Objective: to determine whether there is an association between knowledge of the nursing
professionals about blood transfusion and the variables related to the
professional aspects. Method: this is an observational, cross-sectional and quantitative study, carried out at
a large general teaching hospital. The sample consisted of 209 nursing
professionals, obtained by simple random sampling. For data collection, a
checklist was used. In the univariate analysis, descriptive statistics and central
trend and dispersion measures were used. In the bivariate analysis, Student's
t-Test, analysis of variance and Pearson's correlation were used. To determine the
predictors, multiple linear regression was applied. The Institutional Review Board
(Opinion number 2434) approved the study. Results: the overall average knowledge score was 52.66%; in the Pre-transfusion Step, it
corresponded to 53.38%; in the Transfusion Step 51.25% and, in the
Post-transfusion Step, 62.68%. The factors related to knowledge were professional
category and received training and/or guidance to accomplish the transfusion
process (p<0.01). Conclusion: this study showed the influence of training and guidance on the knowledge and
provided a diagnosis to identify the professionals' difficulties regarding the
transfusion process.
RESUmoO objetivo deste estudo foi identificar os fatores que desencadeiam a hipotermia em pacientes em sala de operação e as manifestações em sala de recuperação anesté-sica. O estudo foi realizado em um hospital de grande porte da rede mista da cidade de Santos. A coleta de dados foi realizada em 30 pacientes adultos, com temperatura corpórea na entrada da sala de operações entre de 36ºC e 37,2ºC, com procedimentos cirúrgicos eletivos e anestesia geral. Os resultados demonstraram que os métodos preventivos de hipotermia mais utilizados foram a infusão venosa aquecida e a manta térmica. Na saída da sala de operação e até 30 minutos na sala de recuperação anestési-ca, os pacientes permaneceram hipotérmi-cos. As manifestações de hipotermia foram demonstradas pela hipoxemia e por tremores. Neste estudo, evidenciou-se que a hipotermia no paciente é desencadeada na sala de operação pela falta de medidas preventivas adequadas, acarretando complicações em período de recuperação anestésica.
dEScRitoRES
Hipotermia Salas cirúrgicas Centros de cirurgia Enfermagem perioperatória
Hypothermia in patients during the perioperative periodOriginal article
AbStRActThe objective of this study was to identify the factors that trigger hypothermia in patients in surgery, and the manifestations in the anesthesia recovery room. This study was performed in a large hospital of the City of Santos hospital network. Data were collected from 30 adult patients, whose body temperature when entering the surgical suite was between 36ºC and 37.2ºC, who underwent elective procedures and received general anesthesia. Results show that the most common methods used to prevent hypothermia were infusing warmed intravenous fluids and using a thermal blanket. From the moment the patient left the surgical suite until 30 minutes post-recovery in the anesthesia recovery room, patients remained hypothermic. Hypothermia was manifested by hypoxemia and shivering. In this study, it was shown that hypothermia in patients is triggered while in the surgical suite due to the lack of appropriate preventive measures, leading to complications in the anesthesia recovery period.
dEScRiPtoRSHypothermia Operating rooms Surgicenters Perioperative nursing
RESUmEnEste estudio objetivó identificar los factores desencadenantes de hipotermia en pacientes en sala de operación y las manifestaciones en sala de recuperación anestésica. Fue realizado en hospital de gran porte de la red mixta de Santos-SP. La recolección de datos se efectuó con 30 pacientes adultos con temperatura corporal en entrada de quirófano entre 36ºC y 37,2ºC, con procedimientos quirúrgicos electivos y anestesia general. Los resultados demostraron que los métodos preventivos de hipotermia más utilizados fueron: infusión venosa precalentada y manta térmica. A la salida del quirófano y hasta los 30 minutos en sala de recuperación anestésica, los pacientes permanecieron en hipotermia. Las manifestaciones de hipotermia se demostraron por hipoxemia y temblores. En este estudio se evidenció que la hipotermia en el pac...
the planning and implementation of nursing interventions carried out by baccalaureate nurses are essential for preventing hypothermia and maintaining perioperative normothermia.
The aim of this study was to identify types of adverse events, clinical manifestations and nursing care procedures adopted in response to adverse events to blood donation, and to verify the association between these procedures and the adverse events. This was an epidemiological, retrospective study conducted through analysis of 1369 records of treatment of adverse events to blood donation, during the period between January 2009 and December 2011. Descriptive statistics and contingency tables were used to analyze associations through the use of Cramér's V. A total of 92.6% of adverse events were classified as mild, and clinical manifestations were malaise, dizziness, pallor and sweating. The Trendelenburg position, vital signs monitoring, oral hydration and directions for care after blood donation were the main procedures adopted. A statistical significance was observed between the nursing procedures and the types of adverse events. The results point to the critical role of nursing in treating adverse events to blood donation.
Efeitos da música na ansiedade de doadores de sangue: ensaio clínico randomizado Effects of music on the anxiety of blood donors: randomized clinical trial Efectos de la música en la ansiedad de donantes de sangre: ensayo clínico aleatorizado
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