| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.19 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
As pessoas com doença oncológica pulmonar com necessidade de
cirurgia como forma de tratamento apresentam, genericamente, declínio da sua
funcionalidade e capacidade respiratória. Os programas de reabilitação respiratória têm
sob a pessoa alvo de cuidados, benefícios na redução de exacerbações, na recuperação ou
manutenção da função pulmonar, com impacto na independência e qualidade de vida.
Objetivo(s): Avaliar o efeito de um programa de enfermagem de reabilitação à pessoa
submetida a ressecção pulmonar.
Métodos: Estudo descritivo, observacional, correlacionado, de natureza quantitativa,
realizado num serviço de cirurgia torácica. A amostra é não probabilística por
conveniência, sendo analisadas variáveis de capacidade funcional, capacidade
respiratória, capacidade para realização das atividades de vida diária e taxa de resolução
dos diagnósticos intolerância à atividade e potencial para otimizar a ventilação. A par
foram mensurados os eventos adversos relacionados com o programa Re(h)ability4life e
o nível de satisfação com os cuidados enfermagem de reabilitação dos doentes que
participaram no estudo.
Resultados: Foram incluídos 22 doentes submetidos a cirurgia eletiva de ressecção
pulmonar, 77,3% lobectomias, 86,4% por VATS, com média de idade de 67,77 anos (±7,08),
sendo 55,5% do género masculino. Todos os doentes cumpriram o programa de
enfermagem de reabilitação, não tendo sido identificados eventos adversos associados ao
mesmo. A capacidade funcional no pré (TM6m) era de 354,82 metros, existindo um ganho
de 21,68 metros no follow-Up. Em relação á capacidade respiratória, existiu um ganho
de 45,45ml no volume inspiratório relação ao pré-operatório e uma recuperação de
94,75% no pico de fluxo de expiratório. O diagnóstico de intolerância à atividade foi
resolvido, sendo que o nível de capacidade para as atividades de vida diária não foi
influenciado pelo processo cirúrgico ou doença tumoral. Houve incremento da qualidade
de vida percecionada ao longo da intervenção, sendo a satisfação global com os cuidados
de enfermagem de reabilitação muito positiva.
Conclusão: O programa de enfermagem de reabilitação pré e pós-operatório é viável e
sem eventos adversos na pessoa submetida a resseção pulmonar tumoral, impactando
positivamente na recuperação funcional, respiratória, tolerância à atividade e na
capacidade de autocuidado terapêutico, aumentando assim a qualidade de vida da pessoa.
People with lung cancer who require surgery as a form of treatment generally experience a decline in their functionality and respiratory capacity. Respiratory rehabilitation programs benefit the person being cared for by reducing exacerbations, recovering or maintaining lung function, with an impact on independence and quality of life. Aim: To analyze the effect of the rehabilitation nursing program for people undergoing lung resection. Methods: Descriptive, observational, correlated and quantitative study, carried out in a cardiothoracic surgery service in the central region. The sample is non-probabilistic for convenience, with variables of functional capacity, respiratory capacity, ability to carry out activities of daily living and resolution rate of diagnoses of activity intolerance and potential to optimize ventilation being analyzed. Additionally, adverse events related to the Re(h)ability4life program and the level of satisfaction with rehabilitation nursing care of patients who participated in the study were measured. Results: 22 patients undergoing elective lung resection surgery were included, 77.3% lobectomies, 86.4% by VATS, with a mean age of 67.77 years (±7.08), 55.5% of whom were gender masculine. All patients completed the rehabilitation nursing program, and no adverse events associated with it were identified. The functional capacity in the pre (TM6m) was 354.82 meters, with a gain of 21.68 meters in the follow-up. Regarding respiratory capacity, the inspiratory volume increased 45.45ml compared to the preoperative period and peak of expiratory flow, recovered 94.75% of the value in the follow-up. The diagnosis of activity intolerance was resolved, and the Level of capacity for activities of daily living was not influenced by the surgical process or tumor disease. There was an increase in perceived quality of life throughout the intervention, with overall satisfaction with rehabilitation nursing care being very positive. Conclusion: The pre- and postoperative rehabilitation nursing program is viable and without adverse events in the person undergoing tumor lung resection, positively impacting functional and respiratory recovery, activity tolerance and therapeutic self-care capacity, thus increasing the quality of person's life.
People with lung cancer who require surgery as a form of treatment generally experience a decline in their functionality and respiratory capacity. Respiratory rehabilitation programs benefit the person being cared for by reducing exacerbations, recovering or maintaining lung function, with an impact on independence and quality of life. Aim: To analyze the effect of the rehabilitation nursing program for people undergoing lung resection. Methods: Descriptive, observational, correlated and quantitative study, carried out in a cardiothoracic surgery service in the central region. The sample is non-probabilistic for convenience, with variables of functional capacity, respiratory capacity, ability to carry out activities of daily living and resolution rate of diagnoses of activity intolerance and potential to optimize ventilation being analyzed. Additionally, adverse events related to the Re(h)ability4life program and the level of satisfaction with rehabilitation nursing care of patients who participated in the study were measured. Results: 22 patients undergoing elective lung resection surgery were included, 77.3% lobectomies, 86.4% by VATS, with a mean age of 67.77 years (±7.08), 55.5% of whom were gender masculine. All patients completed the rehabilitation nursing program, and no adverse events associated with it were identified. The functional capacity in the pre (TM6m) was 354.82 meters, with a gain of 21.68 meters in the follow-up. Regarding respiratory capacity, the inspiratory volume increased 45.45ml compared to the preoperative period and peak of expiratory flow, recovered 94.75% of the value in the follow-up. The diagnosis of activity intolerance was resolved, and the Level of capacity for activities of daily living was not influenced by the surgical process or tumor disease. There was an increase in perceived quality of life throughout the intervention, with overall satisfaction with rehabilitation nursing care being very positive. Conclusion: The pre- and postoperative rehabilitation nursing program is viable and without adverse events in the person undergoing tumor lung resection, positively impacting functional and respiratory recovery, activity tolerance and therapeutic self-care capacity, thus increasing the quality of person's life.
Descrição
Palavras-chave
Neoplasia pulmonar Cirurgia torácica Enfermagem em reabilitação Capacidade funcional Qualidade de vida