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Perfil de dependĂȘncia no autocuidado na pessoa submetida a duodenopancreatectomia
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Advisor(s)
Abstract(s)
TEMA: A duodenopancreatectomia revela-se como a Ășnica forma de tratamento curativo
da neoplasia pancreĂĄtica. O utente submetido a esta cirurgia vĂȘ a sua independĂȘncia,
potencialmente, alterada devido à doença e ao impacte provocado pela cirurgia. Assim
torna-se pertinente caracterizar estes utentes e o seu autocuidado, de forma a refletir sobre
a intervenção do Enfermeiro Especialista em Enfermagem de Reabilitação neste domĂnio.
Por outro lado, a escassez de estudos que exponham as caracterĂsticas desta população Ă©
evidente, justificando a pertinĂȘncia desta temĂĄtica.
OBJETIVOS: Caracterizar o utente submetido a duodenopancreatectomia quanto ao
sexo, idade, antecedentes, Ăndice de massa corporal, condição prĂ©via de autocuidado e o
nĂșmero de dias de internamento e em cuidados intensivos; avaliar o grau de dependĂȘncia
do utente submetido a duodenopancreatectomia no Autocuidado: Cuidar da higiene
pessoal, Transferir-se e Virar-se no primeiro e terceiro dia apĂłs o regresso Ă enfermaria.
Almeja-se, desta forma, caracterizar o autocuidado no utente submetido a
duodenopancreatectomia.
MATERIAL E MĂTODOS: Metodologia quantitativa, atravĂ©s de um estudo descritivo
analĂtico, longitudinal, com abordagem retrospetiva. A colheita de dados foi efetuada
atravĂ©s da consulta do processo clĂnico, onde Ă© aplicado o formulĂĄrio de avaliação da
dependĂȘncia no autocuidado de HernĂąni Duque. A amostra Ă© constituĂda por 48 utentes
submetidos a duodenopancreatectomia num hospital na regiĂŁo norte de Portugal, no
perĂodo entre janeiro de 2020 e junho de 2022.
RESULTADOS: Os utentes submetidos a duodenopancreatectomia apresentam um
agravamento nos domĂnios supramencionados do autocuidado. Foi encontrado um
elevado nĂșmero de omissos, o que comprometeu o tamanho amostral, contudo foi
possĂvel refletir sobre a importĂąncia da documentação em enfermagem, bem como dos
sistemas de informação e de apoio Ă tomada de decisĂŁo clĂnica.
CONCLUSĂO: O Enfermeiro Especialista em Enfermagem de Reabilitação possui
competĂȘncias para intervir na pessoa submetida a duodenopancreatectomia, de forma a
mitigar as necessidades nos domĂnios de autocuidado estudados. No entanto, a escassez
de resultados deste estudo nĂŁo permite concluir de forma inequĂvoca sobre o perfil de
autocuidado desta população, possibilitando indagar sobre o mesmo, através dos dados
disponĂveis. Esta carĂȘncia de dados encontra-se relacionada com o dĂ©fice de
documentação nos sistemas de informação, levando à reflexão sobre esta temåtica.
BACKGROUND: Duodenopancreatectomy represents the only curative treatment option for pancreatic neoplasia. However, this surgical procedure can potentially alter the patient's independence due to the disease itself and the impact caused by the surgery. Therefore, it is essential to characterize these patients and their self-care needs in order to reflect on the role of the Rehabilitation Nursing Specialist in this domain. Furthermore, the scarcity of studies that elucidate the characteristics of this population justifies the relevance of this research topic. OBJECTIVES: The objectives of this study are to characterize patients undergoing duodenopancreatectomy in terms of gender, age, medical history, body mass index, previous self-care condition, and the number of days of hospitalization and intensive care. Additionally, the study aims to evaluate the level of self-care dependency in these patients regarding personal hygiene, transferring, and turning on the first and third day after returning to the ward. The ultimate goal is to characterize self-care in patients undergoing duodenopancreatectomy. MATERIALS AND METHODS: A quantitative methodology was employed, using a descriptive-analytical, cross-sectional approach with a retrospective analysis. Data collection was conducted through the review of clinical records, utilizing the HernĂąni Duque self-care dependency assessment form. The sample consists of 48 patients who underwent duodenopancreatectomy in a hospital in the northern region of Portugal between January 2020 and June 2022. RESULTS: Patients undergoing duodenopancreatectomy experience a deterioration in the aforementioned domains of self-care. A high number of missing data was identified, which compromised the sample size. Nevertheless, this allowed for reflection on the importance of nursing documentation, as well as information systems and clinical decision support tools. CONCLUSION: The Rehabilitation Nursing Specialist possesses the necessary skills to intervene and address the self-care needs of individuals undergoing duodenopancreatectomy. However, the scarcity of results in this study does not allow for a definitive conclusion regarding the self-care profile of this population. This raises questions that can be explored further through the available data. The data deficiency identified is related to a lack of documentation in information systems, prompting further consideration of this topic.
BACKGROUND: Duodenopancreatectomy represents the only curative treatment option for pancreatic neoplasia. However, this surgical procedure can potentially alter the patient's independence due to the disease itself and the impact caused by the surgery. Therefore, it is essential to characterize these patients and their self-care needs in order to reflect on the role of the Rehabilitation Nursing Specialist in this domain. Furthermore, the scarcity of studies that elucidate the characteristics of this population justifies the relevance of this research topic. OBJECTIVES: The objectives of this study are to characterize patients undergoing duodenopancreatectomy in terms of gender, age, medical history, body mass index, previous self-care condition, and the number of days of hospitalization and intensive care. Additionally, the study aims to evaluate the level of self-care dependency in these patients regarding personal hygiene, transferring, and turning on the first and third day after returning to the ward. The ultimate goal is to characterize self-care in patients undergoing duodenopancreatectomy. MATERIALS AND METHODS: A quantitative methodology was employed, using a descriptive-analytical, cross-sectional approach with a retrospective analysis. Data collection was conducted through the review of clinical records, utilizing the HernĂąni Duque self-care dependency assessment form. The sample consists of 48 patients who underwent duodenopancreatectomy in a hospital in the northern region of Portugal between January 2020 and June 2022. RESULTS: Patients undergoing duodenopancreatectomy experience a deterioration in the aforementioned domains of self-care. A high number of missing data was identified, which compromised the sample size. Nevertheless, this allowed for reflection on the importance of nursing documentation, as well as information systems and clinical decision support tools. CONCLUSION: The Rehabilitation Nursing Specialist possesses the necessary skills to intervene and address the self-care needs of individuals undergoing duodenopancreatectomy. However, the scarcity of results in this study does not allow for a definitive conclusion regarding the self-care profile of this population. This raises questions that can be explored further through the available data. The data deficiency identified is related to a lack of documentation in information systems, prompting further consideration of this topic.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Duodenopancreatectomia Autocuidado Enfermagem de Reabilitação