• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 1
  • Tagged with
  • 1
  • 1
  • 1
  • 1
  • 1
  • 1
  • 1
  • 1
  • 1
  • 1
  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

AvaliaÃÃo de orientaÃÃes sistematizadas de enfermagem no pÃs-operatÃrio de mulheres submetidas à mastectomia / Evaluation of nursing systematized orientation in the post-operatory of women submitted to mastectomy

Elizabeth Mesquita Melo 20 March 2007 (has links)
CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / Enfatiza-se a importÃncia do acompanhamento de enfermagem no pÃs-operatÃrio de mastectomia, visando à identificaÃÃo de problemas na busca da qualidade de vida da mulher e minimizaÃÃo de alteraÃÃes fÃsicas e psicolÃgicas, para sua melhor readaptaÃÃo ao ambiente social. O estudo teve como objetivo geral: avaliar a contribuiÃÃo da assistÃncia de enfermagem desenvolvida no pÃs-operatÃrio, para a readaptaÃÃo fÃsica, emocional e social da mulher mastectomizada e especÃficos: identificar diferenÃas nas respostas fÃsicas, emocionais e sociais entre as mulheres que foram ou nÃo submetidas à orientaÃÃo sistematizada de enfermagem; conhecer as complicaÃÃes pÃs-operatÃrias presentes nos dois grupos de mulheres; e detectar as dÃvidas entre os grupos em relaÃÃo aos cuidados necessÃrios para a prevenÃÃo de complicaÃÃes apÃs a mastectomia. Estudo experimental, do tipo ensaio clÃnico randomizado controlado. Aplicou-se uma intervenÃÃo a um grupo de mulheres (grupo intervenÃÃo), no pÃs-operatÃrio imediato de mastectomia, para a observaÃÃo de seus efeitos, em relaÃÃo a outro grupo em que nÃo foi realizada (grupo controle). Dados coletados entre novembro de 2005 e marÃo de 2006, em uma instituiÃÃo especializada em oncologia, Fortaleza-CearÃ. A populaÃÃo constou de portadoras de doenÃas da mama que realizaram cirurgia nesse perÃodo, sendo composta por 80 mulheres, 40 em cada grupo, selecionadas aleatoriamente. Dados organizados e analisados quantitativamente, submetidos à anÃlise estatÃstica. Utilizou-se o Programa Microsoft Office Excel 2003, para o banco de dados. Considerou-se o nÃvel de significÃncia dos testes igual a 5%. O projeto foi aprovado pelo comità de Ãtica da instituiÃÃo. A faixa etÃria predominante foi 36 a 68 anos (87,5%); 60% procediam do interior do estado; 57,5% eram casadas. A mastectomia radical modificada com esvaziamento axilar foi o procedimento mais realizado (56%) e o diagnÃstico mais comum carcinoma ductal infiltrante (58,8%). Identificou-se diferenÃa estatisticamente significativa quanto à manifestaÃÃo de desamparo, falta de forÃas, sensaÃÃo de cansaÃo e tensÃo, com um Ãndice de alteraÃÃo emocional menor no grupo-intervenÃÃo. 57,5% do grupo intervenÃÃo, apÃs a cirurgia, retomaram atividades que beneficiavam a recuperaÃÃo, observado em 7,5% do grupo controle. Foram manifestadas dÃvidas sobre as atividades por 57,5% das mulheres do grupo controle e 37,5% do grupo intervenÃÃo. Houve mais complicaÃÃes cirÃrgicas no grupo controle (92,5%) em relaÃÃo ao grupo intervenÃÃo (57,5%). Este grupo apresentou menos dificuldades para manusear o dreno de sucÃÃo (7,5%), sendo 31,6% no grupo controle. O acompanhamento direcionado ao grupo intervenÃÃo contribuiu para a adoÃÃo de atitudes positivas relacionadas aos cuidados com o braÃo do lado operado. A orientaÃÃo sistematizada de enfermagem no pÃs-operatÃrio de mastectomia possui valor inestimÃvel, visto que proporciona o esclarecimento de dÃvidas a respeito da doenÃa e da cirurgia, e possibilita a adoÃÃo de cuidados favorÃveis à recuperaÃÃo mais rÃpida da mulher e a sua readaptaÃÃo. / It is emphasized the importance of nursing attendance in the post-operatory of mastectomy aiming the identification of problems for womenâs life quality and minimization of physical and psychological alterations, so that they have a better readaptation to social environment. The study had as its general objective to evaluate the contribution of nursing assistance developed in the post-operatory for physical, emotional and social readaptation of mastectomized women. The specific objectives were: to identify differences in physical, social and emotional responses among women who were submitted or not to nursing systematized orientation; to know the post-operatory complications present in the two groups of women; and to identify in the groups doubts related to necessary care to prevent complications after the mastectomy. It is an experimental study, a randomized controlled clinical essay. An intervention was applied in a group of women (group intervention) in the immediate post-operatory of mastectomy to observe its effects, in relation to the other group in which the intervention was not carried out (group control). The data was collected between November, 2005 and March, 2006 in an institution which is specialized in oncology, Fortaleza-CearÃ. The population was composed of holders of breast diseases who were submitted to surgeries during this period, and was composed of 80 women, 40 in each group, selected at random. The data was organized and analyzed quantitatively and submitted to statistical analysis. The Program Microsoft Office Excel 2003 was used for the data bank. The significance level of the tests was considered equal to 5%. The Project was approved by the ethical committee of the institution. The predominant age group was 36 to 68 years old (87,5%); 60% came from the state countryside. 57,5% were married. The modified radical mastectomy with axillary dissection was the most common procedure (56%) and the most common diagnosis was infiltrating ductal carcinoma (58,8%). It was identified significative statistical difference concerning manifestation of abandonment, lack of vigor, feeling of tiredness and tension, with an indicator of emotional alteration lower in the group intervention. 57,5% of the group intervention, after the surgery, restarted activities which helped in the recuperation, what was observed in only 7,5% of the group control. Doubts about the activities were manifested by 57,5% of women from the group control and 37,5% from the group intervention. There were more surgery complications in the group control (92,5%) in relation to the group intervention (57,5%). This group presented less difficulty to use the suction drain (7,5%), being 31,6% in the group control. The attendance directed to the group intervention contributed to the adoption of positive attitudes towards the care with the arm from the operated side. The nursing systematized orientation in the post-operatory of mastectomy has inestimable value, considering it provides elucidation of doubts about the disease and the surgery, and makes possible the adoption of care which is favorable to womenâs faster recuperation and to their readaptation.

Page generated in 0.0808 seconds