Navegando por Palavras-chave "Patient discharge"
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- ItemAcesso aberto (Open Access)Características sócio-demográficas do atendimento ao idoso após alta hospitalar na Estratégia da Saúde de Família(Universidade de São Paulo, Escola de Enfermagem, 2010-12-01) Marin, Maria José Sanches [UNIFESP]; Bazaglia, Fernanda Crizol; Massarico, Aline Ribeiro; Silva, Camila Batista Andrade; Campos, Rita Tiagor; Santos, Simone de Carvalho; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina de MaríliaThe objective of this study was o verify the sociodemographic profile of the elderly and the health care service they receive from the Family Health Strategy (FHS) after their discharge. This is a descriptive study, and data collection was performed with 67 aged individuals who were discharged in October, November and December, 2007, and lived in the area covered by the FHS of Marília (São Paulo state). Simple descriptive analysis was used for the presentation of data. The majority of the elderly are female, and their hospitalization occurred as a referral of the Emergency Room due to complication. More than two thirds report they were visited by FHS team professionals, mainly the Community Health Agent (CHA), but they suggested the team should follow up closer. In conclusion, it is necessary to develop a new health care model for the elderly after hospital discharge.
- ItemAcesso aberto (Open Access)Descrição do serviço de desospitalização de um hospital privado no município de São Paulo(Universidade Federal de São Paulo (UNIFESP), 2018-12-20) Oliveira, Luciano Rodrigues De [UNIFESP]; D'Innocenzo, Maria [UNIFESP]; http://lattes.cnpq.br/8539986249567784; http://lattes.cnpq.br/3466315186616352; Universidade Federal de São Paulo (UNIFESP)Objectives: General Describe the dehospitalization service and evaluate its indicators. Specific Evaluate the satisfaction of patients about the service received from home care companies; Evaluate the impacts on the management of hospital beds with the dehospitalization service. Methodology: Descriptive, exploratory, retrospective, with quantitative approach. Results: After analyzing the data collected by the deinstitutionalization service of the Sírio Libanês Hospital referring to 2035 requests for dehospitalization from January 2014 to December 2016, 72% were authorized by paying sources. There was decrease of the dwell time and average time in days between the day of the request and the day of the actual exit of high from 5.85 to 4.32 days. There was a fall in the proportion of chronic patients from 48.5% to 37.9%. The satisfaction of the patients and their relatives with respect to the service received by the home care companies after hospital discharge was also evaluated, with an average of 74.01% satisfied with the care received. Conclusions: The inexpressive production of knowledge regarding the actions of dehospitalization teams in hospital institutions is verified. We can affirm that the institution that has an active and dedicated team in the management of the patient's permanence, generates capacity for care of acute patients, with increased turnover and availability of beds. The indicators showed that the performance of a dehospitalization service corroborated the reduction of the length of hospital stay, the number of chronic patients, and the reduction of the time of actual dehospitalization. It is concluded that, in general, families and their patients are satisfied with the service received by home care companies and other care services. The limitation of this study is admitted, and other investigations to explore dehospitalization are important.
- ItemAcesso aberto (Open Access)Intervenção educativa para o automonitoramento da drenagem contínua no pós-operatório de mastectomia(Universidade Federal do Rio Grande do Sul. Escola de Enfermagem, 2013-12-01) Esteves, Marcella Tardeli [UNIFESP]; De Domenico, Edvane Birelo Lopes [UNIFESP]; Petito, Eliana Louzada [UNIFESP]; Gutiérrez, Maria Gaby Rivero de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This study assessed how well patients who had undergone breast cancer surgery monitored their continuous drainage system after receiving one-to-one instructions at the Mastology Outpatient Clinic of Hospital São Paulo at Federal University of São Paulo. Participants were 79 women who had undergone breast cancer surgery between May 2009 and March 2010, and were using a drain. It was found that the self-care training that the patients received, in addition to the strategy used in that training, had a positive effect on their self-monitoring of the continuous drainage, which prevented the drain from clogging, evinced by the percentage of patients who maintained the permeability of the drainage system (84.2%).
- ItemAcesso aberto (Open Access)Mobilization and early hospital discharge for patients with acute myocardial infarction: literature review(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2008-01-01) Lopes, Juliana de Lima [UNIFESP]; Santos, Juliana Turca dos; Lima, Sheila Cristina de; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Instituto do CoraçãoOBJECTIVE: This study was a literature review with the purpose of analyzing articles comparing early and late mobilization and those comparing early and late discharge for patients with acute myocardial infarction. METHODS: The literature review was performed using the Lilacs and Medline databases (1966-2007), and the length of the resting period, the hospitalization and possible complications were analyzed. RESULTS: We selected 18 articles; 11 of them compared early and late mobilization and 7 compared early and late discharge. The length of the resting period in the early mobilization group varied from 2 to 10 days and 5 to 28 days for the longest resting period. The early discharge group stayed in the hospital from 3 to 14 days and the late discharge group stayed in the hospital from 5 to 21 days. CONCLUSION: The studies show that there is no evidence of complications related to short periods of bed rest and hospitalization.
- ItemAcesso aberto (Open Access)O processo de recuperação da criança após a alta hospitalar: revisão integrativa(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2010-01-01) Pinto, Júlia Peres [UNIFESP]; Ribeiro, Circéa Amália [UNIFESP]; Pettengill, Myriam Aparecida Mandetta [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade AnhembiOBJECTIVE: To identify the available knowledge about the process of recovery of hospitalized children and their families after discharge. METHODS: Integrative review of literature in databases - national and international - with a qualitative approach. RESULTS: The 16 selected articles belonging to international journals were published between 1990 and 2005; they allowed the identification of the following topics: biopsychosocial manifestations of the child and his family; Biopsychosocial factors related to the manifestations of the child and his family; benefits of early discharge of the child; and, information and support needed. CONCLUSIONS: The interventions focused on the child and his family should be started in the hospital check-in in order to improve their ability to cope with the situation. There is need to enhance research on this topic in developing countries, including the prospect of the family as a unit.
- ItemAcesso aberto (Open Access)Testes e função respiratória de pacientes pós-COVID: Uma revisão integrativa(Universidade Federal de São Paulo, 2022-01-28) Silva, Gabriela Almeida [UNIFESP]; Volpe, Márcia Souza [UNIFESP]; http://lattes.cnpq.br/2284535375174765; Universidade Federal de São Paulo (UNIFESP)INTRODUÇÃO: Em 2019 foi descoberto o vírus SARS-CoV-2, em Wuhan, na China, causador da doença COVID-19, considerada pandemia em março de 2020. Possui alto índice de transmissão e é considerada uma doença sistêmica, afetando principalmente o sistema respiratório. Como sequelas, foram observados a presença de fadiga, dispneia, dores musculares e articulares, ansiedade e/ou depressão, e comprometimento da função respiratória, entre outros. OBJETIVO: Investigar, por meio de uma revisão integrativa, quais foram os testes de função pulmonar mais utilizados para avaliar a função respiratória de pacientes convalescentes de COVID-19 após a alta hospitalar e quais testes revelaram mais alterações. MÉTODOS: Foi realizada uma revisão de literatura na base de dados PubMed a partir da escolha dos descritores COVID-19, SARS-CoV-2, Respiratory Function Tests, Spirometry, Patient discharge, Survivors e Intensive care, selecionados a partir do DeCS e do MeSH. RESULTADOS: Foram encontrados 75 artigos dos quais após leitura e análise do título, resumo e texto, foram selecionados 19 artigos. A espirometria foi realizada em todos os 19 estudos, a avaliação da capacidade de difusão (DLCO) em 16, a tomografia computadorizada de tórax em 11, a pletismografia de corpo inteiro em sete, e a força da musculatura respiratória em dois. Dos estudos que apresentaram resultados absolutos para os testes aplicados, todos (100%) relataram valores médios/medianas da CVF e do VEF1 ≥ 80% do predito, enquanto para o DLCO ocorreu o mesmo em apenas 45% dos estudos. CONCLUSÃO: A espirometria foi o teste mais utilizado para avaliar a função pulmonar seguido pelo DLCO, porém o teste que mais identificou alteração da função pulmonar foi o DLCO.