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Previous issue date: 2017-12-14 / Objetivou-se avaliar o DE Risco de Olho Seco e o Ressecamento Ocular em pacientes adultos em per?odo p?s-operat?rio imediato. Trata de estudo transversal, realizado no Centro Cir?rgico e na Unidade de Recupera??o P?s-Anest?sica (URPA) em um Hospital do nordeste do Brasil no per?odo de maio a agosto de 2017. A popula??o constituiu-se de pacientes adultos submetidos a procedimento cir?rgicos, amostra de 157 pacientes. O instrumento de coleta de dados constituiu-se de dados epidemiol?gicos e cl?nicos, fatores de risco da NANDA-I e os resultado de enfermagem Gravidade do Olho Seco da Nursing Outcomes Classification (NOC). Dois enfermeiros diagnosticadores fizeram a infer?ncia dos desfechos. Na an?lise descritiva utilizaram-se frequ?ncias, medidas do centro da distribui??o e respectivas variabilidades. Para as vari?veis associativas utilizou o Qui-quadrado de Pearson e em frequ?ncias menores que cinco, o teste de Fisher. A magnitude da associa??o pela Raz?o de Preval?ncia. Obteve-se parecer favor?vel do Comit? de ?tica em Pesquisa n? 2.004.545 e CAAE n? 64881717.5.0000.5537. Dos 157 pacientes do estudo 52,23% eram do sexo masculino, idade m?dia 48,90 (?15,98) anos, com companheiro (60,51%), nascido no interior do Rio Grande do Norte (RN) (56,05%), residem na capital do RN (49,8%), com tempo m?dio de estudo de 9,11 (?3,94) anos, trabalham com remunera??o (54,78%) e recebiam em m?dia 1,63 (?1,21) sal?rios m?nimos. A preval?ncia do DE Risco de Olho Seco foi de 14,65% e o Ressecamento Ocular de 85,35% nos pacientes em p?s-operat?rio imediato. Foi significantemente estat?stico a especialidade cir?rgica (p<0,017), a hipertens?o arterial (p<0,009) e diabetes (p<0,004) para o Ressecamento Ocular no Olho Esquerdo (OE) e a hipertens?o arterial (p<0,016) para o DE Risco de Olho Seco. Apresentou signific?ncia estat?stica a utiliza??o do anest?sico geral (p<0,004), o anest?sico raquidiano (p<0,046) e o inibidor/protetor de secre??o g?strica no Olho Direito (OD) para o Ressecamento Ocular e o anest?sico geral (p<0,017) para o DE Risco de Olho Seco. Quanto aos fatores de risco foram significante o hist?rico de alergia (p<0,048) para o DE Risco de Olho Seco e envelhecimento (p<0,046) e regime de tratamento (p<0,027) para o Ressecamento ocular. Em rela??o as caracter?sticas cl?nicas observou signific?ncia a hiperemia (p<0,010) e lacrimejamento excessivo (p<0,041) para o DE Risco de Olho Seco e hiperemia OD (p<0,032), hiperemia OE (p<0,002) e lacrimejamento excessivo OD (p<0,020) para o Ressecamento Ocular. Tamb?m foi significante o resultado do teste de Schirmer insuficiente (p<0,001) tanto para o DE Risco de Olho Seco quanto para o Ressecamento Ocular em ambos os olhos. Ao tratar da Gravidade do Olho Seco observou-se resultado significantemente estat?stico para o Ressecamento Ocular os indicadores diminui??o da produ??o lacrimal (P<0,001) e vermelhid?o da conjuntiva (p<0,028) para o OD e diminui??o de produ??o lacrimal (p<0,001) e vermelhid?o da conjuntiva (p<0,001) para o OE. O presente estudo foi relevante para incentivar iniciativas de preven??o do Ressecamento Ocular em pacientes em p?s-operat?rio imediato. / The objective of this study was to evaluate the risk of dry eye and eye dryness in adult patients in the immediate postoperative period. This is a cross-sectional study carried out at the Surgical Center and Post-Anesthetic Recovery Unit (URPA) at a Hospital in the northeast of Brazil from May to August 2017. The population consisted of adult patients submitted to surgical procedures, of 157 patients. The data collection instrument consisted of epidemiological and clinical data, NANDA-I risk factors and Nursing Outcomes Classification (NOC) Nursing Outcome results. Two diagnostic nurses made the inference of the outcomes. In the descriptive analysis we used frequencies, measures of the distribution center and respective variabilities. For the associative variables, Pearson's Chi-square was used and in frequencies smaller than five, Fisher's test. The magnitude of the association by the Prevalence Ratio. A favorable opinion was obtained from the Ethics Committee in Research n? 2,004,545 and CAAE n? 64881717.5.0000.5537. Of the 157 patients in the study, 52.23% were male, mean age 48.90 (? 15.98) years, with partner (60.51%), born in the interior of Rio Grande do Norte (Brazil) (49.8%), with a mean study time of 9.11 (? 3.94) years, paid (54.78%) and received an average of 1.63 ( ? 1.21) minimum wages. The prevalence of dry eye risk was 14.65% and ocular dryness of 85.35% in patients in the immediate postoperative period. Statistically significant was the surgical specialty (p<0.017), arterial hypertension (p<0.009) and diabetes (p<0.004) for left eye ocular resection (OE) and arterial hypertension (p<0.016) of Dry Eye. Statistical significance was found for the use of general anesthetics (p<0.004), spinal anesthetic (p<0.046) and the Right Eye (OD) inhibitor / protector for Ocular Dryness and general anesthetic (p<0.017) for the dry eye risk. Regarding the risk factors, the history of allergy (p<0.048) for dry eye risk and aging (p<0.046), treatment regimen (p<0.027) for ocular resection were significant. In relation to clinical characteristics, hyperemia (p<0.010) and excessive tearing (p<0.041) were observed for OD and OD hyperemia (p<0.032), OE hyperemia (p <0.002) and excessive tearing OD (p<0.020) for Ocular Dryness. The results of the insufficient Schirmer test (p<0.001) were also significant for both dry eye risk and ocular dryness in both eyes. In the treatment of dry eye severity, a statistically significant result for ocular dryness was observed for the indicators of decreased lacrimal production (P<0.001) and conjunctival redness (p<0.028) for DO and decreased lacrimal production (p<0.001) and conjunctival redness (p<0.001) for OE. The present study was relevant to encourage initiatives to prevent eye dryness in patients in the immediate postoperative period.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24867 |
| Date | 14 December 2017 |
| Creators | Medeiros, Raianny Alves Costa |
| Contributors | 91307570372, Botareli, Fabiane Rocha, 01053269412, Ferreira J?nior, Marcos Antonio, 81717881149, Carvalho, Rhanna Emanuela Fontenele Lima de, 65284216334, Vitor, Allyne Fortes |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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