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Complicações pós-cirúrgicas na revascularização miocárdica: visão do enfermeiro
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Advisor(s)
Abstract(s)
Uma das formas de tratamento da doença arterial coronária é a cirurgia de revascularização miocárdica. Esta, é considerada causadora de angústias e medos para o paciente que se submete a este procedimento e à sua família, uma vez que por ser um procedimento de alta complexidade pode tanto preservar a vida como também extingui-la. Além disso, esta cirurgia envolve um órgão repleto de simbolismos, mexe com a representação do centro da vida, o coração. Após o sucesso do ato cirúrgico, o paciente ainda lida com sinais psicológicos, sociais e físicos da cirurgia, distinguindo-o dos outros seres humanos. O seguinte estudo de revisão sistemática de literatura tem como objectivos conhecer as complicações pós-cirúrgicas em doentes submetidos a revascularização miocárdica assim como a importância que detêm os enfermeiros no acompanhamento perioperatório. Desta forma, procedeu-se à análise crítica extensiva de artigos científicos internacionais publicados em bases de dados de reconhecimento mundial entre 2000 e 2012. Como conclusões finais deste estudo, destaca-se a complexidade existente nos cuidados prestados ao doente revascularizado, muitas vezes centrado em modelos que visam apenas o tratamento dos sintomas físicos, ao invés da abordagem holística e preventiva onde os enfermeiros podem e devem atuar de forma decisiva. O presente trabalho de investigação é elaborado no 4º ano do curso de Licenciatura em Enfermagem da Universidade Fernando Pessoa e tem como objetivo a obtenção do grau de Licenciado em Enfermagem.
One of the treatments for coronary heart disease is myocardial revascularization surgery. This surgery is believed to be a source of anxiety fear both for the patient and their family as it is a highly complex procedure that might preserve life but also end it. Moreover, this surgery involves an organ which is rich in symbolism as it represents the centre of life, the heart. After a successful surgical act a patient still deals with surgery-related psychological, social and physical signs which set them apart from other human beings. The following study of systematic literature review aims to find out about post-surgical complications in patients submitted to myocardial revascularization as well as the importance of nurses in perioperative care. Therefore one carried out extensive review of international scientific articles published in world-renowned databases between 2000 and 2012. As final conclusions of this study one should point out the complexity in the care regarding revascularized patients, which is often based on models which merely aim at the treatment of physical symptoms, instead of using a preventive and holistic approach where nurses can and should perform decisively. This research work has been carried out in the 4th year of the Degree Course in Nursing by Fernando Pessoa University within the context of obtaining the degree of Graduate in Nursing.
One of the treatments for coronary heart disease is myocardial revascularization surgery. This surgery is believed to be a source of anxiety fear both for the patient and their family as it is a highly complex procedure that might preserve life but also end it. Moreover, this surgery involves an organ which is rich in symbolism as it represents the centre of life, the heart. After a successful surgical act a patient still deals with surgery-related psychological, social and physical signs which set them apart from other human beings. The following study of systematic literature review aims to find out about post-surgical complications in patients submitted to myocardial revascularization as well as the importance of nurses in perioperative care. Therefore one carried out extensive review of international scientific articles published in world-renowned databases between 2000 and 2012. As final conclusions of this study one should point out the complexity in the care regarding revascularized patients, which is often based on models which merely aim at the treatment of physical symptoms, instead of using a preventive and holistic approach where nurses can and should perform decisively. This research work has been carried out in the 4th year of the Degree Course in Nursing by Fernando Pessoa University within the context of obtaining the degree of Graduate in Nursing.
Description
Projecto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Enfermagem
Keywords
Enfermagem perioperatória Revascularização miocárdica Complicações pós-cirúrgicas Perioperative nursing Myocardial revascularization Post-surgical complications