scholarly journals Quality assessment of the wound dressing procedure in patients at a university hospital

2008 ◽  
Vol 16 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Eleine Aparecida Penha Martins Nonino ◽  
Maria Luiza Anselmi ◽  
José Carlos Dalmas

This observational and sectional study analyzed the quality of the wound dressing procedure performed on hospitalized patients at a medical surgical unit of a University Hospital, based on their classification according to the degree of care dependency and activity performance phases. Using a check list, 168 wound dressings were observed between October and December 2005. Procedure quality was analyzed based on the Positivity Index (IP) and values >70% were considered satisfactory.For the preparation, the IP was 68%, 63%, 73% and 75% for patients with degrees I, II, III and IV, respectively; for execution, 70%, 69%, 71% and 75% and, for unit organization, it was >70% for all degrees. However, the items: validity time frame checking, respect for aseptic principles and maintenance of logical sequence of procedures were compromised. Rigorous execution of procedures allows for risk decrease and assures benefic results for patients, conferring quality to nursing actions.

2017 ◽  
Vol 135 (4) ◽  
pp. 332-338 ◽  
Author(s):  
Letícia Baltieri ◽  
Luiz Claudio Martins ◽  
Everton Cazzo ◽  
Débora Aparecida Oliveira Modena ◽  
Renata Cristina Gobato ◽  
...  

ABSTRACT CONTEXT AND OBJECTIVE: The combined effect of obesity and asthma may lead to significant impairment of quality of life (QOL). The aim here was to evaluate the prevalence of asthma among obese individuals, characterize the severity of impairment of quality of life and measure its relationship with pulmonary function. DESIGN AND SETTING: Observational cross-sectional study in public university hospital. METHODS: Morbidly obese individuals (body mass index > 40 kg/m2) seen in a bariatric surgery outpatient clinic and diagnosed with asthma, were included. Anthropometric data were collected, the Standardized Asthma Quality of Life Questionnaire (AQLQ(S)) was applied and spirometry was performed. The subjects were divided into two groups based on the median of the score in the questionnaire (worse < 4 and better > 4) and were compared regarding anthropometric data and pulmonary function. RESULTS: Among the 4791 individuals evaluated, 219 were asthmatic; the prevalence of asthma was 4.57%. Of these, 91 individuals were called to start multidisciplinary follow-up during the study period, of whom 82 answered the questionnaire. The median score in the AQLQ(S) was 3.96 points and, thus, the individuals were classified as having moderate impairment of their overall QOL. When divided according to better or worse QOL, there was a statistically difference in forced expiratory flow (FEF) 25-75%, with higher values in the better QOL group. CONCLUSION: The prevalence of asthma was 4.57% and QOL was impaired among the asthmatic obese individuals. The worst QOL domain related to environmental stimuli and the best QOL domain to limitations of the activities. Worse QOL was correlated with poorer values for FEF 25-75%.


2021 ◽  
pp. 71-76
Author(s):  
Cyntiya Rahmawati ◽  
Baiq Leny Nopitasari

Introduction: Duration of treatment and outcome of therapy of diabetic foot ulcers are some of the factors that affect the quality of life and will require higher medical costs. Objectives: This study aimed to choose an alternative wound dressing that provides the best utility at the most cost-efficient. Methods: The research method used was pharmacoeconomics with a patient’s perspective. Results: The results showed the mean cost of modern wound dressings per visit was IDR 347,131, while that of conventional wound dressings was IDR 47,140. The quality of life with modern vs conventional wound dressing was significantly different (p < 0.05). The incremental cost utility ratio (ICUR) value was IDR 22,813 per quality of life (QoL). Conclusions: This study showed that modern wound dressings provide a higher quality of life at a higher cost. Indeed, it cost more than IDR 22,813 to change from conventional to modern wound dressings and increase 1 unit of quality of life, but patients obtained an additional 13.15 quality of life.


2017 ◽  
Vol 46 (2) ◽  
pp. 244-251 ◽  
Author(s):  
Ida Nygaard Mottelson ◽  
Morten Sodemann ◽  
Dorthe Susanne Nielsen

Aims: Immigrants, refugees, and their descendants comprise 12% of Denmark’s population. Some of these people do not speak or understand Danish well enough to communicate with the staff in a healthcare setting and therefore need interpreter services. Interpretation through video conferencing equipment (video interpretation) is frequently used and creates a forum where the interpreter is not physically present in the medical consultation. The aim of this study was to investigate the attitudes to and experiences with video interpretation among charge nurses in a Danish university hospital. Methods: An electronic questionnaire was sent to 99 charge nurses. The questionnaire comprised both closed and open-ended questions. The answers were analysed using descriptive statistics and thematic text condensation. Results: Of the 99 charge nurses, 78 (79%) completed the questionnaire. Most charge nurses, 21 (91%) of the daily/monthly users, and 21 (72%) of the monthly/yearly users, said that video interpretation increased the quality of their conversations with patients. A total of 19 (24%) departments had not used video interpretation within the last 12 months. Conclusions: The more the charge nurses used video interpretation, the more satisfied they were. Most of the charge nurses using video interpretation expressed satisfaction with the technology and found it easy to use. Some charge nurses are still content to allow family or friends to interpret. To reach its full potential, video interpretation technology has to be reliable and easily accessible for any consultation, including at the bedside.


PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0194622
Author(s):  
Oskar Andersson ◽  
Peter Radell ◽  
Victor Ringo ◽  
Moses Mulungu ◽  
Tim Baker

Rev Rene ◽  
2015 ◽  
Vol 16 (2) ◽  
Author(s):  
Verônica Aparecida Ferreira ◽  
Isis Do Nascimento Teixeira Silveira ◽  
Nathália Silva Gomes ◽  
Mariana Torreglosa Ruiz ◽  
Sueli Riul da Silva

Objective: analyzing the quality of life of women with gynecologic and breast cancer, undergoing antineoplasticchemotherapy for at least one year after treatment completion. Methods: a descriptive, cross-sectional study conductedin a University Hospital. To analyze quality of life, a sociodemographic and clinical data questionnaire and WHOQOL-brefwere used. Results: 30 women with an average age of 52 years were interviewed; most were diagnosed with breast cancerand received adjuvant chemotherapy. Regarding quality of life, the most negatively affected domains were the physical andpsychological domains, followed by environmental and social domains. Conclusion: including quality of life measures inclinical practice appears to be crucial in promoting comprehensive care to patients and their families.


2014 ◽  
Vol 23 (2) ◽  
pp. 347-355 ◽  
Author(s):  
Caroline Lemes Pozza Morales ◽  
Jenefer Garcez Alexandre ◽  
Suzana Prim ◽  
Lúcia Nazareth Amante

This was a qualitative and descriptive study that aimed to determine how patients understand instructions provided by a multidisciplinary team during perioperative periods of bariatric surgery. Data were collected through three individual interviews. Six patients admitted to a surgical unit of a university hospital in southern Brazil, in April and May 2012, participated in the study. Thematic analysis revealed three categories: communication in the perioperative period of bariatric surgery; quality of life and post- surgical care following bariatric surgery; and communication in the work process of the multidisciplinary team. The results showed satisfaction with the information received, but problems in the communication process and apprehension about life after surgery were highlighted. Furthermore, the absence of outpatient nursing care was demonstrated.


Author(s):  

Objective: To trace the epidemiological profile and evaluate the quality of life of patients undergoing replacement therapies, and whether there is a difference between these groups. Materials and Methods: This is a cross-sectional, descriptive, quantitative study conducted with 75 patients submitted to renal replacement therapies in a university hospital in the metropolitan region of Recife, of whom 42 were hemodialysis, 22 were peritoneal dialysis and 12 were transplanted, who agreed to participate in the research. Results: Regarding the profile of the modalities, the patients presented similarity only in terms of gender, income and place of residence, and the results obtained were female, income of one minimum wage and most lived in the metropolitan region of Recife/PE, respectively. Conclusion: In the comparison of quality of life with the therapies, in general, the transplanted ones obtained the best score; however, there was a significant influence on sociodemographic and clinical data on quality of life in various aspects, in the three modalities, evidencing that substitute therapies interfere in the quality of life of patients, causing difficulties in their daily lives regarding their family, social, mental, professional and leisure life.


2020 ◽  
pp. 096739112096237
Author(s):  
Fariba Saeedi ◽  
Arash Montazeri ◽  
Yaser Bahari ◽  
Malihe Pishvaei ◽  
Behrooz Jannat

The nanocomposites of Chitosan (CS)-poly vinyl alcohol (PVA) reinforced with graphene oxide (GO) were fabricated by casting in a mold. The nanocomposite films were characterized by various techniques. The viscoelastic properties of the wound dressings were evaluated by dynamic mechanical thermal analysis (DMTA) since the healing quality of a wound dressing depends on such properties. DMTA results also were modeled by the Cole-Cole diagram. Finally, the effects of GO on antimicrobial and biological properties of films were studied. It has been shown that nanocomposite films support the initial attachment, proliferation, and growth of mouse fibroblast cells.


2014 ◽  
Vol 48 (4) ◽  
pp. 602-609 ◽  
Author(s):  
Isabella Schroeder Abreu ◽  
Maria Fernanda Cabral Kourrouski ◽  
Danielle Maria de Souza Serio dos Santos ◽  
Monika Bullinger ◽  
Lucila Castanheira Nascimento ◽  
...  


The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.



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