RESUMO
BACKGROUND: Surgical recovery can be defined as the days required to initiate activities that maintain life, health, and well-being. AIM: The main study objective was to compare the effectiveness of telephone versus conventional follow-up in postsurgical older adult patients. METHODS: This is a quasi-experimental study with random sampling. Postsurgical patients over 60 years old who had undergone gastrectomy and colectomy were selected from 2 hospitals and randomly divided into intervention group (22 patients) and control group (21 patients). Data collection was performed from January to September 2014. The differences in surgical recovery between the control and intervention groups were measured at 48 hours, 4 weeks, and 8 weeks after surgery. RESULTS: Patients in the control group took significantly longer duration in the length of surgical recovery from the first to the second (P = .007) and to the third evaluation time points (P = .013). Patients in the intervention group had significant less impaired mobility (P = .003), need for assistance for self-care (P = .009), fatigue (P = .048), and time required for recuperation (P = .048). CONCLUSION: Telephone follow-up reduced the occurrence of delayed surgical recovery.
Assuntos
Assistência ao Convalescente , Colectomia , Gastrectomia , Recursos Humanos de Enfermagem Hospitalar , Telefone , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Fadiga/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Limitação da Mobilidade , Recuperação de Função Fisiológica , Método Simples-Cego , Fatores de TempoRESUMO
Este estudo-piloto analisa o acompanhamento por telefone comparado ao tratamento convencional em idosos no pós-operatório de cirurgias de coxa e quadril. Observou-se uma redução sob o ponto de vista clínico entre a primeira e a última avaliação para "perda do apetite sem náuseas", "dificuldade para movimentar-se" e "fadiga". Houve tendência de queda da "dor" e da "infecção pós-operatória no local da incisão". As atividades de intervenção exercidas através do telefone mostram-se acessíveis à população, com boa adesão e baixo custo.
This pilot study analyzes the telephone follow-up compared to the conventional treatment in the elderly in the postoperative period of thigh and hip surgeries. He observed a clinical reduction between the first and last evaluation for "loss of appetite without nausea," "difficulty to move" and "fatigue". There was a tendency for "pain" and "postoperative infection at the incision site to drop." Intervention activities carried out through the telephone are accessible to the population, with good adherence and low cost.
Este estúdio-piloto analiza el seguimiento por teléfono comparado al tratamiento convencional en ancianos en el postoperatorio de cirugías de muslo y cadera. Se observó una reducción desde el punto de vista clínico entre la primera y la última evaluación para "pérdida del apetito sin náuseas", "dificultad para moverse" y "fatiga". En la mayoría de los casos, se observó un aumento de la mortalidad por rotavirus en el momento de la vacunación.