Atividades de enfermagem ao paciente prostatectomizado

Abstract

RESUMO: Estudo descritivo, cujo objetivo foi identificar as atividades realizadas pelos profissionais de enfermagem da urologia no cuidado ao paciente em pós-operatório de prostatectomia e compará-las ao apresentado na literatura. A pesquisa foi realizada em um hospital universitário, localizado na Região Nordeste do Brasil, nos meses de agosto e setembro de 2011, com 18 profissionais de enfermagem, incluindo enfermeiros, técnicos de enfermagem e auxiliares de enfermagem, que responderam a um questionário contendo perguntas sobre seus dados sociodemográficos e sobre os cuidados prestados pela enfermagem ao paciente em pós-operatório de prostatectomia. Os cuidados de enfermagem foram agrupados em seis categorias: orientações sobre o período pós-operatório; tratamento da incontinência urinária; tratamento da disfunção erétil; tratamento da dor; acompanhamento psicológico; e tratamento da hiponatremia. Conclui-se que os profissionais de enfermagem enfatizaram as orientações no pós-operatório, o tratamento da incontinência urinária e da dor e o acompanhamento psicológico, em descompasso com a literatura. Palavras-Chave: Cuidados de enfermagem; prostatectomia; período pós-operatório; enfermagem prática. ABSTRACT: This descriptive study aimed to identify the activities of urological nursing professionals in caring for postoperative prostatectomy patients, and to compare them with those described in the literature. It was conducted at a university hospital in northeastern Brazil, in August and September 2011, with 18 nursing professionals, including nurses, nurse technicians and nursing assistants, who answered a questionnaire about their sociodemographic data and the care they provided to postoperative prostatectomy patients. The nursing care was grouped into six categories: postoperative guidance; treatment of urinary incontinence; treatment of erectile dysfunction; treatment of pain; psychological monitoring; and treatment of hyponatremia. It was concluded that nursing professionals, at odds with the literature, emphasized postoperative guidance, treatment of urinary incontinence and pain, and mental health counseling. Keywords: Nursing care; prostatectomy; postoperative period; practical nursing. RESUMEN: Estudio descriptivo, cuyo objetivo fue identificar las actividades realizadas por los profesionales de enfermería de urología en la atención al paciente en el postoperatorio de prostatectomía y compararlas con lo que se presenta la literatura. Se llevó a cabo en un hospital universitario del noreste de Brasil, en los meses de agosto y septiembre de 2011, junto a 18 profesionales de enfermería, incluyendo enfermeros, técnicos de enfermería y auxiliares de enfermería, que respondieron a un cuestionario sobre sus datos sociodemográficos y sobre los cuidados prestados por la enfermería al paciente en postoperatorio de prostatectomía. Los cuidados de enfermería se agruparon en seis categorías: orientación sobre el postoperatorio; tratamiento de la incontinencia urinaria; tratamiento de la disfunción eréctil; tratamiento...

Diagnósticos de enfermagem identificados em homens idosos submetidos à prostatectomia

“…In this sense, the literature also indicates the need to provide targeted assistance for risk control through the practice of safe communication, control of signs and symptoms of urinary tract infection, surgical dressing, hospital discharge monitoring, which should be implemented in care. 17 The identification of the diagnosis of oral mucosa risk (94%) was related to the risk factors presented in men submitted to prostatectomy, among them: alcohol consumption; smoking; inadequate oral hygiene and inadequate nutrition. It is noted that the presence of this diagnosis is related to the self-care deficit, also associated with the aging process, as evidenced in a study with elderly admitted to a hospital unit in the Mid-West region of Brazil.…”

“…18 It is recalled that the choice to perform prostate cancer treatment may depend on risk factors that involve progression, mortality, aspects related to urinary, sexual, basal, and bowel functions, and those linked to patients' preferences, which include perspectives on wellbeing and quality of life. 17 It is known, as far as prostatectomy is concerned, a therapeutic resource to which the public of this study was submitted, that it is not free from complications, since intraoperative blood loss, lymphocele and reoperation may occur. Patient and family problems are involved in prostate surgery, through the presence of functional, urological and sexual aspects that make it easier to clarify the complications of the postoperative period.…”

“…Patient and family problems are involved in prostate surgery, through the presence of functional, urological and sexual aspects that make it easier to clarify the complications of the postoperative period. 17 In the case of radical prostatectomy, the main complications are related to urethral stenosis, urinary incontinence and erectile dysfunction, with the latter two being the main compromising factors of quality of life after radical prostatectomy. 16 A longitudinal study was carried out with 120 men, in a Urology sector of a public hospital in the State of São Paulo, Brazil, predictors of well-being and quality of life of men undergoing prostatectomy.…”

“…Explanations for possible changes, the nature of erectile dysfunction, guidance on possible problems with erection, modalities and possibilities for treatment of erectile dysfunction, such as the use of phosphodiesterase inhibitors, intraurethral suppositories, penile injection, vacuum devices and the penile prostheses. 17 Nursing interventions for patients submitted to radical prostatectomy may be related to patient support, such as the promotion of discussion of problems with erectile dysfunction, encouraging them to share their concerns with others, family members, friends and health professionals, in support networks or by reinforcing the importance of concerns about sexuality during recovery from surgery. 21 It is explained that other interventions may be related to the treatment of erectile dysfunction, J Nurs UFPE on line.…”