Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Steyer, Nathalia Helene; Oliveira, Magáli Costa; Gouvêa, Mara Regina Ferreira; Echer, Isabel Cristina; Lucena, Amália de Fátima

doi:10.1590/1983-1447.2016.01.50170

Cited by 20 publications

(18 citation statements)

References 13 publications

(19 reference statements)

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“…Regarding the degree of obesity found in the present study, there was a divergence from another study 31 , in which the majority of patients (59.6%) evaluated were in Grade 3. In two other studies, the mean BMI value is within the Class 3 Obesity classification 32,33 .…”

Section: ■ Discussioncontrasting

confidence: 99%

“…In two other studies, the mean BMI value is within the Class 3 Obesity classification 32,33 . However, the authors state that there are benefits of surgery for individuals with grades of obesity 1 and 2, or even overweight when associated with comorbidities occurrence 31 . Thus, patients with a lower grade of obesity and with associated comorbidities are being submitted to bariatric surgery earlier.…”

Section: ■ Discussionmentioning

confidence: 99%

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Comparative analysis between patients undergoing Gastric Bypass and Sleeve Gastroplasty in a private hospital in Sao Luis-MA

Lima

Oliveira²,

Pereira³

et al. 2020

Acta Cir. Bras.

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To compare the satisfaction levels about the surgery and anesthesia management, and to analyze the postoperative outcomes of patients undergoing Gastric Bypass and Sleeve Gastroplasty surgeries in a private hospital in Sao Luís-MA. Methods: The sample consisted of patients undergoing Bypass and Sleeve bariatric surgeries from August 2018 to August 2019, who were in the range of 18 and 70 years old and had not used drugs or presented cardiac arrhythmias, dilated cardiomyopathy, and conduction disorder heart. Data were collected from the evaluation forms and recorded in a form with closed questions. Results: Most patients were female (Bypass-56% and Sleeve-67.4%) and aged between 30 and 39 years old (Bypass-32% and Sleeve-55.8%). Information (Bypass-92% and Sleeve-86.1%) was the highest satisfaction index found. Sleepiness in the immediate postoperative period (Bypass-92% and Sleeve-93%) was the main side effect. There were no postoperative complications in patients between the two types of surgery. Conclusions: Patients submitted to Bypass and Sleeve were completely satisfied with the perioperative management. There was no statistically significant difference when comparing adverse effects between the techniques.

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Section: ■ Discussioncontrasting

confidence: 99%

Section: ■ Discussionmentioning

confidence: 99%

Comparative analysis between patients undergoing Gastric Bypass and Sleeve Gastroplasty in a private hospital in Sao Luis-MA

Lima

Oliveira²,

Pereira³

et al. 2020

Acta Cir. Bras.

View full text Add to dashboard Cite

show abstract

“…Individual or group consultations, bariatric surgery, pharmacological interventions, even if they could be mass-produced, would not be sufficient to attack the problem's main conditioning factors. For example, bariatric surgery is specific to one type of obesity, which is not even the most prevalent, and may lead to relevant complications 60 . In addition, adherence to individualized treatment is low, to a major extent because individuals are still exposed to the same environmental pressures that compete unequally with personal motivation to modify eating habits and behaviors 61,62 .…”

Section: Discussionmentioning

confidence: 99%

Obesidade e políticas públicas: concepções e estratégias adotadas pelo governo brasileiro

et al. 2017

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“…Após ampla revisão nessa temática, evidenciou-se que as pesquisas, em geral, demonstram a prevalência de diferentes DE em perfis específicos de pacientes, nos quais os relacionados à nutrição aparecem entre os mais frequentes (8)(9)(10) . Já os estudos cujo objetivo foi identificar os DE relativos ao domínio nutrição (11)(12) limitam-se a pacientes com alimentação exclusivamente por via oral.…”

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Implementação De Diagnósticos E Cuidados De Enfermagem Pós Sonda Nasoenteral Em Serviço De Emergência

et al. 2017

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RESUMO: O objetivo deste estudo foi identificar a frequência de diagnósticos de enfermagem e cuidados relacionados à inserção e manutenção de sonda nasoenteral. Coorte prospectiva de adultos de uma emergência, em hospital universitário do sul do Brasil, entre abril e julho de 2015. Os pacientes foram acompanhados da indicação ao uso da sonda nasoenteral. Prontuários foram revisados para identificar diagnósticos de enfermagem e cuidados nas 24 horas após a inserção. Das 150 inserções de sonda, 20,7% (n=31) tiveram algum diagnóstico de enfermagem relacionado. "Nutrição desequilibrada: menos que as necessidades corporais" foi o mais frequente (n=22, 71%). Em 64 (42,7%) do total de inserções houve prescrição de pelo menos um cuidado. "Implementar cuidados com sonda" foi prescrito 41 vezes de forma isolada ou combinada. Houve maior proporção de cuidados quando havia diagnósticos de enfermagem implementados (p<0,001). Observa-se que, apesar da utilização da sonda nasoenteral exigir diferentes cuidados, a implementação de diagnósticos de enfermagem e cuidados em emergência ainda são baixas. DESCRITORES: Nutrição enteral; Intubação gastrointestinal; Diagnóstico de enfermagem; Emergências; Cuidados de enfermagem. IMPLEMENTAÇÃO DE DIAGNÓSTICOS E CUIDADOS DE ENFERMAGEM PÓS IMPLEMENTATION OF NURSING DIAGNOSES AND CARE AFTER NASOENTERAL TUBE PLACEMENT IN AN EMERGENCY SERVICEABSTRACT: The objective of the present study was to identify the frequency of nursing diagnoses and care regarding the placement and maintenance of nasoenteral tubes. A prospective cohort study was carried out with adults in the emergency unit of a teaching hospital in Southern Brazil from April to July 2015. The patients were followed up from the indication to the use of nasoenteral tubes. Medical records were revised to identify nursing diagnoses and care within 24 hours after the procedure. Of the 150 tube placement procedures, 20.7% (n=31) had some related nursing diagnosis. "Imbalanced nutrition: less than the body requirements" was the most common diagnosis (n=22, 71%). In 64 (42.7%) of the procedures, there was prescription of at least one care. "Implementing care with NET" was prescribed 41 times, isolated or combined. A greater proportion of care was found when there were implemented nursing diagnoses (p<0.001). Although the use of nasoenteral tubes demands special care, the implementation of nursing diagnoses and care in emergency services is still low. DESCRIPTORS: Enteral Nutrition; Gastrointestinal Intubation; Nursing Diagnosis; Emergencies; Nursing Care.

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Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Cited by 20 publications

References 13 publications

Comparative analysis between patients undergoing Gastric Bypass and Sleeve Gastroplasty in a private hospital in Sao Luis-MA

Comparative analysis between patients undergoing Gastric Bypass and Sleeve Gastroplasty in a private hospital in Sao Luis-MA

Obesidade e políticas públicas: concepções e estratégias adotadas pelo governo brasileiro

Implementação De Diagnósticos E Cuidados De Enfermagem Pós Sonda Nasoenteral Em Serviço De Emergência

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