Banca de DEFESA: RAIANNY ALVES COSTA MEDEIROS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : RAIANNY ALVES COSTA MEDEIROS
DATA : 14/12/2017
HORA: 14:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Prevalence of Ocular Resurrection and Nursing Diagnosis Dry Eye Risk in adult post-operative patients

PALAVRAS-CHAVES:

Nursing; Dry Eye Syndromes; Keratoconjunctivitis Sicca; Surgicenters.

PÁGINAS: 50
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

The objective of this study was to characterize Ocular Dryness and the Diagnosis of Nursing (OD) Dry Eye Risk in adult patients in the immediate postoperative period. This is a cross-sectional study, carried out at the Surgical Center and Post-Anesthetic Recovery Unit (URPA) of the Onofre Lopes University Hospital, from May to August 2017. The population consisted of adult patients submitted to elective surgical procedures, final sample of 157 patients. The data collection instrument consisted of epidemiological and clinical data, Aldrete and Kroulik scale, risk factors for NANDA-I dry eye risk, Schirmer's test and NOC nursing result (Eye Gravity Seco) improved by Fernandes (2015). Two diagnostic nurses analyzed the data and defined the study outcomes. The data were analyzed by the Statistical Package for Social Science (SPSS) version 22.0. In the descriptive analysis we used frequencies, measures of the distribution center and respective variabilities. In the normality of the data used Shapiro-Wilk; in the comparison of the average of independent samples, Student t; for asymmetric data, Mann-Whitney; in the analysis of associative variables, Pearson Chi-square and in frequencies smaller than five, Fisher test. The magnitude of the association by the Prevalence Ratio and the Confidence Interval (CI) of 95%. A significance level of 95% (p≤0.05) was considered in all tests used. A favorable opinion was obtained from the Research Ethics Committee No. 2,004,545 and CAEE 64881717.5.0000.5537. The patients were informed of the objectives of the study and asked to sign the Informed Consent Form (TCLE). It was obeyed the determinations of Resolution 466/2012 of the National Health Council, of the Ministry of Health of Brazil. Of the 157 patients in the study, 52.23% were males, with a mean age of 48.90 (± 15.98) years, with a partner (60.51%) born in the interior of Rio Grande do Norte, 05%), reside in the capital of the RN (49.8%), have an average study time of 9.11 (± 3.94) years, work with remuneration (54.78%) and receive on average 1.63 (± 1,21) minimum wages. The prevalence of Ocular Dryness was 85.35% and of the OD of Dry Eye Risk of 14.65% in patients in the immediate postoperative period. The Right Eye Ocular Dryness (OD) was 95% more prevalent in patients who used the general anesthetic and 21% more prevalent in the use of the gastric secretion inhibitor / protector. Patients with dry eye risk factors who used the general anesthetic had a 30% lower prevalence of developing this outcome. Patients with aging factors and treatment regimen had 82% and 62% less prevalence of developing Ocular Dryness in OD and Left Eye (OE) respectively. Patients with hyperemia presented 3.19 times more prevalence of Ocular Dryness in the DO. Excessive tearing was 3.77 times more prevalent in patients with ED. Schimer presented statistical significance (P <0.001) in the studied outcomes. The present study is relevant to encourage initiatives to prevent eye dryness in surgical patients.

MEMBROS DA BANCA:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externo ao Programa - 3567192 - FABIANE ROCHA BOTARELI
Interno - 1352508 - MARCOS ANTONIO FERREIRA JUNIOR
Externo à Instituição - RHANNA EMANUELA FONTENELE LIMA DE CARVALHO - UECE