Dissertations / Theses on the topic 'Gastrostomy'
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Orsi, Gisele de Oliveira [UNESP]. "Consulta de enfermagem como instrumento de avaliação do protocolo assistencial de gastrostomia endóscópica percutânea." Universidade Estadual Paulista (UNESP), 2012. http://hdl.handle.net/11449/86303.
Full textUniversidade Estadual Paulista (UNESP)
Avaliar a utilização do protocolo assistencial, utilizando a Sistematização da Assistência de Enfermagem (SAE), e a satisfação do cliente em relação às consultas de enfermagem nas gastrostomias endoscópicas percutâneas (GEP), de forma prospectiva. No período de novembro de 2009 a março de 2011, foram avaliadas todas as GEP, deforma prospectiva, utilizando a consulta de enfermagem como instrumento de avaliação de protocolo assistencial de satisfação do cliente, na Seção Técnica de Endoscopia do Hospital das Clínicas da Faculdade de Medicina de Botucatu – Unesp. As avaliações foram realizadas em 4 momentos: M1 a M4, sendo pós procedimento imediato, 1º, 30º e 90º dias após o procedimento, respectivamente, quando foram avaliados parâmetros da dor e características da região peri estomal, complicações precoces, tardias, menores e maiores. No período do estudo foram realizadas 38 GEP. A média de idade foi de 50,09 anos ± 20,12 anos, sendo 57,83 anos no sexo masculino e 61,14 anos no sexo feminino. Houve perda de seguimento por não comparecimento a consulta, no M3 de 5,2% e no M4 de 2,6% e por óbito no M3 de 10,52% e no M4 de 8,33%. Todos os pacientes contavam com a presença de cuidador. No M1, 28,9% não referiram dor, 63,16% referiram dor de fraca intensidade e 7,89% de moderada intensidade. No M2, 13,16% não referiram dor, 84,21% referiram dor de fraca intensidade e 2,63% de moderada intensidade. No M3, houve diminuição da queixa, sendo que 90,63% não referiram dor, 6,25% referiram dor de fraca intensidade e 3,13% de moderada intensidade. No M4, 93,10% não referiram dor e 6,90% referiram dor de fraca intensidade. Nenhum paciente queixou-se de dor intensa ou insuportável nos momentos de avaliação e 15,15% dos pacientes não apresentaram dor em nenhum momento. Entre as complicações...
Prospectively evaluate the use of an assistential care protocol for percutaneous endoscopic gastrostomy (PEG) using the systematization of nursing care and customer satisfaction regarding nursing consultations. A prospective study was conducted from November 2009 to March 2011 using nursing consultations to evaluate an assistential care protocol for PEG and customer satisfaction in all adults submitted to PEG in the Endoscopy Sector of the of Botucatu Medical School of São Paulo State University (UNESP).The parameters evaluated were pain and complications. Patient mean age was 50.1 ± 20.1 years-old (57.8 years-old for males and 61.1 years-old for females). Patient loss at follow-up occurred in 5,2% due to nonattendance at M3 (30 days postsurgery) and in 2,6% in M4 (90 days postsurgery) and to death in 10,5% at M3 and in 8,3% in M4, attributed to basic pathology and associated comorbidities. The parameters evaluated were pain and early,late, minor and major complications. In M1, 28,9% didn’t show pain, 63,16% refered weak pain and 7,89% had moderate pain. In M2, 13,16% didn’t present pain, 84,21% had weak pain, and 2,63% had moderate pain. In M3, 90,63% did not complain about pain, 6,25% had weak pain and 3,13% had moderate pain. In M4, 93,1% didn’t present pain and 6,9%had weak pain. None of the patients complained about severe pain in any moment, and 15,15% of the patients didn’t have pain at all. Hipoventilation was the main minor complication, in 15,79%, probably due to the patients main diagnosis. 7,89% presented aspirative pneumonia as an early major complication. In this study, all patients required the presence of a caregiver. The customer satisfaction questionnaire was validated by Cronbach's alpha, which showed coherence and consistency in its applicability, suggesting it can be used... (Complete abstract click electronic access below)
Orsi, Gisele de Oliveira. "Consulta de enfermagem como instrumento de avaliação do protocolo assistencial de gastrostomia endóscópica percutânea /." Botucatu, 2012. http://hdl.handle.net/11449/86303.
Full textBanca: Walmar Kerche de Oliveira
Banca: Márcia Riromi Henna
Resumo: Avaliar a utilização do protocolo assistencial, utilizando a Sistematização da Assistência de Enfermagem (SAE), e a satisfação do cliente em relação às consultas de enfermagem nas gastrostomias endoscópicas percutâneas (GEP), de forma prospectiva. No período de novembro de 2009 a março de 2011, foram avaliadas todas as GEP, deforma prospectiva, utilizando a consulta de enfermagem como instrumento de avaliação de protocolo assistencial de satisfação do cliente, na Seção Técnica de Endoscopia do Hospital das Clínicas da Faculdade de Medicina de Botucatu - Unesp. As avaliações foram realizadas em 4 momentos: M1 a M4, sendo pós procedimento imediato, 1º, 30º e 90º dias após o procedimento, respectivamente, quando foram avaliados parâmetros da dor e características da região peri estomal, complicações precoces, tardias, menores e maiores. No período do estudo foram realizadas 38 GEP. A média de idade foi de 50,09 anos ± 20,12 anos, sendo 57,83 anos no sexo masculino e 61,14 anos no sexo feminino. Houve perda de seguimento por não comparecimento a consulta, no M3 de 5,2% e no M4 de 2,6% e por óbito no M3 de 10,52% e no M4 de 8,33%. Todos os pacientes contavam com a presença de cuidador. No M1, 28,9% não referiram dor, 63,16% referiram dor de fraca intensidade e 7,89% de moderada intensidade. No M2, 13,16% não referiram dor, 84,21% referiram dor de fraca intensidade e 2,63% de moderada intensidade. No M3, houve diminuição da queixa, sendo que 90,63% não referiram dor, 6,25% referiram dor de fraca intensidade e 3,13% de moderada intensidade. No M4, 93,10% não referiram dor e 6,90% referiram dor de fraca intensidade. Nenhum paciente queixou-se de dor intensa ou insuportável nos momentos de avaliação e 15,15% dos pacientes não apresentaram dor em nenhum momento. Entre as complicações... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Prospectively evaluate the use of an assistential care protocol for percutaneous endoscopic gastrostomy (PEG) using the systematization of nursing care and customer satisfaction regarding nursing consultations. A prospective study was conducted from November 2009 to March 2011 using nursing consultations to evaluate an assistential care protocol for PEG and customer satisfaction in all adults submitted to PEG in the Endoscopy Sector of the of Botucatu Medical School of São Paulo State University (UNESP).The parameters evaluated were pain and complications. Patient mean age was 50.1 ± 20.1 years-old (57.8 years-old for males and 61.1 years-old for females). Patient loss at follow-up occurred in 5,2% due to nonattendance at M3 (30 days postsurgery) and in 2,6% in M4 (90 days postsurgery) and to death in 10,5% at M3 and in 8,3% in M4, attributed to basic pathology and associated comorbidities. The parameters evaluated were pain and early,late, minor and major complications. In M1, 28,9% didn't show pain, 63,16% refered weak pain and 7,89% had moderate pain. In M2, 13,16% didn't present pain, 84,21% had weak pain, and 2,63% had moderate pain. In M3, 90,63% did not complain about pain, 6,25% had weak pain and 3,13% had moderate pain. In M4, 93,1% didn't present pain and 6,9%had weak pain. None of the patients complained about severe pain in any moment, and 15,15% of the patients didn't have pain at all. Hipoventilation was the main minor complication, in 15,79%, probably due to the patients main diagnosis. 7,89% presented aspirative pneumonia as an early major complication. In this study, all patients required the presence of a caregiver. The customer satisfaction questionnaire was validated by Cronbach's alpha, which showed coherence and consistency in its applicability, suggesting it can be used... (Complete abstract click electronic access below)
Mestre
Nappi, José Humberto Giordano. "Modificação de dispositivo para gastrostomia endoscópica percutânea pela técnica de punção: utilização em pacientes com neoplasia maligna de cabeça e pescoço." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/5/5154/tde-12032010-151918/.
Full textHead and neck cancer is the fifth most frequent neoplasm in developing countries. Dysphagia resulting from head and neck cancer or its treatment may lead to weight loss and malnutrition. Enteral nutrition is the method of choice of therapy to patients with preserved gastrointestinal tract unable to maintain adequate oral ingestion. Nasogastric or nasoenteral tubes are employed for short-term feeding and gastrostomy or jejunostomy tubes for more than 4 weeks. Percutaneous endoscopic gastrostomy is the most used method due to its safety and efficacy. The pull technique is the most commonly used method consisting in the introduction of a tube into the inflated stomach through the oropharingeal route with endoscopic aid. In those patients, such technique presents limitations due to digestive tract stenosis caused by inflammation, irradiation, or the tumor itself preventing endoscope or tube passage. In this case, failure occurs in approximately 20% of cases. Complications caused by stenosis dilation, infection of the ostomy site, acute airway obstruction, and even implantation of tumor at the puncture site on the abdominal wall have also been reported. Percutaneous endoscopy gastrostomy through introducer technique is the safest alternative for this group of patients because the tube is placed through an abdominal access under endoscopic control. The disadvantages of this method are the risk of displacing the inflated stomach at the moment of puncture and the use of smaller caliber tubes. The advent of the endoscopic gastropexy enables the fixation of the stomach to the abdominal wall preventing gastric displacement at the moment of puncture. Even though, tube caliber problem remains. The aim of this study was to evaluate the modification of a percutaneous endoscopy gastrostomy device with introducer technique regarding procedure feasibility, complications, procedure safety efficacy, and mortality. Thirty patients (mean age: 58 years, 76.7%: male) were included in the study. Mean Karnofsky index was found to be 67.7% and anesthetic risk ASA 1 = 3.3%, ASA 2 = 46.6%, and ASA 3 = 46.6%. Half of the patients had already undergone tracheostomy and 18 (60%) had chemotherapy and radiotherapy associated or in monotherapy. Oral cavity tumors were the most frequent totaling 11 (36.7%) of cases. Half of the patients were diagnosed in the stage IV of the disease, 7 (23.3%) in stage III, 1 (3.3%) in stage II, and 5 (16.7%) had already recurrence. Squamous cell carcinoma was the most frequent histological type in 27 (89.9%) of cases. Stenosis was found in 23 (76.6%) of cases, of which 15 (50%) were found to be isolated and 8 (26.7%), associated to trismus. Patients underwent introducer technique percutaneous endoscopy gastrostomy using modified device, associated to gastropexy, and a 20-Fr balloon tube placement. The procedure was performed in 26 (86.7%) outpatients under sedation and local anesthesia. The most frequent route to the inflated stomach was the oral route in 86.7% of patients and the nasal route in the others. There was no need for digestive dilation for passing the endoscope. The procedure was successful in all cases with no perioperative complications. Patients were followed up in the immediate postoperative period and at 72 hours, 10, 30 and 60 days for the assessment of pain, stoma infection, functionality, tube-related problems, and mortality. No signs of stoma infection were observed through the combined infection score. In the immediate postoperative period, one (3.3%) patient presented diffuse abdominal pain, leading to exploratory laparotomy that revealed massive pneumoperitoneum with no related signs of lesion to other organs and that was considered a major early complication. The majority of patients presented mild, moderate pain in the immediate postoperative period and at 72 hours. Two minor complications (6.6%) were observed: chemical dermatitis due to leakage around the tube on postoperative day 36 and inadvertent tube loss on postoperative day 8 with no signs of complication, so that the tube was repositioned without endoscopy. Two patients (6.6%) presented late rupture of tube balloon that was replaced without endoscopic examination. Dietary infusion was considered to be easily performed in all patients and no tube obstruction up to 60 assessment days was observed. Procedure-related deaths were not observed up to 30 days post intervention. There were two (6.6%) deaths between days 30 and 60 resulting from disease evolution. In conclusion, the application of the modified device for percutaneous endoscopy gastrostomy with introducer technique is feasible, safe, and efficient in outpatients with advanced, obstructive head and neck cancer under sedation, allowing the use of larger caliber, replaceable tube with low complication rates and no procedure-related mortality in this series
Caselli, Thaisa Barboza 1990. "Parâmetros nutricionais e efeito da alimentação por gastrostomia em crianças e adolescentes com tetraparesia espástica." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310764.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A tetraparesia espástica é um tipo de Encefalopatia crônica não progressiva ou não evolutiva (ECNE) que corresponde a uma condição neurológica associada a anormalidades motoras graves, ingestão alimentar deficiente, comprometimento da composição corporal e desnutrição frequente. A gastrostomia tem sido indicada para crianças com dificuldades em se alimentar decorrente da ECNE. O objetivo do trabalho foi avaliar o estado nutricional de crianças e adolescentes portadores de ECNE tetraespástica, por meio de curvas específicas e das dobras cutâneas, identificar a frequência das disfunções da motilidade digestiva e a comparar o estado nutricional daquelas alimentadas via gastrostomia (SGT) e via oral (VO). Também foi verificada a concordância entre curvas de crescimento utilizadas para população pediátrica no geral e as curvas específicas para pacientes com ECNE. Estudo transversal em que foram incluídos 54 pacientes. Foram obtidos os dados de: altura do joelho, estatura estimada, peso, dobras cutâneas e circunferências do braço. Os valores de dobras e circunferências foram comparados com a referência de Frisancho. As curvas de Brooks et al. foram utilizadas como padrão referencial e foram definidos como desnutridos aqueles que se encontravam abaixo do percentil 25 de peso para idade. A diferença dos parâmetros nutricionais entre o grupo SGT e grupo VO foi calculada por testes Qui-Quadrado e Exato de Fisher, enquanto que a relação entre curva de crescimento para crianças saudáveis (representada pelo Escore-Z calculado) e curva adotada como referencial foi verificada através do teste exato de Fisher. O nível de significância adotado foi de 5%. Dos 54 pacientes, 34 eram do sexo masculino e a média da idade foi de 10,2 anos. Vinte e cinco pacientes eram alimentados por SGT e 29 por VO. Observou-se que 70% (38/54) dos pacientes foram considerados eutróficos nos parâmetros de peso e Índice de Massa Corpórea (IMC) para idade, enquanto que 100% (54/54) estavam com estatura adequada para idade. A desnutrição em relação à dobra cutânea triciptal foi observada em 30% (26/54) enquanto que 52% (28/54) apresentaram depleção de massa magra através da circunferência braquial. Foi verificado que as disfunções da motilidade digestiva, como refluxo gastroesofágico, distúrbio de deglutição e constipação intestinal foram mais frequentes no grupo SGT, sendo possivelmente um dos fatores para indicação da cirurgia. O grupo VO apresentou mais indivíduos na faixa da desnutrição (24,14% ou 7/12), além de maior depleção de massa magra e adiposa quando comparado ao grupo SGT. Em relação às curvas, 14,3% dos pacientes que foram classificados como eutróficos no parâmetro peso para idade de acordo com a curva referencial, o Escore-Z os classificou como desnutridos e o mesmo ocorreu em 10% em relação ao IMC. A curva referencial classificou todos como tendo estatura adequada para idade, enquanto que o Escore-Z apontou baixa ou muito baixa estatura para idade. O estudo permitiu concluir que os parâmetros antropométricos indicam que os pacientes do grupo VO apresentam maior comprometimento do estado nutricional do que aqueles que se alimentam via SGT
Abstract: Spastic Quadriplegic cerebral palsy is a sort of a non-progressive chronic encephalopathy, which is related to a neurological condition linked to serious motor abnormalities, deficient food intake, body composition compromising and frequent malnourishment. Gastrostomy is being indicated to children who have difficulties in feeding due to the non-progressive chronic encephalopathy. The aim was to evaluate nutritional status of children and teenagers carriers of non-progressive chronic encephalopathy with spastic quadriplegic cerebral palsy (through comparison with specifics curves and skinfolds), dysfunctions frequency of digestive motility and the nutritional status comparison of those who feed via gastrostomy and via oral. It was also verified the accordance between growth curves used to pediatric people in general, and specifics curves for patients with non-progressive chronic encephalopathy. Sectional study which were included 54 patients. The following data were obtained: knee height, estimated stature, weight, skin folds and arm circumference. Skin folds and circumferences values were compared to Frisancho¿s reference values. Brooks curves at al. were used as referential standards, and were defined as malnourished those who were below the 25th percentile to the age. Nutritional parameters¿ difference between the group feed via gastrostomy and via oral was measured by Chi-square test and Fisher exact test. Significance level adopted was 5%. From 54 patients, 34 were male and the average age was 10.2 years old. Twenty five patients were feed via gastrostomy and 29 via oral. It was observed that 70% (38/54) of all patients were considered as eutrophic as weight and body mass parameters for the age, while 100% (54/54) had the ideal stature for the age. Malnourishment related to triceps skinfold was observed in 30% (26/54), while 52% (28/54) presented lean mass depletion through arm circumference. Was also verified that digestive motility, such as gastroesophageal reflux, swallowing disorders and intestinal constipation were frequent in group feed via gastrostomy, and a probable factor for surgery indication. Via oral group presented more individuals in malnourishment range (24,24%, or 7/12), besides higher levels of lean mass depletion, and also of adipose mass when compared to in group feed via gastrostomy. In 14,3% of patients who were classified as eutrophic in weight/age parameters in according to referential curve, Z-Score classified them as malnourished and the same happened in 10% on their body mass index. The reference curve has classified all patients as suitable stature to their ages. This study allowed to conclude that anthropometric parameters indicates that patients from via oral group present a higher compromising of nutritional status than patients of gastrostomy group
Mestrado
Saude da Criança e do Adolescente
Mestra em Ciências
Perissé, Vera Lúcia de Castro. "O enfermeiro no cuidar e ensinar à família do cliente com gastrostomia no cenário domiciliar." Universidade Federal Fluminense, 2007. https://app.uff.br/riuff/handle/1/1447.
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Clínica Vídeo-Endo
Mestrado Profissional em Enfermagem Assistencial
O cliente gastrostomizado requer o acompanhamento contínuo do enfermeiro estomaterapeuta, até que este e sua família readquiram a independência diante desta nova condição de vida. Este apoio inicia-se durante a hospitalização, a partir da instalação do cateter, estendendo-se para o dia-a-dia, no cenário domiciliar, quando este estoma assume o caráter permanente, havendo a necessidade de incentivo à família a participar no cuidado desse cliente, dando suporte às suas ações, ensinando-lhes os cuidados com o cateter, seu manuseio durante a administração da dieta, os cuidados em relação aos aspectos físicos e emocionais. Tais cuidados devem ser avaliados não só no sentido de prevenir complicações advindas do manuseio incorreto do cateter, mas também para garantir a reabilitação e a manutenção da saúde desse cliente no ambiente domiciliar, independente de sua condição sócio-econômica. Assim, o presente estudo teve por objetivos caracterizar o ambiente do cliente gastrostomizado e sua família, analisar as necessidades do familiar no cuidado do cliente gastrostomizado no cenário domiciliar e elaborar um programa de ensino ao familiar que cuida do cliente gastrostomizado no domicílio. Os sujeitos do estudo foram dez familiares que cuidavam de clientes gastrostomizados no domicílio. A coleta de informações foi desenvolvida através de visita domiciliar que possibilitou a aplicação das técnicas de observação participante, para caracterização do contexto domiciliar e entrevistas semi-estruturadas com os familiares desses clientes. Tais informações serviram de base para o documento que se encontra no final do estudo e que após testes e aprovação da equipe de médicos diretores da Clínica Vídeo-Endo, será enfim implantado
The client that suffered a gastrostomy needs the full attention of a stomach therapist nurse. This support starts with the probe installation and should be followed in homecare attention by motivating the family to take part of this process, giving them the necessary support, teaching how to manage the probe, how to handle it in the process of feeding the client and also the physical and emotional care required in order to prevent difficulties and contributing effectively to the health promotion, maintenance and rehabilitation of the client in home scene. The purpose of this work is to know the new possibilities of innovation in the nurse‟s practice and teaching with the family of the gastrostomized patient, identifying the needs of the family in this kind of care in home scene and elaborating a homecare program to the family of a gastrostostomized client. The subjects of this case study were ten members of the family who took care of gastrostomized patients in their homes. The information gathered was based on visitations to the homes, which enabled the use of techniques of participating observation, for the characterization of the home care context, as well as on semi structured interviews with family members of these patients. Such information is the basis of the document at the end of this study, which after trials and approval from the team of doctors - directors of the Clinic Video-Endo - will be then, implemented
CALDAS, Ana Caroline Silva. "Tecnologia cuidativo-educacional para promoção da autonomia de famílias de crianças com gastrostomia." Universidade Federal do Maranhão, 2017. https://tedebc.ufma.br/jspui/handle/tede/tede/2028.
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The making of gastrostomy leads many families to experience conflicting moments characterized by uncertainty, stress and disagreements between parents. In addition to the feelings of anguish and fear unveiled by caregivers, families are required to have innumerable knowledge and practices that are unusual for the daily care of children. Families need to receive professional support and have the social support network to deal with adversities that permeate family life. This research seeks to develop educational-care technology to support the care of the gastrostomy child based on the Model of Interpersonal Relations of Peplau and conception of Autonomy of Paulo Freire. Qualitative descriptive research utilized the Sensitive Creative Method (MSC) and Body Knowledge dynamics. Participants were 10 families living the gastrostomy preparation process, from the preoperative to the home care. For data collection, we used semi-structured interview recorded in audio, systematic observation and field notes. The data were coded / recoded and the situations-problems revealed were substrate for construction of the educational-care technology. The situation-problems encountered were: lack of knowledge of the families about the hospitalization process of the child, difficulty in the families' perception on gastrostomy, disruption of the parents' ideal of a perfect child, insufficient health education to attend to the demands of family care for the children with gastrostomy, resignation to the new family situation, having a child dependent on technologies, loss of the physiological feeding route. It is concluded that families with knowledge about gastrostomy will be empowered with their rights and thus may transform their reality. The technology can help families better understand what a gastrostomy is and how to handle it so that the care safely provided to the child helps in adapting to the situation of chronicity experienced.
A confecção da gastrostomia em crianças leva muitas famílias a vivenciar momentos conflituosos caracterizados por incertezas, estresse e desavenças. Além dos sentimentos de angústia e medo desvelados pelos cuidadores, é exigido das famílias inúmeros saberes e práticas incomuns para o cuidado cotidiano das crianças. As famílias precisam receber suporte profissional e dispor da rede de apoio social para enfretamento das adversidades que permeiam a vida familiar. Nesta investigação procura-se desenvolver tecnologia cuidativo-educacional para apoiar o cuidado à criança gastrostomizada a partir do Modelo das Relações Interpessoais de Peplau e Concepção da Autonomia de Paulo Freire. A pesquisa descritiva qualitativa utilizou o Método Criativo Sensível com a dinâmica Corpo Saber. Foram sujeitos de participação 10 famílias que vivenciavam o processo de confecção da gastrostomia, desde o pré-operatório até o cuidado domiciliar. Para coleta de dados utilizou-se entrevista semiestruturada gravada em áudio, observação sistemática e anotações de campo. Os dados foram codificados/recodificados e as situações-problemas reveladas constituíram substrato para construção da tecnologia cuidativoeducacional. As situações-problemas estabelecidas foram: desconhecimento das famílias sobre o processo de hospitalização da criança, dificuldade na percepção das famílias sobre a gastrostomia, desestruturação do imaginário dos pais sobre a criança perfeita, educação em saúde insuficiente para atender demandas de cuidado das famílias às crianças com gastrostomia, resignação diante da nova situação familiar, ter um filho dependente de tecnologias, perda da via de alimentação fisiológica. Conclui-se que as famílias com o conhecimento sobre gastrostomia serão empoderadas dos seus direitos e assim poderão transformar sua realidade. A tecnologia poderá ajudar famílias a conhecer melhor o que é uma gastrostomia e como manuseá-la para que o cuidado fornecido com segurança à criança auxilie na adaptação à situação de cronicidade vivenciada.
Grenå, Madeleine, and Beata Gill. "Gastrostomi : Granulombehandling vid gastrostomi hos barn och ungdomar." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-165806.
Full textAim. The aim of the study was to investigate the occurrence and treatment of granulomas in children and adolescents under the age of 18 with gastrostomy in Sweden. The aim was also to investigate nurses knowledge of granulomatreatment in children and adolescents under the age of 18 with gastrostomy in Sweden. Methods. The design was of quantitative method by questionnaire. A questionnaire was sent to nurses who work in Sweden and are included in one of the following networks: Network for rehabilitation nurses, Network for rehabilitation nurses in nutrition and / or Network for nutrition nurses. Results. The severity of granuloma varied, depending on the child's general health. 52% estimated that the children developed granulomas within two months after insertion of the gastrostomy. 34% of respondents estimated that about 25% of children and adolescents with gastrostomier develop granulomas.46% used a combination of lapis and cortisone ointment as a treatment for granuloma. Conclusion.The treatments currently used for granulomas is lapis and cortisone ointment, these are used by many in combination with each other and seem to have a good result. Nurses' knowledge in the field is extensive and many have a common view that granuloma formation is often linked to the patients general health.
Martins, Ana Cristina Ferreira [UNESP]. "Perfil de pacientes portadores de gastrostomia e o papel dos cuidadores no domicílio." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/108609.
Full textPacientes com desnutrição e paralisia cerebral atendidos no ambulatório AIPEG (Ambulatório Interdisciplinar para Paciente Infantil Portador de Encefalopatia e Gastrostomia) do HEB (Hospital Estadual Bauru), necessitam de gastrostomia para auxiliar na alimentação pela disfagia e são acompanhados por uma equipe multiprofissional e interdisciplinar. Neste estudo quantitativo, transversal, descritivo e exploratório, verificou-se o perfil dos cuidadores e pacientes deste ambulatório e descreveu-se as dificuldades encontradas por esses familiares/cuidadores em domicílio. Após aprovação do comitê de ética em pesquisa e a assinatura do termo de consentimento livre e esclarecido os familiares/cuidadores dos pacientes do AIPEG (Ambulatório Interdisciplinar para Paciente Infantil Portador de Encefalopatia e Gastrostomia) foram abordados com um questionário e responderam questões abertas e fechadas. Utilizou-se também, como fonte de dados, a análise dos prontuários dos pacientes. Os dados foram coletados no período de janeiro a junho de 2012. A amostra foi composta de 50 pacientes e seus respectivos familiares/cuidadores, sendo 60,00% dos pacientes eram do sexo feminino, 70,00% etnia branca e com média de idade de 11,43 anos. O diagnóstico médico de todos os pacientes (100,00%) era de paralisia cerebral e 91,17% apresentava desnutrição. A maioria dos pacientes, em 92,00%, realizou gastrostomia cirúrgica. Com relação aos cuidadores, 98,00% eram do sexo feminino, com média de idade em 40,82 anos de idade, 70,00% de etnia branca, 86,00% dos familiares/cuidadores são as próprias mães dos pacientes e a renda com média de 2,32 salários mínimos. Quanto às dificuldades mais relatadas, pelos familiares/cuidadores, verificou-se o relato da saída da sonda de ostomia com prevalência de 84,00% e 68,00% dos familiares/cuidadores relatou a ocorrência de lesão na pele. A gastrostomia é um procedimento ...
Patients with malnutrition and cerebral palsy attended in the ambulatory AIPEG (Interdisciplinary Ambulatory for Child Patient with encephalopathy and gastrostomy) of BSH (Bauru State Hospital), need of gastrostomy for help feeding by dysphagia and are accompanied by a multidisciplinary team and interdisciplinary. In this quantitative, transversal, descriptive and exploratory study, it was verified a profile of caregivers and patients in this ambulatory and described the difficulties found by these families / caregivers at home. After approval of the research ethics committee and signing the free and informed consent families/carers of patients AIPEG (Interdisciplinary Ambulatory for Child Patient with encephalopathy and gastrostomy) were approached with a questionnaire and answered open and closed questions. We used also, as a source of data, analysis of the patients' records. Data were collected from January to June 2012. The sample was composed of 50 patients and their family/caregivers, 60,00% of patients were female, 70,00% Caucasian, with a mean age of 11.43 years. The medical diagnostic of all patients (100,00%) was cerebral palsy and 91,17% presented malnutrition. Most patients, 92,00% made surgical gastrostomy. With respect to caregivers 98,00% were female, with mean age of 40.82 years old, 70,00% were Caucasian, 86,00% of families / caregivers are mothers themselves and the patients income with mean of 2.32 minimum salaries. About the difficulties most reported, by family / caregivers, there was the account of output of the tube ostomy with prevalence of 84,00% and 68,00% of family / caregivers told the occurrence of skin lesion. A gastrostomy is a procedure that assists in the patient's condition, helping the family care in homes, which has a preference for silicone tube at skin level (button). Becomes evident that although the service offers an appropriate structure, with a multidisciplinary team and ...
Martins, Ana Cristina Ferreira. "Perfil de pacientes portadores de gastrostomia e o papel dos cuidadores no domicílio /." Botucatu, 2013. http://hdl.handle.net/11449/108609.
Full textCoorientador: Silvia Justina Papini
Banca: Cleide Carolina da Silva Demoro Mondini
Banca: Janete Pessuto
Resumo: Pacientes com desnutrição e paralisia cerebral atendidos no ambulatório AIPEG (Ambulatório Interdisciplinar para Paciente Infantil Portador de Encefalopatia e Gastrostomia) do HEB (Hospital Estadual Bauru), necessitam de gastrostomia para auxiliar na alimentação pela disfagia e são acompanhados por uma equipe multiprofissional e interdisciplinar. Neste estudo quantitativo, transversal, descritivo e exploratório, verificou-se o perfil dos cuidadores e pacientes deste ambulatório e descreveu-se as dificuldades encontradas por esses familiares/cuidadores em domicílio. Após aprovação do comitê de ética em pesquisa e a assinatura do termo de consentimento livre e esclarecido os familiares/cuidadores dos pacientes do AIPEG (Ambulatório Interdisciplinar para Paciente Infantil Portador de Encefalopatia e Gastrostomia) foram abordados com um questionário e responderam questões abertas e fechadas. Utilizou-se também, como fonte de dados, a análise dos prontuários dos pacientes. Os dados foram coletados no período de janeiro a junho de 2012. A amostra foi composta de 50 pacientes e seus respectivos familiares/cuidadores, sendo 60,00% dos pacientes eram do sexo feminino, 70,00% etnia branca e com média de idade de 11,43 anos. O diagnóstico médico de todos os pacientes (100,00%) era de paralisia cerebral e 91,17% apresentava desnutrição. A maioria dos pacientes, em 92,00%, realizou gastrostomia cirúrgica. Com relação aos cuidadores, 98,00% eram do sexo feminino, com média de idade em 40,82 anos de idade, 70,00% de etnia branca, 86,00% dos familiares/cuidadores são as próprias mães dos pacientes e a renda com média de 2,32 salários mínimos. Quanto às dificuldades mais relatadas, pelos familiares/cuidadores, verificou-se o relato da saída da sonda de ostomia com prevalência de 84,00% e 68,00% dos familiares/cuidadores relatou a ocorrência de lesão na pele. A gastrostomia é um procedimento ...
Abstract: Patients with malnutrition and cerebral palsy attended in the ambulatory AIPEG (Interdisciplinary Ambulatory for Child Patient with encephalopathy and gastrostomy) of BSH (Bauru State Hospital), need of gastrostomy for help feeding by dysphagia and are accompanied by a multidisciplinary team and interdisciplinary. In this quantitative, transversal, descriptive and exploratory study, it was verified a profile of caregivers and patients in this ambulatory and described the difficulties found by these families / caregivers at home. After approval of the research ethics committee and signing the free and informed consent families/carers of patients AIPEG (Interdisciplinary Ambulatory for Child Patient with encephalopathy and gastrostomy) were approached with a questionnaire and answered open and closed questions. We used also, as a source of data, analysis of the patients' records. Data were collected from January to June 2012. The sample was composed of 50 patients and their family/caregivers, 60,00% of patients were female, 70,00% Caucasian, with a mean age of 11.43 years. The medical diagnostic of all patients (100,00%) was cerebral palsy and 91,17% presented malnutrition. Most patients, 92,00% made surgical gastrostomy. With respect to caregivers 98,00% were female, with mean age of 40.82 years old, 70,00% were Caucasian, 86,00% of families / caregivers are mothers themselves and the patients income with mean of 2.32 minimum salaries. About the difficulties most reported, by family / caregivers, there was the account of output of the tube ostomy with prevalence of 84,00% and 68,00% of family / caregivers told the occurrence of skin lesion. A gastrostomy is a procedure that assists in the patient's condition, helping the family care in homes, which has a preference for silicone tube at skin level (button). Becomes evident that although the service offers an appropriate structure, with a multidisciplinary team and ...
Mestre
Bonin, Eduardo Aimoré. "Novo dispositivo magnético para a realização de gastrostomia pericutânea : estudo controlado em modelo suíno." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/184893.
Full textIn order to simplify a Percutaneus Endoscopic Gastrostomy (PEG) procedure and obviate the need of imaging methods, a Percutaneous Magneticallyguided Gastrostomy (PMG) has been conceived. OBJECTIVE to investigate preclinical application of a novel magnetic device for PMG through an experimental controlled trial compared to PEG. METHODS fourteen domestic pigs were assigned for ENDO group (undergoing PEG, 7 animals), and MAG group (undergoing PMG). All animals were euthanized 7 days after procedure. Aspects related to technical success, procedure duration and clinical outcome (weight changes, event/complication rate) were evaluated. These were statisctically evaluated using Mann-Whitney (non-parametric) and Fisher’s exact test. Values of p<0.05 were considered statistically significant. RESULTS technical success was achieved for all animals undergoing the procedures. Of these, 12 had a favorable clinical outcome. Two animals died in less than 24 hours (one from each group), not directly related to gastric access. There were 4 minor complications (4 of them for group MAG), and 3 of these were tube-related. Weight loss was statistically significantly higher for group MAG (mean weight in grams 115±131(standard-deviation) e - 83±128, respectively, p=0.04). The procedural time was statistically significant higher for group MAG compared to ENDO (mean time in seconds 471±140 e 882±239, respectively, p=0.001). CONCLUSION a magnetically-guided percutaneous gastrostomy without imaging is technically feasible, however a device improvement is needed because of tube-related complications. Compared to percutaneous endoscopic gastrostomy, the magnetically-guided percutaneous gastrostomy technique is more time-consuming and had more weight loss.
Gunnell, Sarah. "Percutaneous Endoscopic Gastrostomy Placement Time in People with Cystic Fibrosis." DigitalCommons@USU, 2002. https://digitalcommons.usu.edu/etd/5485.
Full textBrotherton, Ailsa M. "The impact of percutaneous endoscopic gastrostomy feeding on quality of life." Thesis, University of Central Lancashire, 2005. http://clok.uclan.ac.uk/19006/.
Full textCAMPOLI, Paulo Moacir de Oliveira. "Validação da gastrostomia endoscópica percutânea realizada pela técnica de punção com o uso de uma nova variante técnica de gastropexia." Universidade Federal de Goiás, 2010. http://repositorio.bc.ufg.br/tede/handle/tde/1568.
Full textPercutaneous endoscopic gastrostomy (PEG) currently represents the main alternative to ensure nutritional supply in patients with prolonged or permanent inability to swallow, and yet has a functional gastrointestinal tract. PEG performed with the Pull Technique is widely used because it is easy to perform and very safe, although it is associated with high infection rates. The Introducer Technique appears to be associated with a lower infection risk, although it requires fixation of the gastric wall to the abdominal wall (gastropexy), which makes the procedure difficult to perform. This study sought to describe and validate PEG performed with the Introducer Technique with the use of a new technical gastropexy variant, besides demonstrating its benefits in relation to risk of peristomal infection. A descriptive study of the safety and feasibility of a new technical gastropexy variant with a long curved needle was performed. We then compared the two gastropexy techniques in a before-and-after design. A randomized clinical trial comparing gastrostomy tubes constructed of different materials (latex vs. silicone) was also conducted. Finally, we performed a meta-analysis evaluating peristomal infection risk between the Introducer Technique and Pull Technique. The results of these four studies are presented in four separate papers. The first study showed that the new technical gastropexy variant that uses a long curved needle is safe and feasible. The second study showed that it is associated with a lower risk of infection compared with the gastropexy technique used previously. The third study found that the silicone tubes have greater durability than latex tubes. The final meta-analysis showed that PEG performed with the Pull Technique is associated with a greater risk of infection than the Introducer Technique.
Havendo incapacidade prolongada ou permanente de deglutir, na presença de via digestiva funcionante, a gastrostomia endoscópica percutânea (GEP) representa a principal alternativa para assegurar aporte nutricional. A GEP pela Técnica de Tração é muito utilizada por ser segura e de fácil execução, porém está associada a elevados índices de infecção periostomal. A GEP realizada pela Técnica de Punção parece estar associada a baixo risco de infecção, contudo requer uma fixação da parede gástrica à parede abdominal (gastropexia) o que torna o procedimento de difícil execução. O presente estudo tem por objetivo descrever e validar um procedimento de GEP pela Técnica de Punção, que envolve uma nova variante técnica de gastropexia, além de demonstrar seus benefícios em relação ao risco de infecção periostomal. Foi realizado um estudo descritivo da segurança e exequibilidade de uma nova variante técnica de gastropexia com agulha longa e curva. Em seguida foi realizado um estudo com delineamento do tipo antes-e-depois comparando duas técnicas de gastropexia. Foi feito também um ensaio clínico randomizado comparando tubos de gastrostomia de materiais diferentes (látex versus silicone). Ao final, foi realizada uma metanálise avaliando os riscos de infecção no sítio cirúrgico entre as Técnicas de Punção e de Tração. Os resultados dos quatro estudos realizados estão apresentados na formato de quatro artigos científicos. O primeiro estudo revelou que a nova técnica de gastropexia com agulha longa e curva é segura e exequível e o segundo estudo mostrou que esta nova técnica de gastropexia está associada a menor risco de infecção que a técnica de gastropexia usada anteriormente. No terceiro estudo foi observado que os tubos de silicone têm maior durabilidade que os tubos de látex e a metanálise demonstrou que a GEP pela Técnica de Puxar está associada a maior risco de infecção que a Técnica de Punção.
Ignagni, Esther. "Not at the table, an ethnography of feeding children by gastrostomy tube." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0003/MQ45412.pdf.
Full textCraig, Gillian Marie. "Mother knows best : gastrostomy feeding in disabled children : professional and parental discourses." Thesis, University College London (University of London), 2004. http://discovery.ucl.ac.uk/1446872/.
Full textKurien, Matthew. "Does a gastrostomy confer any benefits to either patients or their carers?" Thesis, University of Sheffield, 2013. http://etheses.whiterose.ac.uk/5294/.
Full textCornwell, Sonya. "Pediatric feeding disorders: Efficacy of multidisciplinary inpatient treatment of gastrostomy tube dependent children." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9113/.
Full textCornwell, Sonya Kelly Kimberly. "Pediatric feeding disorders efficacy of multidisciplinary inpatient treatment of gastrostomy tube dependent children /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9113.
Full textRimolo, Amanda Peixoto. "Incidência de complicações e mortalidade em pacientes submetidos a duas técnicas de gastrostomia percutânea endoscópica em adultos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/171404.
Full textHolt, Karen Margaret. "Exploring information sharing with families making decisions about gastrostomy feeding for children with neurodisabilities." Thesis, University of Newcastle upon Tyne, 2017. http://hdl.handle.net/10443/3952.
Full textHart, Catherine K. "Health-related Quality of Life in Children with Aerodigestive Disorders." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin151091845523319.
Full textMendes, Amanda Elias. "Indicação da gastrostomia em pacientes com esclerose lateral amiotrófica: critérios fonoaudiológicos." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5170/tde-12082015-153452/.
Full textIntroduction: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease of unknown etiology that involves motor neurons from the cerebral cortex, from the brainstem and from the spinal cord. The damage on the lower motor neurons causes dysphagia, speech disorders and other symptoms such as overall muscle weakness and respiratory symptoms. The difficulty in swallowing, or dysphasia, may cause complications such as aspiration pneumonia, malnutrition and dehydration and affects the quality of live of these patients. Thus, it is necessary to indicate and alternative form of nutrition. This indication is currently given subjectively by the clinical and functional evaluation performed by the multidisciplinary team, according to deterioration of respiratory function parameters, nutritional status and swallowing impairments. Objectives: general objective: verify if reduced tongue pressure could indicate the need for gastrostomy (PEG) as an alternative form of nutrition for patients who have been diagnosed with ALS. Specific objectives: verify if there is significant reduction on tongue, lips, and cheeks pressure as well as functional measures between the moment of the first evaluation and the indication of PEG; evaluate the time between the first symptom of the disease and the indication of PEG; verify if the time of the indication of PEG was influenced by demographic variables, initial clinical manifestation (spinal or bulbar forms), clinical conditions, global and swallowing functional measures, highlighting tongue, lips and cheeks pressure. Methods: 63 patients have been longitudinally studied. They have been assessed from the speech-language therapy point of view with the following instruments: ASHA, ALSFRS, functional evaluation, pressure measurement of the phono-articulatory organs with the IOPI, referral to videoendoscopy of swallowing and FVC at the moment of the indication of PEG. Results: The patients, whose ages ranged from 28 to 79 years old (average of 58 years old), had, on average, 7.04 years of education. They had been suffering from the disease for an average of 34.96 months at the time of the first evaluation. 32% showed initial clinical manifestation of the bulbar form, 39.5% upper limbs spinal form and 28.5% lower limbs spinal form. At the initial speech-language therapy assessment, however, all of them showed some sort of complaint regarding bulbar impairment. 50 patients were sent to PEG, 1 died and 12 continued with an oral exclusive diet until the end of this study. Tongue, lips and cheeks as well as functional measures showed significant decrease with the aggravation of ALS (p < 0,001). Difficulties with thickened liquid: with containment (p=0,001), with transport (p=0,005) and with protection of lower airways (p =0,003) and with pasty consistencies: containment in the oral cavity, (p < 0,001) observed in speech-language therapy clinical assessments, as well as age (p =0,014) have influence on the indication of PEG. Conclusion: The measure of the tongue pressure can, therefore, serve as an additional, objective and practical indicator for the evaluation of the prognosis of swallowing functionality, particularly of the possibility or not of maintenance of traditional forms in patients who have been diagnosed with ALS
Guerriere, Denise Noelle. "Measuring decisional conflict in substitute decision makers, mothers' decisions about initiating gastrostomy tube feeding in children." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0009/NQ41431.pdf.
Full textMachacny, Jessica, and Ina Uutela. "ATT LEVA UTAN ATT KUNNA ÄTA : Hur det kan upplevas att vara beroende av enteral nutrition." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-39294.
Full textBakgrund: Enteral nutrition är konstgjord näring som tillförs via en sond till mag-tarmkanalen när förmågan att äta blivit nedsatt. Tidigare forskning visar att både anhöriga och sjuksköterskor anser att enteral nutrition kan möjliggöra fortsatt liv, dock framhäver de att den kan begränsa vardagen. Enligt sjuksköterskor kan det behövas goda kunskaper om enteral nutrition och hur den ska administreras för att kunna ge patienter adekvat vård. Anhöriga kan få dåligt samvete om de går själva till sociala evenemang när familjemedlemmen avstår på grund av att de ofta innefattar måltider. De anhörigas tidigare livsstil kan förändras och det kan leda till mindre tid till sig själva och sina fritidsintressen, då dagarna planeras utefter enterala nutritionen. Syfte: Att beskriva kvinnors erfarenheter av att vara beroende av enteral nutrition. Metod: En kvalitativ manifest innehållsanalys. Resultat: Det framkom i resultatet att ett välbefinnande kunde upplevas och att stöd och goda relationer var viktiga i vardagen för kvinnorna. Kvinnorna fick en förändrad relation till mat och de kunde uppleva begränsningar i vardagen och ett lidande. Slutsats: Det konstaterades att livsglädje kunde upplevas, samtidigt som det var en prövning att leva med enteral nutrition.
Fernandes, Gustavo. "Avaliação do metabolismo glicêmico e perfil entero-hormonal no pós-operatório precose em pacientes abesos graves diabéticos submetidos à gastroplastia em Y de Roux.Comparação da oferta alimentar por via oral e por gastrostomia." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5168/tde-29112017-091214/.
Full textINTRODUCTION: Type 2 diabetes mellitus (DM2) is a disease correlated with morbidly obesity. The obese patient has a suppressed incretin effect and consequent inbalance of glycemic homeostasis. Several studies have shown an improvement in DM2 after Gastroplasty with Roux-en-Y gastric bypass (RYGB). The mechanisms of glycemic control may be long-term and shortterm. The mechanisms of early action are linked to caloric restriction, improvement of insulin resistance, pancreatic beta cell function and return of the incretin effect through the increase of GLP1 and GIP, but the data are conflicting. METHODS: Eleven diabetic obese patients underwent RYGB with gastrostomy in gastric remnant after initial 10% weight loss. Patients were submitted to assessment of enterohormones, glycemic profile and Oral Glucose Tolerance Test (OGTT) in the preoperative period in a time curve that was compared to the postoperative period by Oral Via and Gastrostomy Via up to 7 days after the procedure .RESULTS: The mean age of the group was 46.09 ± 7.08 years. In the preoperative the mean weight was 120.97 ± 17.02 kilograms, height of 1.67 ± 0.11 meters, mean BMI of 44.06 ± 6, 59 kg/m2, mean fasting blood glucose of 194.55 ± 62.45 mg/dl and glycated hemoglobin 8.74 ± 1.64%. In 77.7% of the patients there was remission of DM2 in postoperative evaluated by the OGTT. Significant decrease in glycemia, insulinemia and HOMA-IR was also observed, regardless of the route of administration. There was a significant increase in GLP1 and reduction of GIP by the postoperative oral route. Ghrelin did not change. CONCLUSION: A reduction in glycemia and peripheral insulinal resistance was observed in early postoperative days of RYGB, independent of the food route. The change in incretin effect (increase of GLP1 and reduction of GIP) was only observed in the postoperative oral route
Bronston, Ashley Lynn. "Use of Homemade Blenderized Formula in Gastrostomy Tube Dependent Pediatric Patients with Feeding Intolerance: A Retrospective Analysis." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1461197803.
Full textMark, Lindsay. "The Role of the Speech Language Pathologist in the Treatment of Patients with Percutaneous Endoscopic Gastrostomy Tubes." Cleveland State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=csu1624292292143869.
Full textCornwell, Sonya L. "Pediatric Feeding Disorders: A Controlled Comparison of Multidisciplinary Inpatient and Outpatient Treatment of Gastrostomy Tube Dependent Children." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33140/.
Full textBeasley, Elizabeth S. "Impact of gastrostomy tube feedings on survival is affected by pulmonary function in individuals with cystic fibrosis." [Gainesville, Fla.] : University of Florida, 2003. http://purl.fcla.edu/fcla/etd/UFE0001429.
Full textZacarin, Clara Ferraz Lazarini. "Estomias gastrointestinais em crianças e adolescentes: experiência da família." Universidade Federal de São Carlos, 2014. https://repositorio.ufscar.br/handle/ufscar/3274.
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Gastrointestinal stoma are openings in the skin that enable the extracorporeal communication of the stomach or intestine to gain access to the body when there is need to divert traffic from the normal supply or disposal. The ostomy of the gastrointestinal tract in children are part of malignancies, benign, inflammatory, congenital or traumatic treatments. Having a stoma in childhood and/or adolescence makes physical and psychological changes, because of organic immaturity, and affects the body integrity, social interaction and quality of life. Caring for a child with ostomy brings impacts to the family and generates hard demand of permanent and specific care. This study aimed to understand the experience of families with children and adolescents who have gastrointestinal stomas. Qualitative approach was used, in light of Symbolic Interactionism as a theoretical framework and the methodological framework of Narrative Analysis. For data collection, were used conducted interviews by guiding questions and during the same interviews were made the construction of the genogram and ecomap to characterize the family . Interviews were conducted with 16 families, 12 with children and 4 with adolescents with gastrointestinal stoma using outpatient nutritional or ostomy services. In six families the children had intestinal stomas and ten had gastrostomy. The analysis process has resulted in 6 themes and categories: 1. Impact of unexpected illness (Facing the stoma as a consequence / Senso undergone a many procedures); 2 Acceptation of the ostomy (having difficulty accepting the stoma / Leaving reach the limit); 3 - Changes in family life (Adapting to the managements of the devices / Leaving aside the social life); 4 - Helplessness on the walk (having superficial support / Living with prejudice); 5 - Benefits of ostomy; 6 - Search the social reintegration (Seeing the power social interaction / Waiting for reversal). The results of this study allowed us to understand that the family of the child or adolescent with gastrointestinal stoma goes through a process of progressive experience and acceptance of the condition of the child, which starts with the impact of the diagnosis of unexpected illness. Feelings like fear and insecurity are evidenced by distancing and denial of the need to make the stoma. After the acceptance and learning period, the family notice the clinical and health improves of the child, but goes through prejudice situations and alienation of the extended family, difficulties in maintaining employment, and maternal burden in the care of the ostomy´s son. The support network is reduced and there is only strengthened ties among members of the nuclear family. Even before the difficulties the family has a positive view of the stoma, but crave reenter the child/adolescente in society through the stoma reversal in the case of intestinal and through oral feeding, at the gastrostomy, even when it is permanent. The results of this study make it possible to broaden our understanding of the experience, which in turn improves the care of these families, Being a breakthrough for the field of nursing.
Estomas gastrointestinais são aberturas na pele que possibilitam a comunicação do estomago ou intestino com o meio externo para se ter acesso ao órgão quando há necessidade de desviar o trânsito normal da alimentação ou eliminação. As estomias do trato gastrointestinal em crianças fazem parte de tratamentos de doenças malignas, benignas, inflamatórias, congênitas ou traumáticas. Ter um estoma na infância e/ou adolescência gera alterações físicas e psicológicas, principalmente devido à imaturidade orgânica, e afeta a integridade corporal, o convívio social e a qualidade de vida. Cuidar de um filho estomizado provoca impactos na família e gera grande demanda de cuidados permanentes e específicos. Este estudo teve como objetivo compreender a experiência da família de crianças e adolescentes que tem estomias gastrointestinais. Foi utilizada abordagem qualitativa, sob a luz do Interacionismo Simbólico como referencial teórico e como referencial metodológico a Análise de Narrativa. Para a coleta de dados utilizou-se entrevistas conduzidas por questões norteadoras e durante as mesmas realizou-se a construção do genograma e ecomapa, para a caracterização familiar. Foram entrevistadas 16 famílias, sendo 12 com crianças e 04 com adolescentes com estomas gastrointestinais que utilizam um serviço ambulatorial de nutrição ou de ostomizados. Em seis famílias os filhos tinham estomias intestinais e dez tinham gastrostomias. O processo de análise resultou em 6 temas principais, e suas categorias: 1- Impacto da enfermidade inesperada (Encarando o estoma como consequência/ Senso submetido a muitos procedimentos); 2- Aceitação da estomia (Tendo dificuldade em aceitar o estoma/ Deixando chegar no limite); 3- Mudanças na vida familiar (Adaptando-se aos manejos dos dispositivos/ Deixando a vida social de lado); 4- Desamparo na caminhada (Tendo apoio superficial / Convivendo com o preconceito); 5- Benefícios da estomia; 6- Busca da integração social (Vendo na alimentação a interação social/ Esperando pela reversão). Com os resultados deste estudo foi possível compreender que a família da criança ou adolescente com estoma gastrointestinal passa por um processo de vivência e aceitação progressiva da condição do filho, que inicia com o impacto do diagnóstico da enfermidade inesperada. Sentimentos como medo e insegurança são evidenciados pelo distanciamento e negação da necessidade de fazer a estomia. Após o período de aceitação e aprendizados de como lidar, a família percebe a melhora clínica e de saúde do filho, mas passa por situações de preconceito e afastamento da família extensa, por dificuldades em manter o emprego, além da sobrecarga materna no cuidado ao filho estomizado. A rede de apoio é reduzida e só há laços fortalecidos entre os integrantes da família nuclear. Mesmo diante das dificuldades a família tem uma visão positiva da estomia, porém almeja reinserção da criança/adolescente na sociedade através da reversão da estomia, no caso das intestinais, e por meio da alimentação via oral, nas gastrostomias, mesmo quando é definitiva. Os resultados deste estudo possibilitam ampliar o entendimento da vivencia desta experiência, que por sua vez permite melhorar o atendimento a essas famílias, sendo este um avanço para a área da enfermagem.
Bills, Hannah Bowman. "USE OF HOMEMADE BLENDERIZED FORMULA IN GASTROSTOMY TUBE DEPENDENT PEDIATRIC PATIENTS WITH FEEDING INTOLERANCE: A SERIES CASE STUDY." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429044001.
Full textGoggin, Emily Clare Sither. "THE IMPACT OF DYSPHAGIA AND GASTROSTOMY ON QUALITY OF LIFE IN CAREGIVERS OF PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS." UKnowledge, 2019. https://uknowledge.uky.edu/commdisorders_etds/14.
Full textVillela, Emanuele Lima. "Avaliação da durabilidade dos diferentes modelos de sondas de troca de gastrostomia." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/5/5147/tde-12062013-121559/.
Full textIntroduction: During the follow-up of patients after replacement of percuta- neous endoscopic gastrostomy (PEG) tubes, the early need of new replace- ments seems to be consequence of the short durability of the tubes, espe- cially due to the rupture of their internal balloon. Objectives: In this prospec- tive study, the durability of five different PEG tubes was estimated. Methods: One hundred consecutive procedures (in 65 patients) for replacing PEG tubes were divided into five groups determined by the tubes model: Kanga- roo®, Wilson Cook®, Silmag®, Freka® and Bard®. According to the protocol developed for the study, patients were followed up along six months, and three evaluations for verifying eventual outcomes were carried out during this period. Estimation of the tubes durability considered the time patients re- mained in the protocol, which was determined by the termination of the follow up period or by the need for replacing the tubes due to the balloon rupture or to the loss of use of tube or cover. Curves of tubes durability were estab- lished by applying the Kaplan-Meier Method and the Cox Regression Model. Results: Important variations of the tubes durability were observed when the three causes for replacement were considered all together. Differences were not observed when considered only the balloon rupture, which was associated with patients using PEG in virtue of not specified neurologic disorders. Shorter tubes durability was associated with more previous replacements. Spontaneous opening of the cover and slipping of the external protection were significantly less frequent in the Freka® tubes, although such outcomes did not determined the tubes durability. Conclusion: The model of PEG re- placement tubes did not influence their durability regarding the balloon rup- ture alone. Considering such occurrence associated with problems in tubes or covers, the longest durability was observed in Wilson Cook®, followed by Freka, ® Kangaroo®, Silmag® and Bard® tubes. The number of previous re- placements showed to be determining factor for the tubes durability
Legge, Alexandra. "Percutaneous endoscopic gastrostomy (PEG) at home : an exploratory study of family carers' experiences and the relationships between their perceptions and distress." Thesis, University of Hull, 2007. http://hydra.hull.ac.uk/resources/hull:6634.
Full textRetes, Felipe Alves. "Gastrostomia endoscópica em pacientes com neoplasia de cabeça e pescoço: comparação da técnica de introdução com gastropexia e técnica de tração." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5168/tde-07082017-100527/.
Full textBackground: Head and neck cancer (HNC) is the seventh most frequent neoplasm in the world. Up to two-thirds of HNC patients present with dysphagia at diagnosis. Gastrostomy is the method of choice to provide long term tube feeding in patients who are unable to swallow. Percutaneous endoscopic gastrostomy (PEG) with the pull technique is the preferred procedure due to its simplicity and low complication rate. However, in HNC patients, severe stenosis or trismus may preclude the passage of the endoscope and there is an increased infection and PEG site metastasis rates, when compared to the introducer technique. Aim: Compare the pull and introducer with gastropexy PEG techniques in patients with HNC. Methods: Retrospective analysis of a prospectively collected database of HNC patients who underwent PEG. The pull technique was performed with the PEG 24® PULL METHOD (Cook Medical, Bloomington, United States) kit, while the introducer with gastropexy technique was done with the Freka® Pexact 15 (Fresenius-Kabi, BadHomburg, Germany) kit. Results: 314 patients with HNC were sent to the endoscopy unit for PEG. The procedure was successful in 309 (98,4%) patients. The pull technique was employed in 172 patients (PG) while the introducer technique with gastropexy was used in 137 patients (IG). Both groups were similar regarding age, gender, albumin level and the use of anticoagulant or antiplatelet drugs. However patients in the IG had a lower Karnofsky status (p=0,019) and presented more frequently tracheostomy (p=0,003) and trismus (p < 0,001). Although the tumor location was similar in both groups, the staging was different. Most patients presented with stage IV disease in both groups, however in the PG there were more patients with stage I or II. Overall complication rate was 36,9%, with 5,8% of major complications and 31,1% of minor complications. Immediate and late complication rates were 6,5% and 30,4%, respectively. These complications rates were similar in both groups. When the complications were analyzed individually, the IG presented higher minor bleeding (p=0,006) and tube dysfunction (p=0,005) rates. There was only one death directly related to the PEG, in the PG. The 30-day mortality was 20,7%, similar in both groups. Conclusion: The two PEG techniques present high technical success rate in patients with head and neck cancer, however with high minor complications rates. The introducer with gastropexy technique presents higher minor bleeding and tube dysfunction rates when compared to the pull technique
Stanich, Patricia [UNIFESP]. "Relevância dos aspectos nutricionais na sobrevida de pacientes com Doença do Neurônio Motor." Universidade Federal de São Paulo (UNIFESP), 2011. http://repositorio.unifesp.br/handle/11600/10061.
Full textStanich P. Relevância dos aspectos nutricionais na sobrevida de pacientes com Doença do Neurônio Motor. São Paulo; 2001. [Tese de Doutorado- Escola Paulista de Medicina – Universidade Federal de São Paulo]. Objetivos. Avaliar o efeito dos aspectos nutricionais na sobrevida de pacientes com Doença do Neurônio Motor (DNM) e apresentar as variáveis preditivas para a indicação de terapia nutricional enteral, por gastrostomia endoscópica percutânea (GEP). Material e Métodos. Foi um estudo longitudinal tipo coorte retrospectiva, de 2000 a 2008, e a casuística constituída por 128 pacientes com DNM. Variáveis clínicas, nutricionais e respiratórias foram analisadas. As análises foram conduzidas adotando-se a sobrevida como variável dependente. A sobrevida foi avaliada pela Curva de Kaplain - Meier. As variáveis que apresentaram nível de significância de 20% (p< 0,20) foram selecionadas para o modelo de regressão proporcional de Cox. Resultados. Cento e onze pacientes realizaram a gastrostomia, sendo 59 com a forma apendicular (ELA) e 52 com a forma bulbar (PBP). A desnutrição estava presente em 32% da população antes da GEP, com maior frequência nos pacientes com ELA. O tempo de sobrevida após a GEP foi de 11 meses para os pacientes com PBP e 16 meses para ELA (p< 0,05). As variáveis associadas à sobrevida foram: precocidade na indicação da GEP; redução de CVF %, idade e IMC antes da GEP (hazard ratio de 0, 254 e p = 0, 007) para os pacientes com ELA e exclusão da alimentação por via oral e traqueostomia (hazard ratio de 0, 345 e p= 0, 014) para os pacientes com PBP. Ao final do modelo as variáveis mais associadas com a sobrevida foram precocidade na indicação de GEP, exclusão da alimentação por via oral, para os pacientes com PBP e estado nutricional antes da GEP para os pacientes com ELA. Conclusões. A inserção precoce de gastrostomia endoscópica percutânea, a partir do momento diagnóstico, foi fator protetor para a sobrevida dos pacientes. A desnutrição foi fator prognóstico ruim, especialmente para os pacientes com ELA. Vigilância nutricional durante a evolução da doença pode melhorar os resultados quando o objetivo é aumentar a sobrevida de pacientes com DNM/ELA.
Aims. To evaluate the effect of nutrition on survival of patients with Motor Neurone Disease (MND) and present the predictor variables for indications of nutritional therapy, percutaneous endoscopic gastrostomy (PEG). Methods. It was a retrospective longitudinal cohort study, from 2000 to 2008, and the sample consisted of 128 patients with MND. The variables investigated were clinical, nutritional and respiratory were analysed. Analyses were conducted by adopting the survival as the dependent variable. The survival curve was evaluated by Kaplain - Meier. The variables that had a significance level of 20% (p <0.20) were selected for the proportional regression model of Cox. Results. One hundred and eleven patients underwent gastrostomy, and 59 limb onset (ALS) and 52 with bulbar onset (PBP). Malnutrition was present in 32% of the population before PEG, most frequently in patients with limb onset. The survival time after PEG was 10.5 months for patients with PBP and 16 months for ALS (p <0.05). Variables associated with survival were: early indication in the PEG, for ALS and PBP; reduction of FVC% and BMI before PEG (hazard ratio of 0, 254, p = 0, 007) for patients with limb onset and exclusion of oral feeding and tracheostomy (hazard ratio of 0, 345, p = 0, 014) for patients with bulbar onset. Conclusions. Early insertion of percutaneous endoscopic gastrostomy, from the time diagnosis was a protective factor for patient survival. Malnutrition was a bad prognostic factor, especially for patients with limb onset. Nutritional surveillance for disease progression may improve results when the goal is to increase the survival of patients with MND / ALS.
TEDE
BV UNIFESP: Teses e dissertações
Al-Momani, Hafez. "Comparison of the microbiological profile of sputum and percutaneous endoscopy gastrostomy fed gastric juice aspirate in Cystic Fibrosis patients : descriptive evidence of a potential aerodigestive microbiome." Thesis, University of Newcastle upon Tyne, 2017. http://hdl.handle.net/10443/3900.
Full textMitchell, Scott, John P. Williams, Harsimrandeep Bhatti, Toufic Kachaamy, Jeffrey Weber, and Glen J. Weiss. "A retrospective matched cohort study evaluating the effects of percutaneous endoscopic gastrostomy feeding tubes on nutritional status and survival in patients with advanced gastroesophageal malignancies undergoing systemic anti-cancer therapy." PUBLIC LIBRARY SCIENCE, 2017. http://hdl.handle.net/10150/626471.
Full textPrevosteau-Noel, Elisabeth. "Gastrostomie endoscopique percutanée : expérience biterroise." Montpellier 1, 1991. http://www.theses.fr/1991MON11202.
Full textFaustino, Annie, and Marie Viper. "Att leva med gastrostomi : ur ett psykosocialt perspektiv." Thesis, Sophiahemmet Högskola, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1660.
Full textBRISSWALTER, LIONEL. "La gastrostomie percutanee endoscopique : a propos d'une serie de 48 observations." Besançon, 1990. http://www.theses.fr/1990BESA3103.
Full textBARTHELEMY, HELENE. "Gastrostomie endoscopique percutanee : indications en geriatrie." Nice, 1993. http://www.theses.fr/1993NICE6526.
Full textBryngelsson, Katrin, and Agneta Ericsson. "Upplevelser av att nutrieras via gastrostomi eller parenteral nutrition." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2932.
Full textProblemformulering: Patienters upplevelser av att nutrieras via gastrostomi eller parenteral nutrition (PN) är ett förbisett område. Det är viktigt att sjuksköterskan har en helhetssyn på patienten för att kunna ge god omvårdnad. Syftet med litteraturstudien var att beskriva patienters upplevelser av att nutrieras i hemmet via gastrostomi eller PN. Metoden var en systematisk litteraturstudie, där elva artiklar bearbetades och analyserades utifrån problemområdet. Resultat och Konklusion: När patienter behandlades i hemmet med antingen gastrostomi eller PN förändrades det dagliga livet för dem. Patienterna upplevde både positiva och negativa effekter av att nutrieras i hemmet. Det positiva med behandlingarna var enligt patienterna att de blev välnutrierade och att behandlingen räddade deras liv. Det negativa med behandlingarna var att de kunde ge fysiska, psykiska och sociala begränsningar. Trots de negativa effekterna upplevde patienterna att de positiva effekterna av behandlingen övervägde de negativa. Implikation: Det finns behov av ytterligare forskning inom området för att sjuksköterskor ska få bättre kunskap om patienters upplevelser av att nutrieras via gastrostomi och PN.
Pettersson, Cecilia. "Patienter och anhörigas dagliga liv med gastrostomi : En litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-18718.
Full textGehin, Mathilde De Korwin Jean-Dominique. "Réflexions éthiques sur l'information et le consentement éclairé pour la pose de gastrostomie percutanée endoscopique utilisation des focus groupes pour l'élaboration de documents d'aide à l'information et à la décision /." [S.l.] : [s.n.], 2008. http://www.scd.uhp-nancy.fr/docnum/SCDMED_T_2008_GEHIN_MATHILDE.pdf.
Full textPIELLARD, THIERRY. "La gastrostomie endoscopique percutanee : a propos de 23 observations." Lyon 1, 1992. http://www.theses.fr/1992LYO1M146.
Full textBOISSIERE, JEAN-CLAUDE. "Gastrostomie percutanee endoscopique : a propos de 65 cas." Rennes 1, 1993. http://www.theses.fr/1993REN1M074.
Full textPimenta, Joana Novais. "Gastrostomia Endoscópica Percutânea. A usa importância na Criança." Master's thesis, Instituto de Ciências Biomédicas Abel Salazar, 2009. http://hdl.handle.net/10216/52832.
Full textPimenta, Joana Novais. "Gastrostomia Endoscópica Percutânea. A usa importância na Criança." Dissertação, Instituto de Ciências Biomédicas Abel Salazar, 2009. http://hdl.handle.net/10216/52832.
Full textSernetz, Friederike. "Prospektive Studie bei Patienten mit Perkutaner Endoskopischer Gastrostomie (PEG)." Diss., lmu, 2004. http://nbn-resolving.de/urn:nbn:de:bvb:19-21819.
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