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Introduction: Electronic prescription is the prescription system that allows healthcare professionals to send medication prescriptions directly to community pharmacies and the outpatient unit of Hospital Pharmacy Services for dispensing. However, there is difficulty in obtaining a reliable pharmacotherapeutic history in chronic patients through electronic prescription upon hospital admission as a critical point for adequate treatment adaptation. Therefore, the pharmacist as a member of the multidisciplinary team must ensure, through medication conciliation, an adequate transition of care through the correct management of the treatment that the chronic patient requires during their hospitalization., Objectives: To evaluate the quality of electronic prescription records for routine chronic treatment by analyzing the concordance of the electronic prescription., Material and Methods: Observational, cross-sectional and retrospective study at the General University Hospital of Elche. Hospitalized patients in charge of the Orthopedic Surgery and Traumatology, Urology and Neurosurgery Services in which the responsible doctor requested medication reconciliation by the Pharmacy Service between January 2022 - December 2022 were included., Results: 378 patients, 209 (55.3%) women and 169 (44.7%) men, with a mean age±standard deviation of 71.0±11.6 years and 69.0±11.8 years, respectively. The total percentage of patients with discrepancies in the electronic prescription with respect to the usual chronic treatment was 60.6%, reflecting that only 39.4% of the patients had non-discordant electronic prescriptions., Conclusions: More than half of hospitalized surgical patients present discrepancies in the medications prescribed in the home electronic prescription, which justifies the importance of treatment reconciliation upon admission carried out by hospital pharmacists., (Copyright © 2024 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.)

Estudo descritivo analítico com abordagem quantitativa e qualitativa, visando identificar os mecanismos de enfrentamento (coping) mais utilizados por pacientes e seus sentimentos diante do procedimento cirúrgico. A pesquisa foi realizada em uma unidade de cirurgia ambulatorial, no município do Rio de Janeiro, no período de junho a dezembro de 2012, com entrevista semiestruturada. Participaram do estudo 12 pacientes, cujas idades variam entre 16 e 74 anos. Mediante a análise de conteúdo dos depoimentos, foram elaboradas duas categorias que ressaltaram a religião e o apoio da família como mecanismos adaptadores no período cirúrgico; e a falta de orientação sobre a cirurgia, sentimentos de medo e falta de confiança. A maioria não estava adequadamente esclarecida sobre a cirurgia e os possíveis cuidados préoperatórios. Conclui-se que, para superar tais carências, deve ser criada estratégia para fornecer aos clientes as orientações de enfermagem no período pré-operatório. ABSTRACT Analytic, descriptive study with a quantitative and qualitative approach, that identify the most used coping mechanisms and the feelings of the surgical patients by the analysis of their responses before the surgery. The research was developed in Ambulatorial Surgery Unit in the county of Rio de Janeiro, between June and December of 2012, with a semistructured interview. Participated on this study 12 patients between 16 and 74 years old. Through the analysis of the data, 2 cathegories were elaborated, emphasizing the religion and the family’s support as adaptive mechanisms during the surgical period. Most of the patients that undergo ambulatorial surgeries were not well informed about the procedure and the pré-operatory care. Therefore, an strategy must be created to give the nursing orientation of the pré-operatory. RESUMEN Estudio descriptivo analítico con abordaje cuantitativo y cualitativo, visando identificar los mecanismos de enfrentamiento (coping) más utilizados y los sentimientos de los pacientes quirúrgicos a través de sus respuestas antes de La cirugía. La pesquisa fue realizada en una unidad de cirugía ambulatorial, en el município de Rio de Janeiro-RJ-Brasil, em el período de junio a diciembre de 2012, con entrevista semiestructurada. Participaron del estudio 12 pacientes, cuya edad varió entre 16 y 74 años. Mediante el análise de contenido de los datos, fueron elaboradas dos categorías que resaltaron La religión y el apoyo de la família como mecanismos adaptadores en el período quirúrgico, y que la mayoría de los pacientes sometidos a la cirugía ambulatorial, no estavan adecuadamente esclarecidos sobre la cirugía y los posibles cuidados préoperatorios. Se concluye que, para superar tales carencias, se debe adoptar una estrategia para fornecer a los clientes lãs orientaciones de enfermería em el pre-operatorio.

Objetivo: Comparar medidas de evaluación del estado nutricional en el momento de la internación y en la alta hospitalaria, en pacientes de clínica quirúrgica, recibiendo atendimiento nutricional convencional (ANC). Casuística y método: Han sido estudiados 183 pacientes, siendo 54,6% del sexo femenino y 45,4% del sexo masculino con edad entre 30 y 60 años, internados en clínica quirúrgica del HMCP, Puc-Campinas. Para la coleta de los datos ha sido utilizado un protocolo de atendimiento nutricional con dados de identificación y diagnóstico, los cuales han sido colectados de los prontuarios médicos, antecedentes personales, antropometría, historia alimentar en la internación, consumo energético total de la dieta habitual (CE), necesidad energética (NE) y estado nutricional. Para el análisis estadístico ha sido aplicado el teste de Wilcoxon, y para verificar la concordancia del estado nutricional en la internación con el estado nutricional en la alta hospitalaria, ha sido aplicado el Coeficiente Kappa (k). El nivel de significancia adoptado ha sido 5% (0,05). Resultados: El análisis de los valores de la internación y de la alta hospitalaria ha mostrado que el estado nutricional se ha mantenido en los 2 momentos, cuando analizados por grupos de enfermedades. La relación entre el estado nutricional en la internación y en la alta hospitalaria, en pacientes con enfermedades benignas de vías biliares y enfermedades vasculares, ha presentado excelente concordancia entre los dos momentos (k = 1,000). Se ha verificado que, descontando el efecto del acaso, el estado nutricional en la internación y en la alta concordaron en 71,43% y 50,0%, respectivamente, en estas dos situaciones clínicas, cuanto al diagnóstico nutricional de eutrofia. En las enfermedades benignas del aparato digestivo y en las neoplasias, también ha sido observada buena concordancia (k = 0,887 e k = 0,820, respectivamente). En la muestra total, este análisis de concordancia ha sido alto (k = 0,918), indicando que el estado nutricional se ha mantenido durante el período de internación. Conclusión: Tales hallados pueden atribuirse al monitoreo del estado nutricional de rutina, que permite un aporte adecuado durante el período de internación, aún habiendo diferencia entre necesidad y consumo energético.Objective: To compare nutritional status assessment methods on hospital admission and discharge in surgical patients receiving conventional nutritional support (CNS). Methods: One hundred eighty-three patients hospitalized in the surgical ward of the Hospital of PUC-Campinas and aging from 30 to 60 years were assessed; of these, 54.6% were females and 45.4% were males. A nutritional support protocol was used to collect the data with identification and diagnosis data obtained from medical records, antecedents, anthropometry, eating history during hospitalization, total energy intake in the usual diet (UD), energy requirement (ER) and nutritional status. The Wilcoxon test was used for the statistical analysis and the Kappa (k) Coefficient was used to verify the agreement between the nutritional status on hospital admission and discharge. The adopted significance level was 5% (0.05). Results: The analysis of the values on hospital admission and discharge showed that the nutritional status remained constant on admission and discharge when analyzed by groups of diseases. The relationship between nutritional status on hospital admission and discharge in patients with benign biliary tract diseases and vascular diseases presented an excellent agreement between the two moments (k = 1000). It was verified that, discounting the effect of randomness, the nutritional status on admission and discharge agreed in 71.43% and 50% respectively in these two clinical conditions regarding the nutritional diagnosis of being well nourished. In benign diseases of the digestive tract and neoplasias, a good agreement was also observed (k = 0,887 and k = 0,820 respectively). In the total sample, the agreement analysis was high (k = 0,918) showing that the nutritional status remained constant during hospitalization. Conclusion: These findings may be attributed to the routine monitoring of nutritional status which allowed an adequate support during hospitalization even when the energy requirement and intake differed.

O objetivo deste trabalho é identificar aspectos da influência da cultura na dor do paciente cirúrgico. O estudo teve a participação de 12 pacientes e a coleta de dados foi realizada através de entrevistas. A análise fundamentou-se em pressupostos da metodologia qualitativa. A influência cultural na dor do paciente cirúrgico é descrita por quatro categorias: os tipos de dor, a expectativa pela dor, o significado da dor e os comportamentos de reação à dor. O significado apreendido é de sofrimento e verbalizado através de metáforas. Considera-se a importância da compreensão cultural do fenômeno da dor pelo enfermeiro.The objective of this study was to describe the influence of culture on 12 surgical patients. The data was collected by interviews and the analysis was based on the framework of the qualitative methodology. The results showed four cathegories of influence: the type of pain, the expectancy by pain, the meaning of the pain and the pain management. The meaning apprehended is suffering and was verbalized by metaphors. The study considers the importance of the cultural comprehension about pain by the nurse.

O ensino do paciente cirúrgico tem sido considerado como uma estratégia de atuação do enfermeiro, com o objetivo de facilitar a recuperação e minimizar as conseqüências que possam repercutir na qualidade de vida pós-cirúrgica. O objetivo deste estudo é apresentar considerações sobre o ensino do paciente cirúrgico no período perioperatório.

Surgical patient safety is a priority in the national and international quality healthcare improvement strategies. The objective of the study was to implement a collaborative intervention with multiple components and to evaluate the impact of the patient surgical safety checklist (SSC) application. This is a prospective, longitudinal multicenter study with a 7-month follow-up period in 2009 based on a collaborative intervention for the implementation of a 24 item-SSC distributed in 3 different stages (sign in, time out, sign out) for its application to the surgical patient. A total number of 27 hospitals participated in the strategy. The global implementation rate was 48% (95%CI, 47.6%-48.4%) during the evaluation period. The overall compliance with all the items of the SSC included in each stage (sign in, time out, sign out) was 75,1% (95%CI, 73.5%-76.7%) for the sign in, 77.1% (95%CI, 75.5%-78.6%) for the time out and 88.3% (95%CI, 87.2%-89.5%) for the sign out respectively. The individual compliance with each item of the SSC has remained above 85%, except for the surgical site marking with an adherence of 67.4% (95%CI, 65.7%-69.1%)] and 71.2% (95%CI, 69.6%-72.9%)] in the sign in and time out respectively. The SSC was successfully implemented to 48% of the surgeries performed to the participating hospitals. The global compliance with the SSC was elevated and the intervention trend was stable during the evaluation period. Strategies were identified to allow of a higher number of surgeries with application of the SSC and more professional involvement in measures compliance such as surgical site marking., (Copyright © 2014. Published by Elsevier Espana.)