ABSTRACT
Objetivo: estimar a prevalência de Aleitamento Materno Exclusivo (AME) entre gemelares pré-termos e investigar o efeito de nascer gemelar e pré-termo no AME na alta hospitalar. Método: coorte prospectiva de recém-nascidos em uma instituição localizada no Rio de Janeiro, no período de 13 de março de 2017 a 12 de outubro de 2018. Dados coletados em questionário e prontuário médico. Foi utilizado DAG para construção do modelo conceitual, análise exploratória dos dados e regressão logística múltipla. Resultados: a prevalência de AME na alta hospitalar de gemelares pré-termos foi de 47,8%. Pré-termos apresentaram maior chance de não estarem em AME na alta hospitalar. Não gemelares apresentaram maior chance de não estarem em AME na alta hospitalar. Conclusão: pouco mais da metade dos gemelares pré-termo não estavam em AME na alta hospitalar. Prematuros tiveram maior chance de não estarem em AME. Não gemelares pré-termo apresentaram maior chance de não estarem em AME.
Objective: to estimate the prevalence of Exclusive Breastfeeding (EBF) in preterm twins and to investigate the effect of twin and preterm birth on EBF at hospital discharge. Method: prospective cohort of newborns in an institution located in Rio de Janeiro, from March 13, 2017, to October 12, 2018. Data collected through a questionnaire and medical records. A DAG was used to build the conceptual model, exploratory data analysis and multiple logistic regression. Results: prevalence of EBF at hospital discharge of preterm twins of 47.8%. Preterm infants were more likely to not be on EBF at hospital discharge. Non-twins were more likely to not be on EBF at hospital discharge. Conclusion: just over half of preterm twins were not on EBF at hospital discharge. Preterm infants had a greater chance of not being on EBF. Preterm non-twins were more likely to not be on EBF.
Objetivo: estimar la prevalencia de Lactancia Materna Exclusiva (LME) entre gemelos prematuros y investigar el efecto de nacer gemelo y prematuro en la LME al momento del alta hospitalaria. Método: cohorte prospectiva de recién nacidos en una institución ubicada en Rio de Janeiro, entre 13//marzo/2017 y 12/octubre/2018. Los datos se recolectaron mediante cuestionario y expediente médico. Se utilizó DAG para la construcción del modelo conceptual, análisis exploratorio de los datos y regresión logística múltiple. Resultados: la prevalencia de LME en el alta hospitalaria de gemelos prematuros fue del 47,8%. Los prematuros tuvieron mayor probabilidad de no estar en LME en el alta hospitalaria. Los no gemelares tuvieron mayor probabilidad de no estar en LME en el alta hospitalaria. Conclusión: poco más de la mitad de los gemelos prematuros no estaban en LME en el alta hospitalaria. Los prematuros tuvieron mayor probabilidad de no estar en LME. Los no gemelos prematuros presentaron mayor probabilidad de no estar en LME.
ABSTRACT
Objetivo: O objetivo desse trabalho é descrever a sistematização do preparo a alta à pessoa adulta com agravos clínicos e cirúrgicos. Metodologia: Trata-se de um relato de experiência através da aplicação da Sistematização da Assistência de Enfermagem (SAE), voltado para pessoas com alta no contexto hospitalar. Resultados e discussão: Foi aplicado a teoria da adaptação nas seis fases da Teoria de Calista Roy e foi elaborado diagnósticos de enfermagem para os quatro modos de adaptação: fisiológico, interdependência, autoconceito e função de papel. Considerações finais: Ao aplicar a SAE no indivíduo com alta hospitalar a equipe multidisciplinar deve realizá-lo em todas as suas etapas, e utilizar os protocolos para oferecer um cuidado holístico e integral, visando a promoção da saúde, prevenção de risco potencial e adaptação diante das necessidades em saúde.(AU)
Objective: The aim of this study is to describe the systematization of discharge preparation for adults with clinical and surgical conditions. Methodology: This is an experience report on the application of the Systematization of Nursing Care (SNC) to people being discharged from hospital. Results and discussion: The theory of adaptation was applied in the six phases of Calista Roy's theory and nursing diagnoses were drawn up for the four modes of adaptation: physiological, interdependence, self-concept and role function. Final considerations: When applying the SNC to individuals discharged from hospital, the multidisciplinary team must carry it out in all its stages, and use the protocols to offer holistic and comprehensive care, with a view to promoting health, preventing potential risks and adapting to health needs.(AU)
Objetivo: El objetivo de este estudio es describir la sistematización de la preparación al alta de adultos con patologías clínicas y quirúrgicas. Metodología: Se trata de un informe de experiencia sobre la aplicación de la Sistematización de los Cuidados de Enfermería (SNC) a personas en proceso de alta hospitalaria. Resultados y discusión: Se aplicó la teoría de la adaptación en las seis fases de la teoría de Calista Roy y se elaboraron diagnósticos de enfermería para los cuatro modos de adaptación: fisiológica, interdependencia, autoconcepto y función de rol. Consideraciones finales: Al aplicar el SNC a las personas con alta hospitalaria, el equipo multidisciplinar debe llevarlo a cabo en todas sus fases, y utilizar los protocolos para ofrecer una atención holística e integral, dirigida a la promoción de la salud, la prevención de riesgos potenciales y la adaptación a las necesidades de salud.(AU)
Subject(s)
Patient Care Team , Patient Discharge , Family , EmpathyABSTRACT
Introducción: La hiperémesis gravídica (HG) se caracteriza por más de 3 episodios diarios de vómitos persistentes y baja de peso. Frente a un puntaje PUQE mayor a 12 requerirá manejo intrahospitalario. El objetivo de esta investigación es calcular la tasa de egreso hospitalario (TEH) por HG, en el periodo 2018 a 2021 en Chile. Metodología: Estudio observacional, descriptivo. Sobre egresos hospitalarios por HG entre los años 2018-2021 en Chile (n=4.515) según grupo etario y días de estadía, datos del Departamento de Estadística e Información de Salud. Se calculó TEH, No se requirió comité de ética. Resultados: La TEH para el periodo seleccionado fue de 16,93/100.000 habitantes, con una disminución a través de los años de estudio, siendo el menor el año 2020 con 14,11/100.000 habitantes mujeres. El grupo etario con mayor TEH fue el de 20-44 años con 30,8. El promedio de estadía hospitalaria fue de 3,65 días. Discusión: La disminución de hospitalizaciones el año 2020 puede deberse a la pandemia por COVID-19, en la que se reporta una disminución de hospitalizaciones en patologías no respiratorias. Con respecto al grupo etario con mayor TEH, puede deberse a que se trata del periodo fértil de las mujeres, generando más embarazos y casos de HG a diferencia de las edades extremas de este estudio. No hay diferencia significativa en días de estadía hospitalaria según grupo etario. Conclusión: Es importante estudiar y educar sobre esta patología para su prevención y continuar disminuyendo posibles hospitalizaciones y complicaciones por HG.
Introduction: Hyperemesis gravidarum is characterized by more than 3 daily episodes of persistent vomiting and weight loss. Patients with a PUQE score more than 12 points will require intrahospital treatment. The objective of this study is to calculate the Hyperemesis gravidarum hospital discharge rate during the years 2018 to 2021 in Chile. Methodology: It is an observational-descriptive study about Hyperemesis gravidarum hospital discharge rate during the years 2018 to 2021 in Chile (n=4.515) according to age rate and days of hospital stay, the data was taken from Departamento de Estadística e Información de Salud. The Ethics Committee was not needed. Results: The hospital discharge rate during the selected period was 16,93/100.000 habitants, decreasing through the years, being the year 2020 the one with the lower rate 14,11/100.000 women, the age group with the highest rate was 20 - 44 years with 30,8. The average of hospital stay was 3,65 days. Discussion: The decrease in the number of hospitalizations during 2020 may be due to the COVID-19 pandemic in which it was reported a decrease of hospitalization in non respiratory pathologies. According to the age group with the highest rate it may be explain because it is the fertile period of women, causing more number of pregnancy and cases of Hyperemesis gravidarum, unlike the other grupo of ages There is no significant difference in days of hospital stay according to age group Conclusion: It is important to study and educate about this pathology for its prevention and to continue reducing HG hospitalizations and complications.
Subject(s)
Humans , Female , Child , Adolescent , Adult , Middle Aged , Young Adult , Hospitalization/statistics & numerical data , Hyperemesis Gravidarum/epidemiology , Chile/epidemiologyABSTRACT
Abstract Introduction Coronary artery bypass grafting (CABG) surgery is associated with a decline in ventilatory muscle strength and lung function. Inspiratory muscle training (IMT) based on anaerobic threshold (AT) has been used to minimize the impact of CABG on these parameters, but the long-term impact is unknown. Objective To test the hypothesis that AT-based IMT improves inspiratory muscle strength and lung function even six months after CABG. Methods This is a randomized controlled clinical trial. In the preoperative period, maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), vital capacity (VC) and peak expiratory flow (PEF) rate were assessed. On the first postoperative day, patients were randomized into two groups: AT-based IMT (IMT-AT) (n=21) where the load was prescribed based on glycemic threshold and conventional IMT (IMT-C) (n=21), with load of 40% of MIP. Patients were trained during hospitalization until the day of discharge and were assessed at discharge and six months later. For within-group comparison, paired Student's t-test or Wilcoxon test was used, and independent Student's t-test or the Mann-Whitney test was used to analyze the different time points. A p<0.05 was considered significant. Results At six months after CABG surgery, statistical difference was found between the IMT-AT and the IMT-C groups in MIP (difference between the means of -5cmH2; 95% CI=- 8.21to-1.79) and VC (difference between the means of -2ml/kg;95%CI=-3.87to-0.13). No difference was found between groups in the other variables analyzed. Conclusion IMT-AT promoted greater recovery of inspiratory muscle strength and VC after six months of CABG when compared to conventional training.
ABSTRACT
Objetivo: analisar o conhecimento da equipe de enfermagem no preparo para alta hospitalar de crianças dependentes de tecnologias. Métodos: Trata-se de uma pesquisa de caráter descritivo e exploratório com abordagem qualitativa, realizado a partir do ponto de vista de profissionais de enfermagem atuam na clínica pediátrica de um Hos- pital Universitário, localizado no estado da Paraíba, Brasil. Resultados: As participantes eram todas do sexo feminino, sendo elas quatro enfermeiras e quatro técnicas de enfer- magem. Os dados foram organizados em categorias temáticas de acordo com Minayo. Elegeram-se duas categorias: conhecimento da equipe de enfermagem sobre a alta hospi- talar segura de crianças dependentes de tecnologias e ações de enfermagem na promoção à alta hospitalar segura de crianças dependentes de tecnologias. Conclusão: A inexistência de um fluxo ou protocolo assistencial dificulta o processo de orientações dos familiares no retorno ao domicílio, impossibilitando a capacitação adequada para a realização do cuidado.
Objective: to analyze the knowledge of the nursing team in preparation for hospital discharge of technology-dependent children. Methods: This is a descriptive and exploratory research with a qualitative approach, carried out from the point of view of nursing professionals working in the pediatric clinic of a University Hospital, located in the state of Paraíba, Brazil. Results: The participants were all female, four nurses and four nursing technicians. Data were organized into thematic categories according to Minayo. Two categories were chosen: knowledge of the nursing team about the safe hospital discharge of technology-dependent children and nursing actions to promote safe hospital discharge of technology-dependent children. Conclusion: The lack of a care flow or protocol makes it difficult for family members to guide them back home, making it impossible to provide adequate training to provide care.
Objetivo: analizar el conocimiento del equipo de enfermería en la preparación para el alta hospitalaria de niños dependientes de tecnología. Métodos: Se trata de una investigación descriptiva y exploratoria con enfoque cualitativo, realizada desde el punto de vista de los profesionales de enfermería que actúan en la clínica pediátrica de un Hospital Universitario, ubicado en el estado de Paraíba, Brasil. Resultados: Los participantes fueron todos del sexo femenino, cuatro enfermeros y cuatro técnicos de enfermería. Los datos fueron organizados en categorías temáticas según Minayo. Fueron elegidas dos categorías: conocimiento del equipo de enfermería sobre el alta hospitalaria segura de niños dependientes de tecnología y acciones de enfermería para promover el alta hospitalaria segura de niños dependientes de tecnología. Conclusión: La falta de un flujo o protocolo de atención dificulta que los familiares los guíen de regreso a casa, imposibilitando la capacitación adecuada para brindar el cuidado.
ABSTRACT
Abstract Introduction The incidence of stroke in adults has increased in recent years, and individuals who survive often have one or more motor and cognitive deficits. In Brazil, the Unified Health System (SUS) faces difficulties in reabsorbing the entire population that needs physiotherapy after hospital discharge. In addition, the distance to rehabilitation units in Rio de Janeiro can be far, making it impossible for some patients to receive the treatment they need. Objective To create a complementary mobile application for adults with unilateral motor deficits and to evaluate its content through expert judges. Methods Applied research for the construction of a mobile app with the prototyping method by Pressman. Steps: 1) literature review; 2) development of the technological framework; 3) construction of the content; and 4) construction of a prototype. The app content was evaluated using the e-Delphi Method for peer review using a Likert-type questionnaire on the Google Forms platform. Results The application was developed and designed to run on the Android operating system. Three rounds were carried out to evaluate the app's content. The final average of the content validity index (CVI) of all content items was 0.85, reaching the minimum agreement of 0.80, suggested by authors. Conclusion The content of a mobile app for adults with unilateral post-stroke motor deficits was developed and approved, and its content was evaluated by expert judges. We believe that this app can contribute to the promotion of physical rehabilitation in people with unilateral motor deficits after hospital discharge.
Resumo Introdução A incidência do acidente vascular cerebral (AVC) em adultos tem aumentado nos últimos anos e os indivíduos sobreviventes apresentam frequentemente um ou mais déficits motores e cognitivos. O Sistema Único de Saúde enfrenta dificuldades em reabsorver toda a população que necessita de fisioterapia após a alta hospitalar. Além disso, a distância entre as unidades de reabilitação no Rio de Janeiro impossibilita que alguns pacientes realizem o tratamento necessário. Objetivo Criar um aplicativo móvel complementar para adultos com déficits motores dimidiados e avaliar seu conteúdo através de juízes-especialistas. Métodos Pesquisa aplicada para a construção de um aplicativo móvel com método de prototipação por Pressman. Etapas: 1) revisão da literatura; 2) desenvolvimento do arcabouço tecnológico; 3) construção do conteúdo; 4) construção de um protótipo. Avaliou-se o conteúdo do aplicativo pelo método e-Delphi para avaliação por pares através de um questionário do tipo Likert na plataforma Google Forms. Resultados O aplicativo foi desenvolvido e projetado para rodar no sistema operacional Android. Foram realizadas três rodadas para a avaliação do conteúdo do aplicativo. A média final do índice de validade de conteúdo (IVC) de todos os itens do conteúdo foi de 0,85, atingindo a concordância mínima de 0,80 sugerida por autores. Conclusão Foi desenvolvido e aprovado o conteúdo de um aplicativo móvel para adultos com déficits motores dimidiados pós-AVC e realizada a ava-liação de seu conteúdo através de juízes-especialistas. Espera-se que o aplicativo possa contribuir para a promoção da reabilitação física de pessoas com déficits motores dimidiados após alta hospitalar.
ABSTRACT
Resumo Objetivo descrever as atividades dos enfermeiros na transição do cuidado à puérpera da atenção hospitalar para os demais serviços da Rede de Atenção à Saúde. Método pesquisa exploratório-descritiva, desenvolvida no alojamento conjunto de um hospital universitário federal na região Sul do Brasil. Os dados foram coletados remotamente, entre novembro e dezembro de 2020, por meio de um questionário semiestruturado via plataforma eletrônica SurveyMonkey com cinco enfermeiros e quatro enfermeiros residentes. A análise seguiu a estrutura de conteúdo de Bardin, com apoio do software Qualitativa Data Analysis Miner. Resultados as atividades desenvolvidas pelos enfermeiros na transição do cuidado à puérpera incluíram as orientações de alta e ações educativas às puérperas. Elementos como a falta de comunicação entre os profissionais do alojamento conjunto e dos demais serviços da Rede de Atenção à Saúde e a sobrecarga de trabalho dos enfermeiros foram considerados barreiras para a transição do cuidado à puérpera. Conclusão e implicações para a prática apesar de os enfermeiros empreenderem esforços na transição do cuidado à puérpera por meio de orientações e educação para a alta, é essencial o delineamento de estratégias gerenciais, a fim de implementar um conjunto de ações sistematizadas para assegurar a continuidade do cuidado à puérpera.
Resumen Objetivo describir las actividades de los enfermeros en la transición de la atención hospitalaria a los demás servicios de la Red de Atención a la Salud de la puérpera. Método investigación exploratoria-descriptiva, desarrollada en el alojamiento conjunto de un hospital universitario federal en la región sur de Brasil. Los datos se recolectaron de forma remota, entre noviembre y diciembre de 2020, a través de un cuestionario semiestructurado a través de la plataforma electrónica SurveyMonkey con cinco enfermeras y cuatro enfermeras residentes. El análisis siguió la estructura de contenido de Bardin, con el apoyo del software Qualitative Data AnalysisMiner. Resultados las actividades realizadas por los enfermeros en la transición del cuidado a la puérpera incluyeron orientaciones de alta y acciones educativas para la puérpera. Elementos como la falta de comunicación entre los profesionales del alojamiento conjunto y otros servicios de la Red de Atención a la Salud y la carga de trabajo de los enfermeros fueron considerados barreras para la transición del cuidado a la puérpera. Conclusión e implicaciones para la práctica si bien los enfermeros realizan esfuerzos en la transición del cuidado a la puérpera a través de la orientación y educación para el alta, es fundamental delinear estrategias de gestión para implementar un conjunto de acciones sistematizadas para garantizar la continuidad del cuidado posparto.
Abstract Objective to describe nurses' activities in transition of care for puerperal women from hospital care to other services in the health care network. Method exploratory-descriptive research, developed in the rooming-in of a federal university hospital in southern Brazil. Data were collected remotely, between November and December 2020, through a semi-structured questionnaire via the SurveyMonkey electronic platform with five nurses and four resident nurses. Analysis followed Bardin's content structure with the support of Qualitative Data Analysis Miner software. Results the activities carried out by nurses in transition of care for puerperal women included discharge guidelines and educational actions for puerperal women. Elements such as lack of communication between rooming-in professionals and other services in the Health Care Network and nurses' workload were considered barriers to transition of care to puerperal women. Conclusion and implications for practice although nurses undertake efforts in transition of care to puerperal women through guidance and education for discharge, it is essential to outline management strategies in order to implement a set of systematized actions to ensure continuity of care for puerperal women.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Primary Health Care , Health Education , Postpartum Period , Maternal-Child Health Services , Transitional Care , Qualitative Research , NursesABSTRACT
Estudo qualitativo que analisou aspectos envolvidos no preparo para alta hospitalar de crianças com doenças crônicas que influenciam o cuidado no domicílio. Dados das entrevistas de 25 famílias foram interpretados segundo análise temática indutiva e referenciais freirianos. Identificaram-se aspectos do processo de hospitalização, como engajamento e postura dos profissionais no encontro com os familiares e atitude da família frente ao saber dos profissionais; da família, como tempo de diagnóstico da doença, conhecimento construído na hospitalização, literacia em saúde familiar, atitude para superar o medo inicial e envolvimento da criança no autocuidado; e da rede social familiar, que influenciaram a (re)moldagem do cuidado domiciliar. Compreende-se a necessidade de superar a visão bancária no preparo para alta hospitalar, para a família desenvolver seu potencial e transformar a realidade dos cuidados domiciliares dessas crianças.(AU)
This qualitative study analyzed aspects influencing home care involved in preparing for the discharge of children with chronic diseases from hospital. Data from interviews with 25 families were interpreted using inductive thematic analysis and a Freirean frame of reference. We identified aspects of the hospitalization process (staff engagement and posture with family members, family attitudes towards health professionals' knowledge) and the family (length of time to diagnosis, knowledge gained during hospitalization, family health literacy, attitudes to overcoming initial fear, and child involvement in self-care and his/her social network, which influence (re)shaping of home care). The findings reveal the need to overcome the "banking" vision in preparing for hospital discharge so that families can develop their potential and transform the reality of home care for these children.(AU)
Estudio cualitativo que analizó aspectos envueltos en la preparación para el alta hospitalaria de niños con enfermedades crónicas que influyen en el cuidado en el domicilio. Se interpretaron datos de las entrevistas con 25 familias según análisis temático inductivo y referenciales freirianos. Se identificaron los aspectos del proceso de hospitalización: el compromiso y la postura de los profesionales en el encuentro con los familiares y la actitud de la familia ante el saber de los profesionales; de la familia: tiempo de diagnóstico de la enfermedad, conocimiento construido en la hospitalización, alfabetización en salud familiar, actitud para superar el miedo inicial y el envolvimiento del niño en el autocuidado; así como de su red social que influyeron en el (re)moldeado del cuidado familiar. Se comprende la necesidad de superar la visión bancaria en la preparación para el alta hospitalaria, para que la familia desarrolle su potencial y transforme la realidad de los cuidados en domicilio de esos niños.(AU)
Subject(s)
Humans , Infant , Child , Patient Discharge , Chronic Disease , Home Nursing , HospitalizationABSTRACT
Introducción: El Síndrome Hipertensivo del Embarazo (SHE) es el conjunto de condiciones patológicas derivadas del alza de presión arterial mantenida originadas antes y/o durante el curso de un embarazo. En ocasiones requiere tratamiento hospitalario. El objetivo del estudio es determinar la tasa de egreso hospitalario (TEH) por complicaciones del SHE durante el 2018-2021 en Chile. Materiales y métodos: Estudio descriptivo tipo transversal de las complicaciones por SHE en el periodo 2018-2921 en Chile según grupo etario y días de estadía hospitalaria (n=12.006). Datos obtenidos del departamento de estadística e información en salud. Se calculó TEH. No requirió aprobación del comité de ética. Resultados: La Preeclampsia tuvo más TEH con 61,48 por cada 100.000 habitantes, afectó más a mujeres de 20 a 44 años con 74.03 por 100.000 habitantes. Las complicaciones del SHE reportaron un promedio de 6,4 días de hospitalización. El Síndrome de HELLP registró más días de hospitalización con 7,2 días. Discusión: El envejecimiento poblacional, la migración, el sobrepeso-obesidad podrían influir en mayores TRH por preeclampsia. Se reportó mayores TEH de preeclampsia en mujeres de 20 a 44 años. Esto se debe posiblemente por factores cardiovasculares, maternidad tardía y la hipertensión crónica. El Síndrome de HELLP implica peor pronóstico y reportó mayores días hospitalización debido al manejo médico. Discusión: Hay escasas estadísticas nacionales sobre TEH en relación a SHE. La edad, el riesgo cardiovascular y fenómenos epidemiológicos ofrecen posibles líneas investigativas. Más estudios son requeridos para dilucidar los factores que desencadenan sus complicaciones.
Introduction: The Hypertensive Syndrome of Pregnancy (SHE) is the set of pathological conditions derived from the increase in sustained blood pressure originating before and/or during the course of a pregnancy. Sometimes it requires hospital treatment. The objective of the study is to determine the rate of hospital discharge (TEH) due to complications of EHS during 2018-2021 in Chile. Materials and Methods: Descriptive transversal type of study about the complications of hypertensive pregnancy syndrome during the period from 2018 to 2021 according to age range and number of days in the hospital (n=12.006). Data obtained from the health statistics and information department, which did not require approval of the ethics committee. Results: PE had a higher TEH with 61.48 out of 100,000 people, affecting more women aged 20 to 44 years with 74.03 per 100,000 inhabitants. Complications of hypertensive pregnancy syndrome reported an average of 6.4 hospitalization days. The HELLP syndrome had more days with a quantity of 7.2. Discussion: Population aging, migration, and overweight-obesity might influence the increase in TEH/PE. Higher TEH of PE was reported in women aged 20 to 44 years, possibly due to cardiovascular factors, late maternity, and chronic hypertension. The HELLP syndrome implies a worse prognosis and reported more days at the hospital due to medical treatment. Conclusion: There are few national statistics on TEH in relation to SHE. Age, cardiovascular risk, and epidemiological phenomena offer possible lines of investigation. More studies are required to elucidate the factors that trigger its complications.
Subject(s)
Humans , Female , Pregnancy , Adult , Young Adult , Pre-Eclampsia/epidemiology , Hypertension, Pregnancy-Induced/epidemiology , Hospitalization/statistics & numerical data , Chile/epidemiology , Epidemiology, Descriptive , Hypertension/epidemiologyABSTRACT
Objective:To explore the factors influencing the quality of life in patients with Crohn′s disease (CD) and their correlation with readiness for hospital discharge and mindful attention awareness.Methods:From January 20, 2016 to May 20, 2021, 216 patients with CD hospitalized in the Department of Gastroenterology, Qilu Hospital of Shandong University (Qingdao) were selected. Self-designed general information questionnaire, inflammatory bowel disease questionnaire (IBDQ), readiness for hospital discharge scale (RHDS), mindful attention awareness scale (MAAS), hospital anxiety and depression scale and Pittsburgh sleep quality index (PSQI) were used to conduct questionnaire surveys in patients. Factors influencing the quality of life of CD patients were analyzed. Mann-Whitney U test and independent sample t test were used for the comparison between two groups; Kruskal-Wallis H test and one-way analysis of variance were used for comparison between multiple groups; Pearson analysis was used for correlation analysis, and multiple linear regression method was used for multivariate analysis. Results:The results of univariate analysis showed that the quality of life was poor in CD patients with spouse, primary school education or below, living in cities, sleep disorders, anxiety, depression, and severe activity. The total IBDQ scores were lower than those with no spouse, junior high school to senior high school and above, living in villages and towns, no sleep disorders, no anxiety, no depression, and in remission and mild to moderate activity (46.23±29.77 vs. 117.45±42.23; 11.00 (6.25, 30.75) vs. 79.00 (56.00, 113.00) and 114.00 (72.50, 157.50); 37.12±30.67 vs. 69.43±24.78 and 126.76±41.54; 42.67±23.18 vs. 124.58±36.52; 50.35±27.23 vs. 122.42±42.41; 51.97±37.29 vs. 113.96±44.18; 11.00 (6.75, 18.00) vs. 154.00 (135.50, 164.50), 97.00(79.00, 112.00) and 49.00(36.75, 62.25)), and the differences were statistically significant ( t=-14.40, H=60.56, F=117.61, t=-20.17, -15.20 and -10.87, and H=148.98; all P<0.001). The results of correlation analysis showed that the RHDS score was positively correlated with the scores of each dimension and total scores of IBDQ ( r=0.646 to 0.781, all P<0.001); the MAAS score was positively correlated with the scores of each dimension and total scores of IBDQ ( r=0.331 to 0.382, all P<0.001). The results of multiple linear regression analysis demonstrated that readiness for hospital discharge, level of mindful attention awareness, education level, place of residence, sleep disorders, whether with anxiety and disease activity were the influencing factors of the quality of life of CD patients ( t=4.19, 5.38, 2.36, 2.88, 2.85, 3.11 and -7.22, all P<0.05). Conclusions:The quality of life is poor in CD patients with primary school education or below, live in cities, sleep disorders, anxiety, severe activity, low readiness for hospital discharge and low level of mindful attention awareness. Doctors and nurses should pay attention to these patients and improve their quality of life.
ABSTRACT
Introducción. La insuficiencia cardíaca (IC) es una enfermedad con alta incidencia, prevalencia y mortalidad. Es primera causa de hospitalización en mayores de 65 años y 25% de los pacientes que reingresan antes de 30 días. La implementación de varios planes de transición al alta han mostrado beneficios respecto a los reingresos, no habiendo datos al respecto en Uruguay. Se diseñó un estudio para analizar el efecto de un Plan de Alta Programada sobre los reingresos en pacientes internados con IC en un Hospital. Material y métodos. Estudio prospectivo, controlado y randomizado, incluyendo pacientes ingresados en servicios de medicina del Hospital de Clínicas Dr. Manuel Quintela con diagnóstico de IC. Criterios de exclusión: negativa a participar, discapacidad cognitiva, hospitalización d"24 horas o muerte en internación. Se randomizaron dos grupos (intervención y control) con seguimiento a 18 meses. En el grupo intervención se aplicó un plan de alta programada y en el grupo control el criterio de médico tratante. Se registraron reingresos, muerte y calidad de vida a los 3, 6, 9, 12 y 18 meses. Se consideró significativo un valor de p<0,05. Se utilizó la prueba de T- student para muestras independientes. Resultados. Se incluyeron 149 pacientes, 78 en el grupo intervención. Se registraron 19 (24,4%) reingresos en el grupo intervención y 38 (53,5%) en el grupo control (RR 1,85 [IC 1,337-2,583] p<0,05). Ocurrieron 6 muertes en el grupo intervención y 7 en el grupo control (RR: 1,024 [IC 0,926-1,32] p=0,640). La calidad de vida por Test de Minnesota fue 50,98; 49,71 y 49,07 en el grupo intervención a los 3, 6 y 18 meses, respectivamente, y 55,04; 55,32 y 54,91 en el grupo control, con un valor de p no significativo. Conclusiones. La implementación de un Plan de Alta Programada reduce de manera significativa los reingresos por IC. Dado que parece ser una herramienta costo/efectiva para el sistema de salud la misma podría tener un impacto beneficioso en la calidad asistencial del paciente con IC.
Background. Heart failure (HF) is a disease with a high incidence, prevalence and mortality. It is the first cause of hospitalization in people over 65 years and 25% of patients are readmitted within 30 days. The implementation of various discharge transition plans has shown benefits with respect to readmissions, and there is no data in this regard in Uruguay. A study was designed to analyze the effect of a Scheduled Discharge Plan on readmissions in hospitalized patients with HF. Material and methods. Prospective, controlled and randomized study, including patients admitted to the medical services of the Hospital de Clínicas Dr. Manuel Quintela with a diagnosis of HF. Exclusion criteria: refusal to participate, cognitive disability, hospitalization d"24 hours or death in hospital. Two groups (intervention and control) were randomized with 18-month follow-up. In the intervention group, a planned discharge plan was applied and the criterion of treating physician was applied in control. Readmissions, death and quality of life were recorded at 3, 6, 9, 12 and 18 months. A value of p <0.05 was considered significant. The student s T-test was used for independent samples. Results. 149 patients were included, 78 in the intervention group. There were 19 (24.4%) readmissions in the intervention group and 38 (53.5%) in the control group (RR 1.85 [CI 1.337-2.583] p <0.05). There were 6 deaths in the intervention group and 7 in the control group, (RR: 1,024 [CI 0.926-1.32] p = 0.640). The quality of life by Minnesota Test was 50.98; 49.71 and 49.07 in intervention at 3, 6 and 18 months respectively and 55.04; 55.32 and 54.91 in the control group, with a non-significant p value. Conclusions. The implementation of a Scheduled Discharge Plan significantly reduces readmissions for HF. Given that it appears to be a cost/effective tool for the health system, it could have a beneficial impact on the quality of care for patients with HF.
Introdução. A insuficiência cardíaca (IC) é uma doença com alta incidência, prevalência e mortalidade. É a primeira causa de hospitalização em pessoas com mais de 65 anos e 25% dos pacientes são readmitidos em 30 dias. A implementação de vários planos de transição de alta mostrou benefícios no que diz respeito às readmissões, e não há dados a esse respeito no Uruguai. Um estudo foi desenhado para analisar o efeito de um Plano de Alta Planejado nas readmissões em pacientes hospitalizados com IC. Material e métodos. Estudo prospectivo, controlado e randomizado, incluindo pacientes internados nos serviços médicos do Hospital de Clínicas Dr. Manuel Quintela com diagnóstico de IC. Critérios de exclusão: recusa em participar, deficiência cognitiva, internação d"24 horas ou óbito no hospital. Dois grupos foram randomizados (intervenção e controle) com seguimento de 18 meses. No grupo de intervenção, um plano de alta planejado foi aplicado e o critério de médico assistente foi aplicado no controle. Readmissões, óbito e qualidade de vida foram registrados aos 3, 6, 9, 12 e 18 meses. Um valor de p<0,05 foi considerado significativo. O teste T do aluno foi usado para amostras independentes. Resultados. Foram incluídos 149 pacientes, 78 no grupo de intervenção. Houve 19 (24,4%) readmissões no grupo de intervenção e 38 (53,5%) no grupo de controle (RR 1,85 [IC 1,337-2,583] p <0,05). Houve 6 mortes no grupo de intervenção e 7 no grupo controle, (RR: 1,024 [IC 0,926-1,32] p=0,640). A qualidade de vida pelo teste de Minnesotafoi de 50,98; 49,71 e 49,07 na intervenção em 3, 6 e 18 meses, respectivamente, e 55,04; 55,32 e 54,91 no grupo controle, com um valor de p não significativo. Conclusões. A implementação de um Plano de Descarga Planejado reduz significativamente as readmissões para IC. Visto que parece ser uma ferramenta econômica para o sistema de saúde, pode ter um impacto benéfico na qualidade do atendimento aos pacientes com IC.
Subject(s)
Humans , Male , Female , Aged , Patient Readmission/statistics & numerical data , Health Planning , Heart Failure/therapy , Patient Discharge , Quality of Life , Uruguay/epidemiology , Prospective StudiesABSTRACT
O objetivo da pesquisa é compreender a atuação do Assistente Social na alta hospitalar do Hospital Universitário Regional dos Campos Gerais (HURCG). O estudo é exploratório e de natureza qualitativa, sendo utilizados o formulário de dados e o grupo focal como procedimentos metodológicos de coleta de dados e, para interpretar os dados adquiridos no grupo focal, a análise de conteúdo temática. Constatou-se que a atuação do Assistente Social no HURCG perpassa os casos emergenciais e os complexos, sendo o vínculo de confiança e a resolutividade dos problemas os fatores determinantes na relação dos Assistentes Sociais com outros profissionais e com os pacientes na alta hospitalar no HURCG. O Assistente Social é considerado um dos profissionais essenciais no planejamento da alta hospitalar. Além disso, a articulação com a rede de atendimento e os princípios de humanização e integralidade no atendimento mostraram-se imprescindíveis nesse processo.
The research aims to understand the role of the Social Worker at the hospital discharge of the Hospital Universitário Regional dos Campos Gerais (HURCG). The study has an exploratory and qualitative nature. The data form and the focus group were used as methodological procedures for data collection. To interpret the data acquired in the focus group, thematic content analysis was used. It was verified that the role of the Social Worker in the HURCG pervades the emergency and complex cases and problem solving are the determining factors in the relationship between Social Workers and other professionals and patients on discharge from HURCG. It was noted that the Social Worker is considered as one of the essential professionals in planning hospital discharge. In addition, the articulation with the service network and the principles of humanization and integrality in care were essential in this process.
La investigación tiene como objetivo comprender la actuación del Asistente Social en el alta hospitalaria del Hospital Universitario Regional dos Campos Gerais (HURCG). El estudio posee un marco exploratorio y una naturaleza cualitativa. Como procedimientos metodológicos de recolección de datos se utilizaron el formulario de datos y el grupo focal. Para interpretar los datos adquiridos en el grupo focal se utilizó el análisis de contenido temático. Se constató que la actuación del Asistente Social en el HURCG atravesaba los casos de emergencia y los complejos, siendo el vínculo de confianza y la resolución de los problemas los factores determinantes en la relación de los asistentes sociales con otros profesionales y con los pacientes en el alta hospitalaria en el HURCG. Se notó que el Asistente Social es considerado como uno de los profesionales esenciales en la planificación del alta hospitalaria. Además, la articulación con la red de atención y los principios de humanización e integralidad en la atención se mostraron imprescindibles en ese proceso.
Subject(s)
Social Workers , Professional Practice Location , Comprehensive Health Care , Humanization of Assistance , Integrality in HealthABSTRACT
Resumo Objetivo identificar e analisar as ações de cuidado às crianças nascidas prematuras, após a alta hospitalar, realizadas pelos familiares e profissionais de saúde. Método revisão de escopo, desenvolvida em dezembro de 2019, segundo as orientações do Joanna Briggs Institute e do guia internacional PRISMAScR. Foram investigados estudos originais, publicados em inglês, espanhol ou português, de 2013 a 2019, nas bases CINAHAL, Medline, LILACS, Cochrane, Scopus, Web of Science. Os 21 artigos incluídos foram submetidos à análise direcionada de conteúdo apoiada pelo referencial das necessidades essenciais das crianças. Resultados predominaram ações para proteção física e segurança (20 artigos), comunidades estáveis e amparadoras (dez artigos), seguidas de relacionamentos sustentadores contínuos (seis artigos), experiências que respeitem as diferenças individuais (quatro artigos) e experiências adequadas ao desenvolvimento (dois artigos). Ações para o estabelecimento de limites, organização e expectativas não foram identificadas nos estudos. Conclusões e implicações para a prática as ações de cuidado contemplam, principalmente, a dimensão física. Ao considerar o cuidado integral e os achados desta revisão são necessários avanços nas ações para o atendimento de outras dimensões da vida dos prematuros como a emocional e a social.
Resumen Objetivo identificar y analizar las acciones de cuidado niño prematuro realizadas por familiares y profesionales de la salud después del alta hospitalaria. Método revisión de alcance, desarrollada en diciembre de 2019, según las directrices del Instituto Joanna Briggs y laguía internacional PRISMAScR. Se investigaron los estudios originales publicados en inglés, español o portugués de 2013 a 2019 en CINAHAL, Medline, LILACS, Cochrane, Scopus, Web of Science. Los 21 artículos incluidos se sometieron a un análisis de contenido específico apoyado por las necesidades esenciales de los niños. Resultados prevalecieron las acciones para la protección física y la seguridad (20 artículos) y las comunidades estables y solidarias (10 artículos), seguidas de relaciones de apoyo continuas (6 artículos), experiencias que respetan las diferencias individuales (4 artículos) y experiencias apropiadas para el desarrollo (2 artículos). En los estudios no se identificaron acciones para establecer límites, organización y expectativas. Conclusiones e implicaciones para lapráctica las acciones de cuidado incluyen, principalmente, ladimensión física. Al considerar la atención integral e los allazgos, es necesario avanzar para involucrar otras dimensiones de la vida del prematuro como la emocional y la social.
Abstract Objective to identify and analyze the actions taken by family and health professionals to care for children born prematurely after hospital discharge. Method a scoping review, developed in December 2019, according to the Joanna Briggs Institute guidelines and the international PRISMAScR guide. Original studies, published in English, Spanish or Portuguese from 2013 to 2019 in CINAHAL, Medline, LILACS, Cochrane, Scopus, Web of Science databases were investigated. The 21 included articles were submitted to directed content analysis supported by the framework of essential needs of children. Results actions for physical protection and safety (20 articles), stable and supportive communities (10 articles) n followed by ongoing supportive relationships (6 articles), experiences that respect individual differences (4 articles), and developmentally appropriate experiences (2 articles) predominated. Actions for boundary setting, organization, and expectations were not identified in the studies. Conclusions and implications for practice the care actions contemplate the physical dimension. Considering comprehensive care and the findings of this review, advances in actions are needed to adress other dimensions of preterm infant's life, such as emotional and social.
Subject(s)
Humans , Infant, Newborn , Patient Discharge , Infant, Premature , Child Care , Child Health , Child Development , CaregiversABSTRACT
OBJECTIVES: Returning to work after an episode of acute coronary syndrome (ACS) is challenging for many patients, and has both personal and social impacts. There are limited data regarding the working status in the very long-term after ACS. METHODS: We retrospectively analyzed 1,632 patients who were working prior to hospitalization for ACS in a quaternary hospital and were followed-up for up to 17 years. Adjusted models were developed to analyze the variables independently associated with actively working at the last contact, and a prognostic predictive index for not working at follow-up was developed. RESULTS: The following variables were significantly and independently associated with actively working at the last contact: age>median (hazard-ratio [HR], 0.76, p<0.001); male sex (HR, 1.52, p<0.001); government health insurance (HR, 1.36, p<0.001); history of angina (HR, 0.69, p<0.001) or myocardial infarction (MI) (HR, 0.76, p=0.005); smoking (HR, 0.81, p=0.015); ST-elevation MI (HR, 0.81, p=0.021); anterior-wall MI (HR, 0.75, p=0.001); non-primary percutaneous coronary intervention (PCI) (HR, 0.77, p=0.002); fibrinolysis (HR, 0.61, p<0.001); cardiogenic shock (HR, 0.60, p=0.023); statin (HR, 3.01, p<0.001), beta-blocker (HR, 1.26, p=0.020), angiotensin-converting enzyme (ACE) inhibitor/angiotensin II receptor blocker (ARB) (HR, 1.37, p=0.001) at hospital discharge; and MI at follow-up (HR, 0.72, p=0.001). The probability of not working at the last contact ranged from 24.2% for patients with no variables, up to 80% for patients with six or more variables. CONCLUSIONS: In patients discharged after ACS, prior and in-hospital clinical variables, as well as the quality of care at discharge, have a great impact on the long-term probability of actively working.
Subject(s)
Humans , Male , Acute Coronary Syndrome , Percutaneous Coronary Intervention , Angiotensin-Converting Enzyme Inhibitors , Retrospective Studies , Treatment Outcome , Angiotensin Receptor AntagonistsABSTRACT
Background@#Global guidelines from the World Health Organization on discharging patients diagnosed with COVID-19 changed in 2021 to a symptom-based rather than negative PCR-based approach. Studies have shown that shedding of viable virus continues for approximately eight days after symptom onset in most patients. In Vientiane, Laos, until now, patients diagnosed with asymptomatic or mild COVID-19 are hospitalised for 2 weeks and then, if they still test PCR positive for SARS-CoV-2, stay for a further week in a designated quarantine hotel before being discharged home.@*Objective@#The aim of this pilot study was to investigate the risk of transmission of SARS-CoV-2 to household contacts of discharged patients who are still PCR-positive following 2-3 weeks quarantine in Vientiane, Lao PDR.@*Methods@#Adult participants, who were resident in Vientiane Capital and who were about to be discharged from hospital (after 2 weeks hospitalisation), or from a quarantine hotel, following a further one-week quarantine, were screened to assess eligibility for the study. The household of each case was visited a maximum of 48 hours before or up to 24 hours after the participant was discharged and a nasopharyngeal swab was taken from all household members. Repeat nasopharyngeal swabs from cases and contacts were taken on day 7 and day 14 after discharge home of each case.@*Results@#Between 20th May 2021 and 27th August 2021, 55 cases and 84 contacts in 27 households were enrolled in the study. The median [range] age of all 139 included participants was 26.5 years [3 months to 83 years] and 83 (60%) were female. By household, the median [range] number of cases and contacts were 1 [1-6] and 3 [1-13] respectively. At discharge home 32/48 (67%) cases tested positive for SARS-CoV-2. By day 7-11 of 47 cases (23%) still tested positive for SARS-CoV-2 by PCR and by day 14 this number was 2/24 (8%). No contacts tested positive during follow up and the numbers tested at the time of discharge of the case, 7 days later and 2 weeks later were 56, 57 and 37 respectively. Loss to follow up at day 7 and day 14 ranged from 15-50% (participants not at home at the time of visits).@*Conclusion@#In this pilot study we found no evidence of onward transmission of SARS-CoV-2 to contacts of cases discharged home with a positive PCR result. This suggests the current discharge policy for mild to moderate COVID-19 case following 2 weeks in hospital in the Lao PDR is safe.
ABSTRACT
Resumen Introducción: La infección tardía es una posible complicación del implante de un esfínter urinario artificial (método más aceptado para tratar la incontinencia urinaria de esfuerzo secundaria a prostatectomía radical). Si sucede, debe retirarse la prótesis y colocar una sonda vesical hasta su reinserción meses más tarde. El paciente se convierte en portador domiciliario de sonda vesical, que puede adquirir una infección de tracto urinario por un mal cuidado. Objetivo: Desarrollar sesiones educativas para que un paciente adquiera destreza en el manejo de sonda vesical y consecuentemente, prevenir las infecciones asociadas. Desarrollo: Se presenta el caso de un varón de 80 años, portador de sonda vesical por retirada temporal de su esfínter urinario artificial. Al realizar la valoración de enfermería, se identifica el diagnóstico enfermero Conocimientos deficientes en relación con los cuidados del dispositivo. Posteriormente, se seleccionan los resultados esperados y se planifican las intervenciones educativas. Tras llevarlas a cabo identificamos que el paciente incrementó sus conocimientos sobre el manejo de la sonda vesical. Conclusiones: La educación sanitaria es una herramienta de prevención del riesgo de infección asociado al mantenimiento de la sonda vesical en el domicilio, ya que, si el paciente no es capaz de afrontar su autocuidado, el tratamiento pierde efectividad. Es imprescindible identificar las necesidades formativas de los pacientes, abordarlas mediante intervenciones educativas reforzadas con documentación escrita durante el ingreso, para proporcionar la información necesaria y fortalecer su comprensión, por lo que puede mejorar el nivel de autocuidado, así como prevenir complicaciones tras el alta hospitalaria.
Abstract Introduction: Late infection is a possible complication an artificial urinary sphincter´s implant the most accepted method to treat urinary incontinence secondary to radical prostatectomy. If this happens, the prosthesis must be removed, and a urinary catheter was placed. Then, the patient becomes a urinary catheter home carrier prone to acquire urinary tract infections as a result of carelessness. Objective: To develop educational interventions so that these patients acquire dexterity to manage the urinary catheter and thus, prevent the possible associated infections. Development: A case of an 80 years old male carrying a urinary catheter temporarily substituting an artificial urinary sphincter is addressed. The nursing diagnosis assessment is performed. The patient demonstrates Insufficient knowledge related to the management of the device. Educational interventions addressing the situation are planned. After the implementation of the strategy, the patient improves his knowledge of urinary catheter management. Conclusions: Health education is an infection risk prevention tool that can address the management of urinary catheters in-home patients, improving the effectiveness of the related treatments. It is essential to identify the needs of the patients and help address them through educational interventions to enhance self-care and prevent possible complications.
Resumo Introdução: A infeção tardia é uma possível complicação do implante de um esfíncter urinário artificial (método mais aceito para tratar a incontinência urinaria de esforço secundária a prostatectomia radical). Se acontecer, deve retirar-se a prótese e colocar uma sonda vesical até sua reinserção meses mais tarde. O paciente torna-se portador domiciliar de sonda vesical, podendo adquirir uma infeção de tracto urinário por um mal cuidado. Objetivo: Desenvolver sessões educativas para que um paciente adquira destreza no manejo de sonda vesical e consequentemente, prevenir as infecções associadas. Desenvolvimento: Presenta-se o caso de um homem de 80 anos, portador de sonda vesical por retirada temporal de seu esfíncter urinário artificial. Realiza-se a valoração de enfermagem, onde se identifica o diagnóstico de enfermagem Conhecimentos deficientes ao respeito dos cuidados do dispositivo. Posteriormente, selecionam-se os resultados esperados e planificam-se as intervenções educativas. Após levá-las a cabo, consegue-se que o paciente incremente seus conhecimentos sobre o manejo da sonda vesical. Conclusões: A educação sanitária é uma ferramenta de prevenção do risco de infeção associado à manutenção da sonda vesical na residência, já que, se o paciente não for capaz de afrontar seu autocuidado, o tratamento perde efetividade. É imprescindível identificar as necessidades formativas dos pacientes e combatê-las mediante intervenções educativas reforçadas com documentação escrita durante o ingresso, para proporcionar a informação necessária e reforçar sua compreensão, pelo que pode melhorar o nível de autocuidado e prevenir complicações após a alta hospitalar.
ABSTRACT
0bjective To investigate the status of readiness for hospital discharge of chronic renal failure patients undergoing arteriovenous fistula surgery and analyze its influencing factors. Methods A total of 229 diabetic patients who were discharged from the department of endocrinology were surveyed by the general data questionnaire, Readiness for Hospital Discharge Scale (RHDS), Quality of Discharge Teaching Scale (QDTS) and Social Support Rating S1cale (SSRS). Results The total score of RHDS was (157.20±19.39) points, and the items were equally (7.15±0.88) points. Education level, inhabiting pattern, discharge guidance skills and subjective support entered the readiness for hospital discharge regression equation of chronic renal failure patients undergoing arteriovenous, accounting for a total of 33.1% of all the variation. Conclusions The readiness for hospital discharge of chronic renal failure patients undergoing arteriovenous fistula surgery is intermediate level. Education level, inhabiting pattern, discharge guidance skills and subjective support could exert important influence on readiness for hospital discharge of chronic renal failure patients undergoing arteriovenous fistula surgery.
ABSTRACT
Objective@#To understand the readiness for hospital discharge of the day surgery patients of obstructive sleep apnea-hypopnea syndrome and analyze its influencing factors.@*Methods@#A total of 129 children with obstructive sleep apnea-hypopnea syndrome during the day surgery were investigated with a general data questionnaire and an adapted discharge preparation metric.@*Results@#The total score of the readiness for hospital discharge was 166.38±30.93. The scores of discharge in all dimensions from high to low were adaptive ability 8.35±1.80, expected support 8.17±1.70, knowledge status 7.35±2.10, and personal status 7.10±1.43. Multiple linear regression results showed that the difficulty of caring for children from parents had a significant effect on the readiness of children with obstructive sleep apnea hypopnea syndrome during day surgery (P<0.01).@*Conclusions@#The discharge readiness of children with obstructive sleep apnea-hypopnea syndrome during day surgery was at the upper-middle level, but their personal status was not good. Medical and nursing staff should pay attention to health guidance for parents of children with disease-related knowledge, do a good job of interpretation before discharge, help parents increase their confidence in caring for children after discharge, improve the level of preparation for discharge, and ensure the safety of children after discharge.
ABSTRACT
Objective To understand the readiness for hospital discharge of the day surgery patients of obstructive sleep apnea-hypopnea syndrome and analyze its influencing factors. Methods A total of 129 children with obstructive sleep apnea-hypopnea syndrome during the day surgery were investigated with a general data questionnaire and an adapted discharge preparation metric. Results The total score of the readiness for hospital discharge was 166.38±30.93. The scores of discharge in all dimensions from high to low were adaptive ability 8.35 ± 1.80, expected support 8.17 ± 1.70, knowledge status 7.35 ± 2.10, and personal status 7.10 ± 1.43. Multiple linear regression results showed that the difficulty of caring for children from parents had a significant effect on the readiness of children with obstructive sleep apnea hypopnea syndrome during day surgery (P<0.01). Conclusions The discharge readiness of children with obstructive sleep apnea-hypopnea syndrome during day surgery was at the upper-middle level, but their personal status was not good. Medical and nursing staff should pay attention to health guidance for parents of children with disease-related knowledge, do a good job of interpretation before discharge, help parents increase their confidence in caring for children after discharge, improve the level of preparation for discharge, and ensure the safety of children after discharge.
ABSTRACT
@#Objective To explore the current situation of the readiness for hospital discharge and the quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery, and to analyze their correlation. Methods We conducted a cross-sectional study and 141 postoperative patients with lung cancer in our hospital from July to August 2018 were investigated by general information questionnaire, readiness for hospital discharge scale and quality of discharge teaching scale. There were 65 males and 76 females at age of 18-85 (55.35±12.15) years. Results Totally 88.65% of postoperative patients with lung cancer reported that they were ready for discharge, and the total score of readiness for hospital discharge was 78.36±16.48, and the total score of quality of discharge teaching was 90.94±18.62. There was a positive correlation between the readiness for hospital discharge and the quality of discharge teaching in postoperative patients with lung cancer (r=0.57, P<0.01). Conclusion The readiness for hospital discharge of postoperative patients with lung cancer keeps in medium level, while the quality of discharge teaching is good, and the readiness for hospital discharge is positively correlated with the quality of discharge teaching. Medical staff should pay more attention to the cognitive level of lung cancer patients' disease-related information and their physical function recovery, and enrich the discharge guidance content, in order to improve the readiness of postoperative patients with lung cancer.