Protocolo de intervenção fisioterapêutica na enfermaria de ginecologia do Hospital São Paulo

• Ano de defesa: 2018
• Autor(a) principal: Monteiro, Ebe dos Santos [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Physiotherapeutic; Fisioterapeutica
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6419076; https://repositorio.unifesp.br/handle/11600/52691

Objective: To implement a physiotherapeutic intervention protocol for gynecological surgery hospitalized patients in the Hospital of São Paulo UNIFESP. Method: The ORIGAMI Project (Optimizing Recovery During Inpatient Care in Women Gynecology in an Integral Way) was developed to facilitate communication between the sectors and the Disciplines of the Department of Gynecology. A prospective, cross sectional, observational study of women hospitalized in the Gynecology Ward of the Hospital São Paulo, Federal University of São Paulo, from June 20 14 to June 2 015 was conducted. The study was divided into three phases with data collected from the hospitalizations of patients in the Gynecology Ward. A total of 5 65 patients were enrolled in phase I (197), phase II (178) and phase III (190). The physiotherapy team initiated protocol for early ambulation and mobility assessment. An explanatory flyer was elaborated, which was then delivered and discussed with the patients at the time of admission. Results: The physiotherapeutic protocol was implemented and had 100% adherence of the patients. All of them received the preoperative guidelines regarding the importance of early movement and moved the lower limbs when the anesthetic effect ceased. The starting time of ambulation for postoperative patients decreased between phases, being 16.65 hours in phase I, 1 3.85 hours in phase 2 and 1 3.50 hours in phase I II. (p & lt;0.001) On the first postoperative day, patients walked on average, 77. 4 meters in phase I. With the implementation of the physiotherapeutic protocol, this distance increased to 292.6 meters in phase II and suffered as light decrease in phase III with an average of 233 meters (p <0.001). Conclusions: It was concluded that it was possible to implant the physiotherapeutic protocol, with g ood patient adherence. It was possible to optimize the early ambulation, in which the patients started to walk after 13 hours postoperatively.