Quality and safety of nursing care for patients using intermittent urinary catheterization
Calidad y seguridad de la atención de enfermería al usuario de la cateterización urinaria intermitente
Qualidade e segurança do cuidado de enfermagem ao paciente usuário de cateterismo urinário intermitente
Alessandra Mazzo; Valtuir Duarte Souza Júnior; Beatriz Maria Jorge; Laís Fumincelli; Maria Auxiliadora Trevizan; Carla Aparecida Arena Ventura; Isabel Amélia Costa Mendes
Abstract
Objective: To describe risks and vulnerabilities of patients and interventions by nurses for patients with neurogenic bladder using intermittent urinary catheterization.
Methods: Study carried out in the rehabilitation center of a university hospital in a city in the state of São Paulo in two phases. Phase 1: descriptive study carried out from November 2011 to February 2013 with patients using intermittent urinary catheterization. Phase 2: case studies of implementation of nursing interventions with these patients.
Results: Phase 1 consisted of data collection on 168 patients. In phase 2, the following healthcare and educational practices were carried out: staff qualification, educational groups with patients, distribution of bladder diaries, assistance in obtaining materials, simulated practice, and telenursing.
Conclusion: The interventions implemented are promising for achieving a positive impact on the treatment of these patients, providing quality and safe nursing care.
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Resumo
Objetivo :Descrever os riscos e a vulnerabilidade dos pacientes e as intervenções oriundas do trabalho do enfermeiro junto ao paciente com bexiga neurogênica usuário do cateterismo urinário intermitente.
Métodos: Estudo realizado no Centro de Reabilitação de um hospital universitário do interior do estado de São Paulo em duas fases. Fase 1:estudo descritivo com pacientes usuários de cateterismo urinário intermitente, entre novembro de 2011 a fevereiro de 2013. Fase 2, estudo de caso, com implementações de intervenções de enfermagem com estes pacientes.
Resultados: A fase 1 consistiu na coleta de dados de 168 pacientes. Na fase 2, foram inseridas no serviço as seguintes práticas: capacitação de equipe, grupos educativos com pacientes, distribuição de diários miccionais, auxílio na obtenção de materiais, treino simulado e telenfermagem.
Conclusão: As intervenções implementadas são atividades promissoras para alcançar um impacto positivo no tratamento desses pacientes, oferecendo qualidade e segurança aos cuidados de enfermagem.
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Referências
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Submetido em:
19/05/2016
Aceito em:
02/04/2017
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