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Advisor(s)
Abstract(s)
IntroduĆ§Ć£o ā EstĆ” amplamente descrito na literatura que a cirurgia abdominal Ć© responsĆ”vel
por alteraƧƵes na funĆ§Ć£o respiratĆ³ria. Destacam-se, ainda, na literatura os bons resultados
obtidos na prevenĆ§Ć£o ou correĆ§Ć£o de complicaƧƵes, nomeadamente na componente
respiratĆ³ria, quando programas de reabilitaĆ§Ć£o sĆ£o implementados no prĆ© e pĆ³s-operatĆ³rio.
Objetivo āAvaliar a efeito do plano de Enfermagem de ReabilitaĆ§Ć£o sobre variĆ”veis
fisiolĆ³gicas, clĆnicas e a ansiedade nos doentes submetidos a cirurgia abdominal programada
do serviƧo de cirurgia I da unidade de Vila Real do Centro Hospitalar de TrƔs-os-Montes e
Alto Douro.
MĆ©todos ā Realizou-se um estudo quase-experimental e transversal. A amostra foi constituĆda
por 30 indivĆduos, que se submeteram de forma voluntĆ”ria a um programa de Enfermagem de
ReabilitaĆ§Ć£o. A colheita de dados foi efetuada mediante o preenchimento da grelha de
avaliaĆ§Ć£o, em dois momentos distintos: prĆ©-operatĆ³rio e 4Āŗ dia de pĆ³s-operatĆ³rio. Foram
registadas variĆ”veis de caracterizaĆ§Ć£o, variĆ”veis fisiolĆ³gicas, fluxo expiratĆ³rio mĆ”ximo (PEF),
dor e ansiedade. A escala utilizada para a avaliaĆ§Ć£o da ansiedade foi a escala Visual analĆ³gica
VAS-A.
Resultados - Na amostra em estudo, 73,3% dos indivĆduos eram do sexo masculino. A idade
variou entre 30 e 80 anos, com mĆ©dia 66,67 anos. TrĆŖs dos participantes (10%) dos
participantes sofrem de algum tipo de patologia respiratĆ³ria e relativamente a hĆ”bitos
tabĆ”gicos, estes estĆ£o presentes em 2 (6,7%) participantes. Dos principais resultados destacase
que o programa de Enfermagem de ReabilitaĆ§Ć£o diminuiu os nĆveis de ansiedade e
aumentou o valor do pico de fluxo expiratĆ³rio (PFE) mas nĆ£o teve efeitos estatisticamente
significativos nas restantes variƔveis
ConclusƵes ā Os resultados vĆ£o no sentido de confirmar a necessidade e utilidade da
intervenĆ§Ć£o especializada em Enfermagem de ReabilitaĆ§Ć£o no doente submetido a cirurgia
abdominal programada.
Introduction - It is widely described in the literature that abdominal surgery is responsible for changes in respiratory function. The literature also shows that good results are obtained in the prevention or correction of complications, particularly in the respiratory component, when rehabilitation programs are implemented in the pre- and postoperative period. Objective - To evaluate the effect of a Rehabilitation Nursing plan on physiological and clinical variables and anxiety in patients undergoing scheduled abdominal surgery at the surgery department of Vila Real unit of Centro Hospitalar de TrƔs-os-Montes e Alto Douro. Methods - A quasi-experimental and cross-sectional study was carried out. Where included 30 participants, who voluntarily underwent a Rehabilitation Nursing program. Data collection was performed by filling out the evaluation grid at two different times: preoperative and postoperative day 4. Characterization variables, physiological variables, peak expiratory flow (PEF), pain and anxiety were recorded. The Visual Analogue VAS-A scale was used for anxiety assessment. Results - In the study sample, 73.3% of the individuals were male. The age ranged from 30 to 80 years, with a mean of 66.67 years. Three of the participants (10%) suffer from some type of respiratory pathology and in relation to smoking habits, these are present in 2 (6.7%) participants. The main results highlight that the Rehabilitation Nursing program reduced anxiety levels and increased peak expiratory flow (PEF), but did not have statistically significant effects on the other variables Conclusions - The results are aimed at confirming the need and utility of the specialized intervention in Rehabilitation Nursing in patients undergoing scheduled abdominal surgery.
Introduction - It is widely described in the literature that abdominal surgery is responsible for changes in respiratory function. The literature also shows that good results are obtained in the prevention or correction of complications, particularly in the respiratory component, when rehabilitation programs are implemented in the pre- and postoperative period. Objective - To evaluate the effect of a Rehabilitation Nursing plan on physiological and clinical variables and anxiety in patients undergoing scheduled abdominal surgery at the surgery department of Vila Real unit of Centro Hospitalar de TrƔs-os-Montes e Alto Douro. Methods - A quasi-experimental and cross-sectional study was carried out. Where included 30 participants, who voluntarily underwent a Rehabilitation Nursing program. Data collection was performed by filling out the evaluation grid at two different times: preoperative and postoperative day 4. Characterization variables, physiological variables, peak expiratory flow (PEF), pain and anxiety were recorded. The Visual Analogue VAS-A scale was used for anxiety assessment. Results - In the study sample, 73.3% of the individuals were male. The age ranged from 30 to 80 years, with a mean of 66.67 years. Three of the participants (10%) suffer from some type of respiratory pathology and in relation to smoking habits, these are present in 2 (6.7%) participants. The main results highlight that the Rehabilitation Nursing program reduced anxiety levels and increased peak expiratory flow (PEF), but did not have statistically significant effects on the other variables Conclusions - The results are aimed at confirming the need and utility of the specialized intervention in Rehabilitation Nursing in patients undergoing scheduled abdominal surgery.
Description
Keywords
Enfermagem de ReabilitaĆ§Ć£o ReabilitaĆ§Ć£o RespiratĆ³ria Cirurgia abdominal