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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...
Autor principal: | Gonçalves, Ives Marcelo Pinheiro |
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Grau: | Dissertação |
Idioma: | pt_BR |
Publicado em: |
Universidade Federal do Tocantins
2023
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Assuntos: | |
Acesso em linha: |
http://hdl.handle.net/11612/5260 |
Resumo: |
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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. |