Navegando por Palavras-chave "Preoperative Care"
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- ItemAcesso aberto (Open Access)Acolhimento e sintomas de ansiedade em pacientes no pré-operatório de cirurgia cardíaca(Associação Brasileira de Enfermagem, 2014-06-01) Assis, Cinthia Calsinski; Lopes, Juliana de Lima [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This is a randomized clinical trial, aimed to compare the frequency and intensity of symptoms of anxiety in patients of preoperative cardiac surgery who received empathic behavior from nurse or family or those who received no specific type of empathic behavior. The sample consisted of 66 patients in preoperative of cardiac surgery, which were divided in three groups: empathic behavior by nurses, without specific empathic behavior and by family. Anxiety was assessed at two points in time: before and after the intervention. The instrument used was developed and validated by Suriano, comprising 19 defining characteristics of the nursing diagnosis anxiety. It was observed that the reduction of anxiety symptoms was higher in the group receiving empathic behavior of relatives when compared to the other two groups. The results suggested that encouraging the participation of family members can contribute to the reduction of anxiety symptoms in patients in preoperative cardiac surgery.
- ItemSomente MetadadadosDispositivo de compressão corporal por bandagens entrelaçadas e ajustáveis por velcro(Universidade Federal de São Paulo (UNIFESP), 2019-12-13) Nora, Ricardo Thompson [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Elastic compression garments are used for treating many clinical conditions. When used after plastic surgeries, problems such as irregular body compression due to different biotypes are observed. If associated with containment foam, the possibility of displacement of the parts, the impossibility of adjusting the compression and the laborious positioning the foam can be observed. Given these drawbacks, there is room for the development of new compression devices. Objective: To develop a body compression velcro wrap. Methods: The development of the invention was based on the Design Thinking methodology, divided into four phases: Discover, Define, Develop and Deliver. In the “Discover” phase, desk research and interviews with patients and plastic surgeons were conducted. A patentability search was conducted in national (INPI / BR) and international (Espacenet, WIPO, USPTO, SIPO and JPO) databases, as well as PatBase software; in the “Define” phase, the problems to be solved were determined; In the Develop phase, brainstorming sessions were conducted to determine the characteristics of the device; and in the “Deliver” phase, the industrial design and cost evaluation were made. Results: 9 patents with different characteristics were found in the search. The design process resulted in a Neoprene device consisting of 4 leaflets with multiple adjustable wraps and adhered by velcro to an elastic garment, plus a belt for connecting upper and lower pieces. Industrial designs were made and production costs determined. Conclusion: A body compression with adjustable velcro wrap with interlaced bandages was developed.
- ItemAcesso aberto (Open Access)Safe pediatric surgery: development and validation of preoperative interventions checklist(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2013-09-01) Pires, Maria Paula de Oliveira; Pedreira, Mavilde da Luz Gonçalves [UNIFESP]; Peterlini, Maria Angélica Sorgini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVES:this study was aimed at developing and validating a checklist of preoperative pediatric interventions related to the safety of surgical patients.METHOD:methodological study concerning the construction and validation of an instrument with safe preoperative care indicators. The checklist was subject to validation through the Delphi technique, establishing a consensus level of 80%.RESULTS:five professional specialists in the area conducted the validation and a consensus on the content and the construct was reached after two applications of the Delphi technique.CONCLUSION:the Safe Pediatric Surgery Checklist, simulating the preoperative trajectory of children, is an instrument capable of contributing to the preparation and promotion of safe surgery, as it identifies the presence or absence of measures required to promote patient safety.
- ItemAcesso aberto (Open Access)Website sobre planejamento das cirurgias do contorno corporal em pacientes pós-bariátricos(Universidade Federal de São Paulo (UNIFESP), 2020-11-17) Abrile, Gustavo Gualberto [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São PauloIntroduction: Over the past few years, there has been an increasing number of bariatric surgeries, and in this sense, an increase in the demand for Plastic Surgery to improve body contour. The post-bariatric patient has distinct clinical and laboratory characteristics, resulting in greater attention from plastic surgeons to provide quality preoperative planning. Objective: To develop a digital platform (website) for planning body contour surgery in post-bariatric patients. Method: The Design Thinking methodology was used and followed the four stages of Double Diamond: I. “Discover”: Desk research through the search of the literature covering the period from January 2010 to June 2020 in the databases. And Internet sites. Closed questionnaires were conducted based on the literature and sent online to plastic surgeons, II. “Define” in association with an Information Technology professional. III. “Develop” its content and layout and, finally, IV. "Deliver" the website. Results: The themes and content for creating the website were based on the results of searches on databases, research sites and responses to the questionnaires sent to experienced surgeons. It was defined that the product of the present study could: guide plastic surgeons in preparing post-bariatric patients to undergo body contouring procedures; prepare a complete and easy-to-read content to optimize comprehensive care for post-bariatric patients; present specific categorizations named as: Initial assessment (anamnesis, physical examination and photographic documentation); Nutritional assessment; Skeletal evaluation; Psychological assessment, and; General recommendations Conclusion: a website was developed to assist plastic surgeons in scheduling surgeries for body contouring in post-bariatric patients, available at www.planejamentoposbariatrico.com