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Programa de intervenção em enfermagem de reabilitação na pessoa submetida a cirurgia bariátrica
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| 17.46 MB | Adobe PDF |
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Abstract(s)
Introdução: A cirurgia bariátrica, metabólica ou da obesidade apresenta-se como o tratamento mais eficaz para a perda de peso, controlo de comorbilidades, melhoria da qualidade de vida e diminuição da mortalidade na pessoa com obesidade e o enfermeiro especialista de reabilitação assume elevada importância na prevenção de complicações cirúrgicas no pré e pós-operatório
e correção de complicações cirúrgicas no pós-operatório.
Objetivo: Mapear a melhor evidência científica disponível sobre o impacto das intervenções do enfermeiro de reabilitação na pessoa submetida a cirurgia bariátrica e desenvolver um programa de intervenção em enfermagem de reabilitação na pessoa submetida a cirurgia bariátrica no serviço de cirurgia.
Método: Foi realizada uma investigação qualitativa, descritiva e analítica com recurso à elaboração de uma Revisão Scoping que seguiu o método da Joanna Briggs Institute e redigida segundo o Preferred Reporting Items for Systematic Reviews and Meta analyses extension for Scoping Reviews (PRISMA-ScR), e desenvolvido um Trabalho de Projeto que utilizou o trabalho de campo como método de recolha de dados e a observação e a entrevista como instrumentos de colheita dados. A amostra do estudo foi constituída pela equipa multidisciplinar do Centro de Tratamento Cirúrgico da Obesidade e enfermeiros especialistas em enfermagem de reabilitação do serviço de cirurgia.
Resultados: A Revisão Scoping mapeou o impacto das intervenções do enfermeiro de reabilitação que aplicadas no pré-operatório contribuem para a prevenção e/ou correção de complicações respiratórias e motoras no pré e pós-operatório, satisfação da pessoa, diminuição da ansiedade e redução do tempo de internamento/reinternamento. O Trabalho de Projeto permitiu desenvolver uma análise SWOT do serviço de cirurgia e colher informação e sugestões junto dos peritos baseada nos seus conhecimentos e na sua prática clínica, que contribuíram para o desenvolvimento do programa de intervenção.
Conclusão: O programa de intervenção permite aumentar a consciencialização, a mestria, a autonomia e o empoderamento do enfermeiro de reabilitação na prestação de cuidados de excelência e melhorar os indicadores sensíveis aos cuidados de enfermagem.
Palavras-Chave: Cirurgia Bariátrica; Enfermeiro; Reabilitação.
Abstract Introduction: Bariatric, metabolic or obesity surgery is presented as the most effective treatment for weight loss, control of comorbidities, improvement of quality of life and reduction of mortality in people with obesity and the rehabilitation nurse is of great importance in the prevention of surgical complications in the pre and postoperative period and correction of surgical complications in the postoperative period. Objective: To map the best scientific evidence on the impact of rehabilitation nurse interventions on people undergoing bariatric surgery and to develop a rehabilitation nursing intervention programme for people undergoing bariatric surgery in the surgical department. Method: A qualitative, descriptive and analytical investigation was carried out using a Scoping Review that followed the Joanna Briggs Institute method and was written according to the Preferred Reporting Items for Systematic Reviews and Meta analyses extension for Scoping Reviews (PRISMA-ScR), and a Project Work was developed that used fieldwork as a data collection method and observation and interview as data collection instruments. The study sample was made up of the multidisciplinary team from the Obesity Surgical Treatment Centre and the rehabilitation nurses from the surgical department. Results: The Scoping Review mapped the impact of rehabilitation nurse interventions that applied in the preoperative period contribute to the prevention and/or correction of respiratory and motor complications in the preoperative and postoperative periods, patient satisfaction, reduced anxiety and shorter hospitalisation/rehospitalisation times. The project made it possible to develop a SWOT analysis of the surgical department and gather information and suggestions from the experts based on their knowledge and clinical practice, which contributed to the development of the intervention programme. Conclusion: The intervention programme makes it possible to increase the awareness, mastery, autonomy and empowerment of rehabilitation nurses in providing excellent care and to improve indicators that are sensitive to nursing care. Key words: Bariatric Surgery; Nurse; Rehabilitation.
Abstract Introduction: Bariatric, metabolic or obesity surgery is presented as the most effective treatment for weight loss, control of comorbidities, improvement of quality of life and reduction of mortality in people with obesity and the rehabilitation nurse is of great importance in the prevention of surgical complications in the pre and postoperative period and correction of surgical complications in the postoperative period. Objective: To map the best scientific evidence on the impact of rehabilitation nurse interventions on people undergoing bariatric surgery and to develop a rehabilitation nursing intervention programme for people undergoing bariatric surgery in the surgical department. Method: A qualitative, descriptive and analytical investigation was carried out using a Scoping Review that followed the Joanna Briggs Institute method and was written according to the Preferred Reporting Items for Systematic Reviews and Meta analyses extension for Scoping Reviews (PRISMA-ScR), and a Project Work was developed that used fieldwork as a data collection method and observation and interview as data collection instruments. The study sample was made up of the multidisciplinary team from the Obesity Surgical Treatment Centre and the rehabilitation nurses from the surgical department. Results: The Scoping Review mapped the impact of rehabilitation nurse interventions that applied in the preoperative period contribute to the prevention and/or correction of respiratory and motor complications in the preoperative and postoperative periods, patient satisfaction, reduced anxiety and shorter hospitalisation/rehospitalisation times. The project made it possible to develop a SWOT analysis of the surgical department and gather information and suggestions from the experts based on their knowledge and clinical practice, which contributed to the development of the intervention programme. Conclusion: The intervention programme makes it possible to increase the awareness, mastery, autonomy and empowerment of rehabilitation nurses in providing excellent care and to improve indicators that are sensitive to nursing care. Key words: Bariatric Surgery; Nurse; Rehabilitation.
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Cirurgia bariátrica Cirurgia bariátrica - reabilitação Enfermagem de reabilitação Revisão scoping Bariatric surgery Bariatric surgery - rehabilitation Rehabilitation nursing Scoping review
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