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重症监护病房中心脏手术后患者的护理。

Nursing care for patient in post operatory heart surgery in the Intensive Care Unit.

作者信息

Reisdorfer Ariele Priebe, Leal Sandra Maria Cezar, Mancia Joel Rolim

机构信息

Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil.

Universidade do Vale do Rio dos Sinos. Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Rev Bras Enferm. 2021 May 3;74(2):e20200163. doi: 10.1590/0034-7167-2020-0163. eCollection 2021.

Abstract

OBJECTIVE

To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery.

METHODS

Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis.

RESULTS

Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery.

FINAL CONSIDERATIONS

Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.

摘要

目的

探讨心脏外科手术后患者护理相关的关键节点。

方法

采用定性方法进行探索性研究。通过对重症监护病房27名护理团队成员进行半结构式访谈收集数据。资料进行主题分析。

结果

出现了三类问题:心脏外科手术后患者护理专业资质方面的缺陷;心脏外科手术后特定患者护理的团队挑战;以及重症监护病房的工作(无)组织及其对心脏外科手术后患者护理的影响。

最终思考

鉴于关键节点的识别,专业人员提出了克服日常困难的建议:对健康终身教育策略进行投资;创建指导心脏外科手术后患者护理的工具;以及提供充足的人力资源。

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