Rosana Aparecida Spadotti Dantas

Estressores em uma unidade pós-operatória de cirurgia torácica: avaliação da enfermagem

Esse estudo descritivo foi realizado com o objetivo de identificar quais sao os fatores geradores de estresse para pacientes internados em unidades pos-operatorias de cirurgias toracicas, segundo avaliacao dos profissionais de enfermagem. Os dados foram coletados em dois hospitais, atraves de questionarios preenchidos por membros das equipes de enfermagem que atuavam nas unidades pos-operatorias de cirurgias toracicas. Foi utilizada escala tipo Likert de 4 pontos para avaliar 42 possiveis estressores. A amostra constou de 58 profissionais, com tempo medio de atuacao nas unidades de 5,9 anos. A media dos itens foi de 2,97, caracterizando-os entre pouco estressantes e estressantes. Os fatores mais estressantes foram: ter dor, ter tubos no nariz e/ou boca, estar amarrados por tubos e nao conseguir dormir. Concluimos que os principais estressores para os pacientes, segundo avaliacao dos profissionais da enfermagem, sao aqueles relacionados ao procedimento cirurgico.The aim of this descriptive study was to determine what events are perceived as stressful to patients in the thoracic surgery postoperative unit, according to nursing evaluation. Data were collected at two hospitals, where the intensive care nursing team members completed the questionnaire. A 4-point Likert scale was used to evaluate 42 possible stressors. The sample consisted of 58 nursing professionals. The average duration of their professional activities at the intensive care unit was 5.9 years. The average stressfulness score of the items was 2.97 (from little stressful to stressful). The most important stressors were: having pain, having tubes in nose and/or mouth, being tied down by tubes and not being able to sleep. We concluded that, according to nursing evaluation, the main stressors for patients are associated with the surgical procedure.

Stressors in care at a thoracic surgery postoperative unit: nursing evaluation

Esse estudo descritivo foi realizado com o objetivo de identificar quais sao os fatores geradores de estresse para pacientes internados em unidades pos-operatorias de cirurgias toracicas, segundo avaliacao dos profissionais de enfermagem. Os dados foram coletados em dois hospitais, atraves de questionarios preenchidos por membros das equipes de enfermagem que atuavam nas unidades pos-operatorias de cirurgias toracicas. Foi utilizada escala tipo Likert de 4 pontos para avaliar 42 possiveis estressores. A amostra constou de 58 profissionais, com tempo medio de atuacao nas unidades de 5,9 anos. A media dos itens foi de 2,97, caracterizando-os entre pouco estressantes e estressantes. Os fatores mais estressantes foram: ter dor, ter tubos no nariz e/ou boca, estar amarrados por tubos e nao conseguir dormir. Concluimos que os principais estressores para os pacientes, segundo avaliacao dos profissionais da enfermagem, sao aqueles relacionados ao procedimento cirurgico.The aim of this descriptive study was to determine what events are perceived as stressful to patients in the thoracic surgery postoperative unit, according to nursing evaluation. Data were collected at two hospitals, where the intensive care nursing team members completed the questionnaire. A 4-point Likert scale was used to evaluate 42 possible stressors. The sample consisted of 58 nursing professionals. The average duration of their professional activities at the intensive care unit was 5.9 years. The average stressfulness score of the items was 2.97 (from little stressful to stressful). The most important stressors were: having pain, having tubes in nose and/or mouth, being tied down by tubes and not being able to sleep. We concluded that, according to nursing evaluation, the main stressors for patients are associated with the surgical procedure.

ASSESSMENT OF ADHERENCE TO POST-EXPOSURE CONDUCTS AMONG HEALTH WORKERS: TRANSLATION AND CULTURAL ADAPTATION OF AN INSTRUMENT

Estudio metodologico, desarrollado entre julio/2011 y junio/2012, con objeto de traducir y adaptar culturalmente para Brasil el instrumento chino (健康照顧專業人員職業性危害針扎後之追蹤) que evalua la intencion de los profesionales de salud de cumplir con las conductas post-exposicion profesional a material biologico. La muestra fue aleatorizada y abarco a 15 profesionales de enfermeria expuestos a material biologico. El proceso de adaptacion cultural se mostro satisfactorio y la validacion semantica evidencio que el instrumento es comprensible (73,3%), adecuado a la cultura brasilena y bien aceptado (85,2% de los items con respuestas favorables). El uso del instrumento en investigaciones brasilenas posibilitara ampliar la discusion sobre las acciones de prevencion a la exposicion ocupacional a material biologico y la planificacion de nuevas estrategias para los servicios de salud.

Anxiety and depression among men and women who underwent percutaneous coronary intervention

A descriptive, cross-sectional, correlational study aimed to investigate the association of sex and the presence of anxiety and depression after hospital discharge in patients who underwent percutaneous coronary intervention (PCI). Fifty-nine patients undergoing PCI and receiving outpatient treatment in the first seven months after hospital discharge were evaluated. To assess the symptoms of anxiety and depression the Hospital Anxiety and Depression Scale (HADS) was used. To test the possible associations between the variables anxiety, depression and sex the Chi-square test was used with a significance level of 5%. The results indicated a greater number of women with depression and the association between the variables sex and depression was statistically significant. In relation to anxiety, cases were more frequent in males and the association between the variables sex and anxiety was not statistically significant.

EVALUACIÓN DE LA ADHESIÓN A LAS CONDUCTAS POSTEXPOSICIÓN ENTRE TRABAJADORES DE SALUD: TRADUCCIÓN Y ADAPTACIÓN CULTURAL DE INSTRUMENTO

Estudio metodologico, desarrollado entre julio/2011 y junio/2012, con objeto de traducir y adaptar culturalmente para Brasil el instrumento chino (健康照顧專業人員職業性危害針扎後之追蹤) que evalua la intencion de los profesionales de salud de cumplir con las conductas post-exposicion profesional a material biologico. La muestra fue aleatorizada y abarco a 15 profesionales de enfermeria expuestos a material biologico. El proceso de adaptacion cultural se mostro satisfactorio y la validacion semantica evidencio que el instrumento es comprensible (73,3%), adecuado a la cultura brasilena y bien aceptado (85,2% de los items con respuestas favorables). El uso del instrumento en investigaciones brasilenas posibilitara ampliar la discusion sobre las acciones de prevencion a la exposicion ocupacional a material biologico y la planificacion de nuevas estrategias para los servicios de salud.

AVALIAÇÃO DA ADESÃO ÀS CONDUTAS PÓS-EXPOSIÇÃO ENTRE TRABALHADORES DE SAÚDE: TRADUÇÃO E ADAPTAÇÃO CULTURALDE INSTRUMENTO

Estudio metodologico, desarrollado entre julio/2011 y junio/2012, con objeto de traducir y adaptar culturalmente para Brasil el instrumento chino (健康照顧專業人員職業性危害針扎後之追蹤) que evalua la intencion de los profesionales de salud de cumplir con las conductas post-exposicion profesional a material biologico. La muestra fue aleatorizada y abarco a 15 profesionales de enfermeria expuestos a material biologico. El proceso de adaptacion cultural se mostro satisfactorio y la validacion semantica evidencio que el instrumento es comprensible (73,3%), adecuado a la cultura brasilena y bien aceptado (85,2% de los items con respuestas favorables). El uso del instrumento en investigaciones brasilenas posibilitara ampliar la discusion sobre las acciones de prevencion a la exposicion ocupacional a material biologico y la planificacion de nuevas estrategias para los servicios de salud.

Readmissões por acidentes de trânsito em um hospital geral

Objetivo: verificar la ocurrencia y las causas de reinternaciones hasta un ano despues del alta de hospitalaria, debido a accidentes de trafico. Metodos: fueron incluidas victimas de traumas multiples, por accidentes de trafico, admitidas en una Unidad de Terapia Intensiva. Fueron recolectados de las fichas medicas de los pacientes: datos sociodemograficos, circunstancias del accidente, regiones corporeas afectados y causa de la readmision. Resultados: de las 109 victimas de accidentes de trafico, la mayoria eran hombres jovenes y adultos. El mayor numero de internaciones por accidentes se relaciono con motociclistas (56,9%). Las causas de retorno al hospital fueron: necesidad de continuar el tratamiento quirurgico (63,2%), infeccion de sitio quirurgico (26,3%) y caida relacionada a las secuelas fisicas del trauma (10,5%), siendo la tasa de reinternacion de 174/1.000 personas/ano. Conclusion: la tasa de readmision hospitalaria en la poblacion estudiada es semejante a las encontradas en otros estudios. Victimas de traumas graves de extremidades necesitan de multiples procedimientos quirurgicos, mayor tiempo de internacion hospitalaria y rehabilitacion prolongadaAbstract Objective: to verify the occurrence and the causes of hospital readmissions within a year after discharge from hospitalizations due to traffic accidents. Methods: victims of multiple traumas due to traffic accidents were included, who were admitted to an Intensive Care Unit. Sociodemographic data, accident circumstances, body regions affected and cause of readmission were collected from the patient histories. Results: among the 109 victims of traffic accidents, the majority were young and adult men. Most hospitalizations due to accidents involved motorcycle drivers (56.9%). The causes of the return to the hospital were: need to continue the surgical treatment (63.2%), surgical site infection (26.3%) and fall related to the physical sequelae of the trauma (10.5%). The rehospitalization rate corresponded to 174/1,000 people/year. Conclusion: the hospital readmission rate in the study population is similar to the rates found in other studies. Victims of severe limb traumas need multiple surgical procedures, lengthier hospitalizations and extended rehabilitation.

Readmissions due to traffic accidents at a general hospital.

Objetivo: verificar la ocurrencia y las causas de reinternaciones hasta un ano despues del alta de hospitalaria, debido a accidentes de trafico. Metodos: fueron incluidas victimas de traumas multiples, por accidentes de trafico, admitidas en una Unidad de Terapia Intensiva. Fueron recolectados de las fichas medicas de los pacientes: datos sociodemograficos, circunstancias del accidente, regiones corporeas afectados y causa de la readmision. Resultados: de las 109 victimas de accidentes de trafico, la mayoria eran hombres jovenes y adultos. El mayor numero de internaciones por accidentes se relaciono con motociclistas (56,9%). Las causas de retorno al hospital fueron: necesidad de continuar el tratamiento quirurgico (63,2%), infeccion de sitio quirurgico (26,3%) y caida relacionada a las secuelas fisicas del trauma (10,5%), siendo la tasa de reinternacion de 174/1.000 personas/ano. Conclusion: la tasa de readmision hospitalaria en la poblacion estudiada es semejante a las encontradas en otros estudios. Victimas de traumas graves de extremidades necesitan de multiples procedimientos quirurgicos, mayor tiempo de internacion hospitalaria y rehabilitacion prolongadaAbstract Objective: to verify the occurrence and the causes of hospital readmissions within a year after discharge from hospitalizations due to traffic accidents. Methods: victims of multiple traumas due to traffic accidents were included, who were admitted to an Intensive Care Unit. Sociodemographic data, accident circumstances, body regions affected and cause of readmission were collected from the patient histories. Results: among the 109 victims of traffic accidents, the majority were young and adult men. Most hospitalizations due to accidents involved motorcycle drivers (56.9%). The causes of the return to the hospital were: need to continue the surgical treatment (63.2%), surgical site infection (26.3%) and fall related to the physical sequelae of the trauma (10.5%). The rehospitalization rate corresponded to 174/1,000 people/year. Conclusion: the hospital readmission rate in the study population is similar to the rates found in other studies. Victims of severe limb traumas need multiple surgical procedures, lengthier hospitalizations and extended rehabilitation.

Reinternaciones por accidentes de tráfico en un hospital general

Objetivo: verificar la ocurrencia y las causas de reinternaciones hasta un ano despues del alta de hospitalaria, debido a accidentes de trafico. Metodos: fueron incluidas victimas de traumas multiples, por accidentes de trafico, admitidas en una Unidad de Terapia Intensiva. Fueron recolectados de las fichas medicas de los pacientes: datos sociodemograficos, circunstancias del accidente, regiones corporeas afectados y causa de la readmision. Resultados: de las 109 victimas de accidentes de trafico, la mayoria eran hombres jovenes y adultos. El mayor numero de internaciones por accidentes se relaciono con motociclistas (56,9%). Las causas de retorno al hospital fueron: necesidad de continuar el tratamiento quirurgico (63,2%), infeccion de sitio quirurgico (26,3%) y caida relacionada a las secuelas fisicas del trauma (10,5%), siendo la tasa de reinternacion de 174/1.000 personas/ano. Conclusion: la tasa de readmision hospitalaria en la poblacion estudiada es semejante a las encontradas en otros estudios. Victimas de traumas graves de extremidades necesitan de multiples procedimientos quirurgicos, mayor tiempo de internacion hospitalaria y rehabilitacion prolongadaAbstract Objective: to verify the occurrence and the causes of hospital readmissions within a year after discharge from hospitalizations due to traffic accidents. Methods: victims of multiple traumas due to traffic accidents were included, who were admitted to an Intensive Care Unit. Sociodemographic data, accident circumstances, body regions affected and cause of readmission were collected from the patient histories. Results: among the 109 victims of traffic accidents, the majority were young and adult men. Most hospitalizations due to accidents involved motorcycle drivers (56.9%). The causes of the return to the hospital were: need to continue the surgical treatment (63.2%), surgical site infection (26.3%) and fall related to the physical sequelae of the trauma (10.5%). The rehospitalization rate corresponded to 174/1,000 people/year. Conclusion: the hospital readmission rate in the study population is similar to the rates found in other studies. Victims of severe limb traumas need multiple surgical procedures, lengthier hospitalizations and extended rehabilitation.

Causas de estrés en una unidad post-operatoria de cirurgías toráxicas: evaluación de enfermería

Esse estudo descritivo foi realizado com o objetivo de identificar quais sao os fatores geradores de estresse para pacientes internados em unidades pos-operatorias de cirurgias toracicas, segundo avaliacao dos profissionais de enfermagem. Os dados foram coletados em dois hospitais, atraves de questionarios preenchidos por membros das equipes de enfermagem que atuavam nas unidades pos-operatorias de cirurgias toracicas. Foi utilizada escala tipo Likert de 4 pontos para avaliar 42 possiveis estressores. A amostra constou de 58 profissionais, com tempo medio de atuacao nas unidades de 5,9 anos. A media dos itens foi de 2,97, caracterizando-os entre pouco estressantes e estressantes. Os fatores mais estressantes foram: ter dor, ter tubos no nariz e/ou boca, estar amarrados por tubos e nao conseguir dormir. Concluimos que os principais estressores para os pacientes, segundo avaliacao dos profissionais da enfermagem, sao aqueles relacionados ao procedimento cirurgico.The aim of this descriptive study was to determine what events are perceived as stressful to patients in the thoracic surgery postoperative unit, according to nursing evaluation. Data were collected at two hospitals, where the intensive care nursing team members completed the questionnaire. A 4-point Likert scale was used to evaluate 42 possible stressors. The sample consisted of 58 nursing professionals. The average duration of their professional activities at the intensive care unit was 5.9 years. The average stressfulness score of the items was 2.97 (from little stressful to stressful). The most important stressors were: having pain, having tubes in nose and/or mouth, being tied down by tubes and not being able to sleep. We concluded that, according to nursing evaluation, the main stressors for patients are associated with the surgical procedure.