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures. Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05. Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall. Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.Objetivo: evaluar los factores asociados al riesgo de caida en pacientes sometidos a procedimientos quirurgicos. Metodo: estudio cuantitativo, transversal, realizado en 257 pacientes adultos en un hospital de Minas Gerais, Brasil. La recoleccion de datos se realizo por medio de un cuestionario sociodemografico y clinico, Morse Fall Scale Quality of Recovery Score. Los datos fueron sometidos al analisis estadistico descriptivo y regresion logistica multinomial. El nivel de significacion adoptado fue de 0,05. Resultados: 35,4% de los pacientes presentaron elevado riesgo de caidas, 38,9% moderado riesgo y 25,7% bajo riesgo. La escala de recuperacion quirurgica indico valor promedio de 175,37 puntos y ningun paciente presento recuperacion quirurgica precaria. En relacion a los resultados del analisis bivariado, se identifico que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caida y el cancer (p=0,004) estuvo asociado positivamente con moderado riesgo de caida. La recuperacion quirurgica (p=0,008) estuvo asociada inversamente con alto riesgo de caida. Conclusion: los resultados de este estudio posibilitaran la identificacion de cinco factores asociados al riesgo de caida en adultos de internacion quirurgica. Los hallazgos podran auxiliar la planificacion de acciones de enfermeria dirigidas para prevenir el riesgo de caida en el posoperatorio.

Factores asociados al riesgo de caída en adultos en el posoperatorio: estudio transversal

ABSTRACT Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures. Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05. Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall. Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.Objetivo: evaluar los factores asociados al riesgo de caida en pacientes sometidos a procedimientos quirurgicos. Metodo: estudio cuantitativo, transversal, realizado en 257 pacientes adultos en un hospital de Minas Gerais, Brasil. La recoleccion de datos se realizo por medio de un cuestionario sociodemografico y clinico, Morse Fall Scale Quality of Recovery Score. Los datos fueron sometidos al analisis estadistico descriptivo y regresion logistica multinomial. El nivel de significacion adoptado fue de 0,05. Resultados: 35,4% de los pacientes presentaron elevado riesgo de caidas, 38,9% moderado riesgo y 25,7% bajo riesgo. La escala de recuperacion quirurgica indico valor promedio de 175,37 puntos y ningun paciente presento recuperacion quirurgica precaria. En relacion a los resultados del analisis bivariado, se identifico que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caida y el cancer (p=0,004) estuvo asociado positivamente con moderado riesgo de caida. La recuperacion quirurgica (p=0,008) estuvo asociada inversamente con alto riesgo de caida. Conclusion: los resultados de este estudio posibilitaran la identificacion de cinco factores asociados al riesgo de caida en adultos de internacion quirurgica. Los hallazgos podran auxiliar la planificacion de acciones de enfermeria dirigidas para prevenir el riesgo de caida en el posoperatorio.

Profile of nursing diagnoses in people with hypertension and diabetes

OBJECTIVES To identify the profile of nursing diagnoses in people with hypertension and diabetes in primary health care. METHODS A cross-sectional study involving 175 individuals followed up in eight primary health units of Minas Gerais, Brazil. Data collection was made through interview and physical examination, and diagnostic inference was made according with NANDA-I Taxonomy II. RESULTS The average age of the users was 62.1 years and the female gender predominated (66.9%). A total of 26 diagnoses were identified, an average of 16 per client (standard deviation=3.9). The most frequent problem-focused diagnosis were: Ineffective Health Management (98.9%), Ineffective Peripheral Tissue Perfusion (78.3%), Sedentary lifestyle (74.3%), Obesity (54.3%) and Insomnia (51.4%). With respect to the defining characteristics and related factors, the average per person was 24 and 28, respectively. CONCLUSIONS In this group of clients, the most frequent diagnoses were in the domain activity/rest. These diagnoses are the basis for planning nursing interventions and provide improved quality of life for these clients.

Validation of an instrument for evaluating health care services to ostomized people

Objetivos: desenvolver e validar uma matriz de análise e julgamento para a avaliação de Serviços de Atenção à Saúde da Pessoa Estomizada. Método: estudo seccional em 28 unidades de saúde do estado de Minas Gerais. Foi realizada uma análise descritiva do instrumento e um estudo das suas propriedades psicométricas. Para a validação de conteúdo e de aparência foi utilizada a técnica Delphi. A análise psicométrica foi realizada por meio do estudo da confiabilidade e validade das medidas obtidas com o instrumento. Resultados: foi possível construir uma matriz de análise e julgamento com 16 componentes (pontuados com escores de zero a cinco) agrupados de acordo com as dimensões estrutura e processo considerados fundamentais para a avaliação do serviço. Os resultados alcançados para a confiabilidade para estrutura e processo, por meio do Coeficiente alfa de Cronbach (α = 0,771 e α = 0,809 respectivamente), e validades de conteúdo e de construto, demonstraram boa consistência interna e satisfatória validade. A análise fatorial exploratória apontou o item “principal atividade realizada na unidade” como limitação da escala. Conclusão: o estudo disponibiliza nova ferramenta para a avaliação de estrutura e processo do Serviço de Atenção à Saúde da Pessoa Ostomizada.