Banca de DEFESA: DANIELLY OLIVEIRA PITOMBEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : DANIELLY OLIVEIRA PITOMBEIRA
DATA : 11/12/2018
HORA: 14:00
LOCAL: Departamento de Enfermagem
TÍTULO:

ANALYSIS OF HYPOTHERMIA IN CARDIOPATHIC PATIENTS

PALAVRAS-CHAVES:

Hypothermia; Body Temperature Regulation; Cardiac disorders.

PÁGINAS: 120
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Hypothermia is defined as the core body temperature below 36 ° C, which may be present regardless of temperature, if the patient reports cold sensation and / or presents with tremors, peripheral vasoconstriction and piloerection. Unintentional hypothermia is the focus of this research and was observed in patients with heart disease who did not undergo a surgical procedure. This is a retrospective cohort study with computerized charts, whose main objective is to analyze the phenomenon of hypothermia in patients with heart disease between the admission period and the occurrence of this outcome. All medical records of the patients admitted to the cardiology unit for adults of a university hospital in the Brazilian Northeast, from August 2016 to July 2018 were considered. The collection resulted in 1006 records, of which 645 were hospitalized for heart disease. These were analyzed and 109 were selected because they met the eligibility criteria previously established and therefore are present in this study. Data were collected from July to September of 2018 through the use of an instrument with sociodemographic, clinical data and nursing diagnosis indicators Hypothermia. Data were categorized and organized into a spreadsheet built in Microsoft Excel for Windows and exported to statistical package for simple frequency analysis, central tendency and variability measures, Chi-square test, Fisher, relative risk calculation, Kolmogorov-Smirnov test et de Student. The results showed that 45% of the sample presented hypothermia on the second follow-up day. Concerning the sociodemographic characterization, there was a greater frequency of males, with 61.4% of the total studied. Regarding the age group, 55.9% were younger than 60 years. Regarding schooling, 33% attended incomplete primary education, followed by 20.2% with complete medical education and 19.3% with no literacy. Regarding marital status, 66% of the sample lives with a partner. Regarding the place of birth and residence, 67.8% were born in the interior of the state and 51.3% live in the interior. Regarding the days of hospitalization, an average of 18 days was obtained. From the charts analyzed, 60.5% of the patients did not perform cardiac surgery. Regarding drug therapy, analgesic use was observed in 95% of patients, followed by antihypertensives with 69.7% and beta-blockers with 63.3% of the total studied. There were difficulties in obtaining records of anthropometric measurements in the medical records, with 62.3% of the missing height data and 34.8% of the absent weight data during the follow-up period. This study reinforces the need to develop instruments to improve care management regarding hypothermia in patients with heart disease.

MEMBROS DA BANCA:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externo à Instituição - ANA CARLA DANTAS CAVALCANTI
Interno - 4665456 - DANIELE VIEIRA DANTAS
Interno - 1863377 - MARIA ALZETE DE LIMA