Patients and informal caregivers’ questions about alveolar bone graft post-operative care

Abstract

Objectives: to identify patients’ and informal caregivers’ questions related to alveolar bone graft post-operative care. Methods: analytical and cross-sectional study, developed in a public and tertiary hospital between October 2017 and February 2018. The sample consisted of 46 participants. Data collection occurred during the preoperative nursing consultation through interview. The doubts were described in a form prepared by the researchers and later grouped by similarity of the subject. Results: doubts referred to diet (type of food, consistency, temperature and time period), surgical wound care (oral hygiene, graft rejection, removal of surgical points), post-operative complications (bleeding and edema), convalescence period (sun exposure, physical effort, time away from activities, length of stay) and medications. Conclusions: identifying the doubts allowed planning and implementing nursing care focused on the real needs of the clientele, favoring the rehabilitation process.

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period

“…The grouping of doubts by similarity resulted in themes: food, care for the surgical wound, postoperative complications, period of convalescence, and medications. A similar result was observed in another investigation whose objective was to know patients' and caregivers' doubts about another orofacial surgery (18) .…”

“…It is noteworthy that orthognathic surgery is a high-cost procedure. Thus, populations in need seek public institutions that offer the procedure for free, such as the hospital in which this research was conducted, which is managed entirely with public resources (15,18) . The grouping of doubts by similarity resulted in themes: food, care for the surgical wound, postoperative complications, period of convalescence, and medications.…”

“…Thus, some strategies must be incorporated, such as written communication. The presence of a companion also favors communication (13,18) .…”

“…It is also indicated that water-based mouthwash (19) , such as 0.12% chlorhexidine, is associated with brushing four to six times a day (29) . Oral hygiene is the main factor in the prevention of surgical site infection in orofacial surgeries and should be performed with a brush and toothpaste, as usual, minimally after meals (18) .…”

Therapeutic itinerary of children with cleft lip and palate

“…2 It is estimated that there is one case of a newborn with cleft lip and/or cleft palate for every 700 live births worldwide. 3 Meanwhile, in Brazil, it is one case for every 1,000. 2 Based on this, a study in Brazil with birth records between 2005 and 2016 identified that the South and Southeast regions had higher average rates when compared to other states, being 0.72 and 0.54 per 1,000 live births, respectively.…”