Dissertação

Estratégias de ensino para prevenção de broncoaspiração associada a disfagia durante a pandemia Covid-19

Introduction: Since the beginning of the new pandemic, Corona Virus Disease 2019 (COVID19) health services face a new scenario. In the hospital environment, people with COVID-19 have a diverse prognosis and comorbidities, including dysphagia. Objective: Contribute to prevent respiratory problems...

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Autor principal: Gonçalves, Ives Marcelo Pinheiro
Grau: Dissertação
Idioma: pt_BR
Publicado em: Universidade Federal do Tocantins 2023
Assuntos:
Acesso em linha: http://hdl.handle.net/11612/5260
Resumo:
Introduction: Since the beginning of the new pandemic, Corona Virus Disease 2019 (COVID19) health services face a new scenario. In the hospital environment, people with COVID-19 have a diverse prognosis and comorbidities, including dysphagia. Objective: Contribute to prevent respiratory problems associated with dysphagia, through teaching strategies in a hospital environment during the COVID-19 pandemic and apply, as through teaching, strategies of continuing education in health. Methodology: This is a quasi-experimental study, which aims to analyze the retention of information and its use in changes related to the prevention of respiratory problems associated with dysphagia. As the first phase of the work, data from the database of the Medical Clinic of the Hospital Regional de Araguaína were investigated. To present the epidemiological characteristics of dysphagia, including patients affected by Covid19, the data contained in the database / medical records, from March 1, 2020 to September 1, 2021, were used. Results: The prevalence of dysphagia in the total sample was 40.74%, of these 01 (2.27%) had bronchoaspiration as a single complication, 01 (2.27%) had bronchoaspiration and pneumonia as a more severe manifestation, 03 (6.82%) had insufficiency respiratory without need for ventilatory support and 03 (6.82%) had respiratory failure and need for ventilatory support, totaling 18.18% n = 08 patients with dysphagia and respiratory repercussion. The underlying disease that was most associated with dysphagia, in this research, were neurological, with 21 (47.73%) of the cases. The hospitalization outcome was: 38 (86.36%) hospital discharge, 03 (6.82%) internal transfer, only 01 (2.27%) referral to outpatient clinic and 02 (4.55%) deaths. Regarding the impact of the educational action, through the I Tocantins webinar on dysphagia, there was a good acceptance by health professionals, with about 1000 participants who watched the event online and live, or accessed it later on a platform broadcasting Youtube; Added to this is the availability of this experience with a webinar, at the congress moviments professors, which published an expanded abstract in the proceedings of the event, and made a recording of the abstract available on a digital platform. Conclusion: The results found show that dysphagia is a public health problem, which can lead to complications such as bronchoaspiration, pneumonia and other respiratory complications. Therefore, multidisciplinary action, combined with continuing education, is of fundamental importance in order to minimize the sequelae inherent to dysphagia.