Characterization of the physiotherapeutic profile of patients treated before and after urogynecological conditions: retrospective analysis
DOI:
https://doi.org/10.5433/1679-0367.2019v40n2p203Keywords:
Physiotherapy, Hospital, Urology, Gynecology.Abstract
Objective: To identify the profile of patients, techniques and physiotherapeutic resources applied in the pre and postoperative period of urogynecology in a university hospital. Material and Method: Cross-sectional and retrospective study by medical chart analysis of patients treated by urogynecologic physiotherapy under hospital admission, in a university hospital. The sample consisted of 227 patients (54.7 ± 16.5 years, 57.3% female, 53% resident in Londrina). Data on patient identification, gender, age, origin, medical and functional kinetic diagnosis, surgical procedure, type of anesthesia, surgical access route, length of hospital stay, postoperative complications, physical therapy sessions, techniques and resources were collected. physiotherapy, guidelines and referral after discharge. Statistical analysis was descriptive through frequency distribution and proportion. Results: The most prevalent medical diagnosis was uterine myoma (17.8%), with a double J catheter placement (17.6%); videolaparoscopy (49%), spinal anesthesia (57%), the most reported procedures. Regarding physiotherapy, 59% of the patients received physiotherapeutic care once a day (95.6%), an average of 5.4 physiotherapy / hospitalization sessions. About 84.5% of the patients had no complications. The main respiratory and motor techniques were re-education (90.0%) and reexpansive (93.3%), circulatory exercises (97%) and kinesiotherapy (96%) respectively, without the use of material resources in the therapy (57.4%). Conclusion: This research evidenced relevant data that could help the professional physiotherapist, the faculty and students of the physiotherapy course that work in the HU / UEL, in the development of improvements in this area, contributing to adjustments and improvement in the registry in medical records and in the physiotherapeutic treatment of these patients.Downloads
References
Frutuoso C. Cuidados pré-operatórios e pós-operatórios. In: Oliveira CF. Manual de ginecologia. Lisboa: Permanyer Portugal; 2010. p. 603-22.
Cataneo JM. Clínica cirúrgica. Rio de Janeiro: Revinter; 2003.
Baracho E. Fisioterapia aplicada à obstetrícia, uroginecologia e aspectos de mastologia. Rio de Janeiro: Guanabara Koogan; 2007.
Campos RP. Assistência de enfermagem ao paciente cirúrgico: Principais cirurgias. Tatuí: Fundação Educacional Manoel Guedes; 2015.
Simão C. Fisioterapia uroginecológica é imprescíndivel em disfunções do assoalho pélvico. [Internet]. Niterói; 2012 [citado 2019 jul. 2]. Disponível em: http://www.afr.org.br/app/webroot/img/paper/file/Revista_ICB_Out_2012.pdf.
Tacani PM, Tacani RE, Machado AFP, Peroni AE, Silva MA, Freitas JOG. Perfil clínico de pacientes atendidos em fisioterapia assistencial à cirurgia plástica: análise retrospectiva. Conscientiae Saúde. 2013 jun; 12(2): 290-7.
Silva CMC, Vargens OMC. A mulher que vivencia as cirurgias ginecológicas: enfrentando as mudanças impostas pelas cirurgias. Rev. Latino-am. Enfermagem. 2016; 24:e2780.
Covre ER, Melo WA, Tostes MFP, Fernandes CAM. Permanência, custo e mortalidade relacionados às internações cirúrgicas pelo Sistema Único de Saúde. Rev. Latino-Am. Enfermagem. [Internet]. 2019 [citado 2019 jun. 2]; 27:e3136. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S01041692019000100324&lng=en
Sesso RC, Lopes AA, Thomé FS, Lugon JR, Watanabe Y, Santos DR. Chronic dialysis in Brazil: report of the Brazilian dialysis census, 2011. J Bras Nefrol 2012;34:272-7. Doi: http://dx.doi.org/10.5935/0101-2800.20120009
Oliveira TR, Louzada LAL, Jorge JC. Raquianestesia: prós e contras. Rev Med Minas Gerais. 2015; 25(Supl 4): S28-S35.
Instituto Nacional de Câncer (BR). Controle do câncer de mama: documento de consenso. Rev Bras Cancerol. 2004;50(2):77-90.
Gastaldi AC, Magalhães CMB, Baraúna MA, Silva EMC, Souza HCD. Benefícios da cinesioterapia respiratória no pós-operatório de colecistectomia laparoscópica. Rev Bras Fisioter. 2008 mar./abr; 12(2):100-6.
Cavalli AC, Filho RT, Slongo LE, Cavalli RC, Rocha LCA. O emprego do cateter duplo J diminui as complicações na ureterolitotomia retroperitoneoscópica. Rev. Col. Bras. Cir. 2012; 39(2): 112-8.
Danilovic A. Preditores de complicações da nefrectomia total em pacientes com cálculo renal. São Paulo: Universidade de São Paulo; 2015.
Oliveira CRD. Anestesia para cirurgia videolaparoscópica. Rev Bras Videocir. 2005; 3(1):32-42.
Marques JP, Mota F. Cirurgia uterina por via abdominal. In: Oliveira CF. Manual de ginecologia. Lisboa: Permanyer Portugal; 2010. p. 447-79.
Santos JS, Kemp R. Fundamentos básicos par a cirurgia e cuidados perioperatórios. Medicina. 2011; 44(1): 2-17.
Oliveira TR, Louzada LAL, Jorge JC. Raquianestesia: prós e contras. Rev Med Minas Gerais. 2015;25(4):28-35.
Rocha JJR. Infecção em cirurgia e cirurgia das infecções. Medicina. 2008; 41(4): 487-90.
Alves AN. A importância da atuação da fisioterapia no ambiente hospitalar. Ensaios Cienc. 2012;16(6):173-84.
Polden M, Mantle J. Fisioterapia em ginecologia e obstetrícia. São Paulo: Ed Santos; 2000.
Rossetti BL, Alexandre M, Costa AC, Rocha KR. Técnicas de cinesioterapia respiratória e manobras de higiene brônquica (MHB) [Internet]. 2016. [citado 2019 jul. 2]. Disponível em: http://www.wgate.com.br/conteudo/medicinaesaude/fisioterapia/respiratoria/cinesio_bruno/cinesio_respiratoria_bruno.html
Pinheiro AR, Christofoletti G. Fisioterapia motora em pacientes internados na unidade de terapia intensiva: uma revisão sistemática. Rev Bras Terapia Intensiva. 2012;24(2):188-96.
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