Monitoring of postoperative complications in the home environment

Authors

DOI:

https://doi.org/10.15253/2175-6783.20202143161

Keywords:

Surgical Procedures, Operative; Postoperative Complications; Epidemiological Monitoring; Infection; Home Nursing.

Abstract

Objective: to propose a guideline for monitoring postoperative complications in patients in the home environment. Methods: research developed using the Delphi technique with 45 Brazilian health professionals. Google Forms were used for data collection and a Likert scale was used for consensus purposes. The data were analyzed using qualitative (content analysis) and quantitative (frequency and percentage analysis) techniques. Results: sixteen complications eligible to aid in the monitoring of surgical patients after discharge were listed, as well as signs and symptoms to be observed, and frequency and time of monitoring. According to the judges, surgical patients must be monitored at least once a day (68.8%). The maximum monitoring time varied from 48 hours to 30 days in case of risk of infection. Conclusion: the guideline is valid to be used to detect complications in surgical patients in the home environment and to anticipate the need for readmission.

References

Mouchtouris N, Lang MJ, Barkley K, Barros G, Turpin J, Sweid A, et al. Predictors of hospital-associated complications prolonging ICU stay in patients with low-grade aneurysmal subarachnoid hemorrhage. J Neurosurg. 2019; 3:1-7. doi: http://dx.doi.org/10.3171/2019.1.JNS182394

Stracieri LDS. Cuidados e complicações pós-operatórias. Medicina [Internet]. 2008 [citado 2020 jan. 20]; 41(4):465-8. Disponível em: http://revista.fmrp.usp.br/2008/VOL41N4/SIMP_4Cuidados_e_complicacoes-posoperatorias.pdf

Koivisto JM, Saarinen I, Kaipia A, Puukka P, Kivinen K, Laine KM, et al. Patient education in relation to informational needs and postoperative complications in surgical patients. Int J Qual Health Care. 2019; pii:mzz032. doi: http://dx.doi.org/10.1093/intqhc/mzz032

Sousa AFL, Bim LL, Schneider G, Hermann PRS, Andrade D, Fronteira I. M-health in the surgical context: prospecting, review and analysis of mobile applications. Open Nurs J. 2019; 13:18-27. doi: http://dx.doi.org/10.2174/1874434601913010018

Sousa AFL, Bim LL, Hermann PRS, Fronteira I, Andrade D. Complicações no pós-operatório tardio em pacientes cirúrgicos: revisão integrativa. Rev Bras Enferm. 2020; 72(3). [In Press].

Valle ARMC, Andrade D, Sousa AF, Carvalho PRM. Infection prevention and control in households: nursing challenges and implications. Acta Paul Enferm. 2016; 29(2):239-44. doi: http://dx.doi.org/10.1590/1982-0194201600033

Bardin L. Análise de conteúdo [Internet]. 2016 [citado 2020 jan. 20]. Disponível em: https://madmunifacs.files.wordpress.com/2016/08/anc3a1lise-de-contec3bado-laurence-bardin.pdf

Souza AC, Alexandre NMC, Guirardello EB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saúde. 2017; 26(3):649-9. doi: http://dx.doi.org/10.5123/s1679-49742017000300022

Leung K, Trevena L, Waters D. Content validation of the evidence-based nursing practice assessment tool. Nurse Res. 2018; 26(1):33-40. doi: http://dx.doi.org/10.7748/nr.2018.e1544

Woelber E, Schrick EJ, Gessner BD, Evans HL. Proportion of surgical site infections occurring after hospital discharge: a systematic review. Surg Infect (Larchmt). 2016; 17(5):510-9. doi: http://dx.doi.org/10.1089/sur.2015.241

Danwang C, Mazou TN, Tochie JN. Global prevalence and incidence of surgical site infections after appendectomy: a systematic review and meta-analysis protocol. BMJ Open. 2018; 8:e020101. doi: http://dx.doi.org/10.1136/bmjopen-2017-020101

Magill SS, O’Leary E, Janelle SJ, Thompson DL, Dumyati G, Nadle J, et al. Changes in prevalence of health care-associated infections in U.S. hospitals. N Engl J Med. 2018; 379(18):1732-44. doi: http://dx.doi.org/10.1056/NEJMoa1801550

Sadeghi HA, Ghadrdoost B. Evaluation of pulmonary complication in patient with valvular heart surgery: clinical and laboratory significances. Eur Resp J. 2018; 52:PA4111; doi: http://dx.doi.org/10.1183/13993003.congress-2018.PA4111

Patel K, Hadian F, Ali A, Broadley G, Evans K, Horder C, et al. Postoperative pulmonary complications following major elective abdominal surgery: a cohort study. Perioper Med Lond. 2016; 5:10. doi: http://dx.doi.org/10.1186/s13741-016-0037-0

Cohn SL, Ros NF. Comparison of 4 cardiac risk calculators in predicting postoperative cardiac complications after noncardiac operations. Am J Cardiol. 2018; 121(1):125-30. doi: http://dx.doi.org/10.1016/j.amjcard.2017.09.031

Golubovic M, Stanojevic D, Lazarevic M, Peric V, Kostic T, Djordjevic M, et al. A risk stratification model for cardiovascular complications during the 3-month period after major elective vascular surgery. Biomed Res Int. 2018; 2018:4381527. doi: http://dx.doi.org/10.1155/2018/4381527

Alecrim RX, Taminato M, Belasco A, Longo MCB, Kusahara DM, Fram D. Strategies for preventing ventilator-associated pneumonia: an integrative review. Rev Bras Enferm. 2019; 72(2):521-30. doi: http://dx.doi.org/10.1590/0034-7167-2018-0473

Shao L, Pang N, Yan P, Jia F, Sun Q, Ma W, et al. Control of body temperature and immune function in patients undergoing open surgery for gastric cancer. Bosn J Basic Med Sci. 2018; 18(3):289-96. doi: http://dx.doi.org/10.17305/bjbms.2018.2552

Sousa AFL, Oliveira LB, Carvalho HEF, Ribeiro IP, Fronteira I, Andrade D. Ocorrência de complicações no pós-operatório tardio de artroplastia de joelho e quadril. Rev Pesq Fundam Care Online. 2020. [In Press].

Kassmann BP, Docherty SL, Rice HE, Bailey Jr DE, Schweitzer M. Telephone follow-up for pediatric ambulatory surgery: parent and provider satisfaction. J Pediatr Nurs. 2016; 27(6):715-24. doi: https://doi.org/10.1016/j.pedn.2012.02.004

Published

2020-03-18

How to Cite

Sousa, A. F. L. de, Hermann, P. R. de S. ., Fronteira, I., & de Andrade, D. . (2020). Monitoring of postoperative complications in the home environment. Rev Rene, 21, e43161. https://doi.org/10.15253/2175-6783.20202143161

Issue

Section

Research Article

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