Liver transplantation is a therapeutic modality applicable to patients affected by end-stage hepatic diseases when there is no other available treatment capable of reversing the alterations in the organism caused by them. The complexity of this therapeutic modality requires the establishment of a multidisciplinary team for patient and family support. The nurse is responsible for planning the nursing assistance to be given during the perioperative period; nevertheless, we observed a lack of scientific production in this field, which stimulated the accomplishment of this study. Evidence based practice consists in the theoretical and methodological basis and the integrative literature review in the selected research method adopted for this work. The present study aimed at searching and evaluating the evidences available in literature concerning the scientific knowledge produced regarding nursing care delivered during the perioperative period to adult patient submitted to liver transplantation. Lilacs, Medline and Cinahl databases were searched for studies, which resulted in a sample composed of 20 scientific papers. The results evidenced that the nurse plays an important part in the different stages of the perioperative period, delivering nursing care addressed to preparing the patient to the anesthetic-surgical procedure, prevention and early detection of postoperative complications, and to the patient education regarding his recovery and rehabilitation. In addition, the nurse acts in the nutritional and emotional support of the patient and also fulfills an important role in instructing patients about the immunosuppressive therapeutics and making them aware of the need of adhering to the therapeutics regimen. Our expectation is that this study provides resources required for the improvement of perioperative practice and stimulates the nurses to conduct researches related to liver transplantation.
Professora Doutora Maria José Clapis, pela paciência, pela dedicação, pela competência e excelente orientação prestada nesta importante etapa da minha vida, meu sincero e eterno agradecimento. Às Professoras Doutoras Ana Márcia Spanó Nakano e Fabiana Villela Mamede, pelas sugestões construtivas no exame de qualificação. Aos Membros da Banca Examinadora, pela contribuição na avaliação desta pesquisa. À Universidade Federal de Alfenas-UNIFAL-MG, aos Funcionários, ao Reitor e aos Pró-Reitores, por possibilitarem a oportunidade desta conquista. Aos Funcionários e Professores do Departamento de Enfermagem da UNIFAL-MG, por minha liberação e preciosa ajuda durante esta longa caminhada. À Professora Doutora Eliza Maria Rezende Dázio, pela amizade, pela solidariedade e por todos os momentos e orações compartilhadas.
OARS). Foram estudados 86 idosos com média de idade de 82,02 anos; 51,2% eram do sexo feminino; a média de filhos foi de 5,71; 39,5% eram analfabetos e 39,4% trabalhavam em atividades relacionadas à agricultura. Em relação à saúde, 77,9% eram independentes; 83,7% auto-avaliaram a saúde entre "regular" e "boa"; 76,7% apresentavam co-morbidades e, a principal rede de apoio relatada foram os filhos. O estudo revelou a importância da adoção de medidas preventivas e promocionais de saúde pelas equipes de saúde da família, na garantia de apoio formal para o idoso e sua família. Palavras-chave: Saúde do idoso; Programa de saúde da família; Perfil de saúde. ABSTRACT FARINASSO, A. L. C. Profile of aged persons in an area covered by the Family Health Strategy. Ribeirão Preto. 2005. 112 f. Masters Dissertation -University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, 2005. Social and health policies for aged persons must focus on healthy aging with a view to maintaining functional capacity. In this context, equipping the family health team to attend to this emerging part of the population must be seen as paramount to consolidate the formal support system for these persons. This study aimed to characterize the sociodemographic and health profile of a group of old-old adults (over 75) who live in the area covered by the Family Health Strategy (FHS) in Jandaia do Sul-PR. The study sample was obtained through the random selection of 20% of the old-old population in the urban area covered by the FHS. Data were collected at their homes, using an adapted version of the Older Americans Resources and Services (OARS). Study subjects were 86 old-old adults; average age was 82.02 years; 51.2% were women, with an average of 5.71 children; 39.5% were illiterate and 39.4% worked in agriculturerelated activities. What their health is concerned, 77.9% were independent; 83.7% self-evaluated their health between "regular" and "good"; 76.7% displayed comorbidities and children were mentioned as the main support network. The study revealed the importance for family health teams to adopt prevention and health promotion measures, thus guaranteeing formal support to aged persons and their families. Keywords: Aged health; Family health program; health profile. SUMÁRIO RESUMO ABSTRACT RESUMEN LISTA DE TABELAS LISTA DE FIGURAS E QUADROS 1.
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