Escola Anna Nery Revista de Enfermagem
https://app.periodikos.com.br/journal/ean/article/doi/10.5935/1414-8145.20170045
Escola Anna Nery Revista de Enfermagem
Research

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

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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.

 

Keywords

Intermittent Urethral Catheterization; Health Education; Quality of Health Care; Rehabilitation; Self-Care

Resumen

Objetivo: Describir los riesgos y la vulnerabilidad de pacientes y intervenciones procedentes de trabajos de la enfermera con los pacientes con vejiga neurógena usuario cateterización urinaria intermitente.

Métodos: Estudio realizado en dos fases en el Centro de Rehabilitación de un hospital universitario en el estado de São Paulo. Fase 1: estudio descriptivo con pacientes usuarios de cateterismo urinario, entre noviembre de 2011 a febrero de 2013. Fase 2, estudio de caso, con las intervenciones de enfermería implementaciones con estos pacientes.

Resultados: La fase 1 consistió en la recopilación de datos de 168 pacientes. En la fase 2, las siguientes prácticas se incluyeron en el servicio: formación del personal, grupos educativos con los usuarios, la distribución de diarios miccionales, ayuda en la obtención de materiales, entrenamiento simulado y telenfermagem.

Conclusión: Las intervenciones implementadas son actividades prometedoras para lograr un impacto positivo en el tratamiento de estos pacientes, ofreciendo calidad y seguridad para cuidados de enfermería.

Palabras clave

Cateterismo Uretral Intermitente; Educación en Salud; Calidad de la Atención de Salud; Rehabilitación; Autocuidado

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.

Palavras-chave

Cateterismo Uretral Intermitente; Educação em saúde; Qualidade da Assistência à Saúde; Reabilitação; Auto cuidado

References

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Submitted date:
05/19/2016

Accepted date:
04/02/2017

68273664a95395328c76dd84 ean Articles

Esc. Anna Nery

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