Navegando por Palavras-chave "Serviço Hospitalar De Emergência"

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    Relação entre percepção do risco de quedas, capacidade funcional, dor e risco para quedas em idosos assistidos em um serviço de emergência
    (Universidade Federal de São Paulo (UNIFESP), 2020-11-26) Souza, Lidia Ferreira De [UNIFESP]; Okuno, Meiry Fernanda Pinto [UNIFESP]; Universidade Federal de São Paulo
    Introduction: During hospitalization, the older people, may experience loss of function, which may be due to the disease that determined the hospitalization, previous clinical conditions, submitted procedures, and poor adaptation of the health system to the demands of an aging and frailty population. Falls are among the main causes of death and the most frequent reason for seeking emergency medical services among people over 65 years of age. Objective: To verify the factors associated with risk, perception and knowledge of falls and pain in the older people in a Emergency Service. List the sociodemographic, economic and clinical variables and whether or not they have a caregiver. Method: Crosssectional study carried out with 197 older people in an emergency room setting. The following were applied: Falls Risk Awareness Questionnaire, Morse Falls Scale, numerical pain scale, Katz index and Lawton scale. Results: Individuals at high risk of falls were older and had higher family income. The illiterate older people had a higher percentage of total dependence and those who had completed elementary school had a higher percentage of independence. Those classified as independent had higher income than those totally dependent. The respondents divorced and without a caregiver had a higher score on the Lawton Scale. Elderly with systemic arterial hypertension, neoplasia and walking impairment had lower scores on the Lawton scale. The better the perception of fall risks by the elderly, the less independent they were for instrumental activities. Those at low risk for falls had less independence. Conclusion: The results demonstrate the importance of exploring the support network and including the caregiver in the planning of care for the older people during hospitalization, and also preparing him for post-discharge care, unveiling the contribution of the interprofessional team. These precautions should be directed to maintaining and/or mitigating the deterioration of functional capacity and preventing falls. In addition, they are useful to assist health professionals in planning actions that enhance the safety of the elderly, in addition to the importance of using not only the instrument that assesses the risk of falling and pain, but also the perception and knowledge of the elderly regarding the risk of falls.
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    A satisfação do familiar no pronto-socorro infantil sobre a qualidade do serviço e fluxo de atendimento
    (Universidade Federal de São Paulo (UNIFESP), 2019-02-28) Macedo, Giselle Pinto De Oliveira Sa [UNIFESP]; Innocenzo, Maria D [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the satisfaction rate of the pediatric patients’ companion regarding the quality of care provided and the waiting times in the care flow of the emergency department. Methods: An exploratory, descriptive study was conducted at the Pediatric Emergency Department of a general hospital in the city of São Paulo with participation of 300 pediatric patients. Data collection was performed during February and March 2016. A validated instrument was made available for the family members’ evaluation of the quality of the emergency service. The Spearman correlation and the Mann-Whitney test were used for statistical analysis and the significance level was set at 5% (p<0.05). The subjects of the study and the times recorded in hours were characterized through descriptive analysis, and data were presented in tables as absolute and relative frequencies. Results: The sample included 159 girls (53.0%) and 141 boys (47.0%) with a mean age of 4.6 years. Regarding screening, 214 (71.4%) pediatric patients who entered the emergency department were classified as green, 64 (21.3%) as yellow, 15 (5.0%) as blue, and seven (2.3%) as red. Among the diagnoses, respiratory diseases predominated in the sample, and affected 139 (46.3%) patients, while digestive diseases affected 67 (22.3%) children. As for medical conduct, intravenous medications were prescribed to 137 (45.6%) children and inhalation to 113 (37.6%) children. Among children in the sample, 221 (73.6%) were discharged, 72 (24.0%) were transferred to the pediatric ward, and four (1.3%) were transferred to the Pediatric Intensive Care Unit. Patients’ companions were satisfied with the quality of care provided at the Pediatric Emergency Department. There was significant statistical difference (p<0.05) regarding the satisfaction index of family members of children diagnosed with dermatological diseases, who received medications via rectal route and sought the service because they considered it as a reference or because they did not have health insurance. The level of satisfaction expressed by children’s companions is statistically significant (p<0.05), the shorter the time that patients waited for screening, consultation with the doctor and for receiving the medication prescribed. Companions that took their children to the emergency department because of the pathology (p-0.029) or because they did not find doctors in other hospitals (p-0.021) were satisfied with the waiting time for care. Conclusions: The family members surveyed were satisfied with the quality of care provided to their children and when they were served quickly in the emergency service.