Cavalcante J B, Pagliuca L M, Almeida P C
DENF/UFC.
Rev Lat Am Enfermagem. 2000 Aug;8(4):59-65. doi: 10.1590/s0104-11692000000400009.
In spite of the extensive available literature on surgery patients' preparation and on the performance of surgeries, the focus given to the cancellation of the surgical act has been quite restricted. This study aims at identifying the number of scheduled and cancelled surgeries as well as the services that are mostly affected by such cancellations and was carried out in the surgery service of a big public university hospital located in the metropolitan area of Fortaleza, Ceará. The data were collected through surgery registration books, daily maps of surgery schedules and from the files of patients scheduled for surgery from September to December, 1996. The gathered data were analyzed quantitatively and introduced in charts. The results demonstrate that from the 1,145 surgeries programmed in the selected period, 379 (33%) had been cancelled. The mostly prejudiced services were General Surgery, Ophthalmology, Head and Neck Surgery, Trauma and Orthopedics, Otorhinolaryngology, Nephrology and Renal Transplant, and Proctology. Further investigation in this area in order to know the determinant causes of surgery cancellation as well as the participation of nursing in the study of this problem are necessary.
尽管有大量关于手术患者准备和手术操作的文献,但对手术取消这一行为的关注却十分有限。本研究旨在确定已安排和取消的手术数量,以及受此类取消影响最大的科室。该研究在位于塞阿拉州福塔雷萨市大都会区的一所大型公立大学医院的外科进行。数据通过手术登记簿、每日手术安排表以及1996年9月至12月计划手术患者的档案收集。收集到的数据进行了定量分析并制成图表。结果表明,在所选时间段内计划进行的1145例手术中,有379例(33%)被取消。受影响最大的科室是普通外科、眼科、头颈外科、创伤与骨科、耳鼻喉科、肾病与肾移植科以及直肠科。有必要对该领域进行进一步调查,以了解手术取消的决定性原因以及护理在该问题研究中的参与情况。