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The child and family facing the perioperative

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Author(s): Fernanda Braga Hernandes, Maria Elisabeth Cestari

Journal: Revista de Enfermagem UFPE On Line
ISSN 1981-8963

Volume: 4;
Issue: 2;
Start page: 945;
Date: 2010;
Original page

Keywords: family | feelings | surgery | assistance.

ABSTRACT
This study aimed at knowing and understanding the feelings expressed by the pediatric patient and its family members when facing the perioperative. In order to provide subsidies to understand the exposed theme, a setting of theoretical reference was proposed, starting with the knowledge produced by a group of authors who contemplate referring questions: the family; the family facing the perioperative and its emotional aspects; the family as a client; the Nursing assistance and the family education. It had a descriptive, exploratory character, with qualitative analysis of data. Eight hospitalized pediatric clients were subjects of the investigation, place in the ages between 5 and 12 years old, and its family companions. The field research included the simple observation, the semi-structured interview and the drawing as an instrument. The data collected was analysed with the help of theoretical reference and were grouped according to its similarities from which three moments appeared. The first moment corresponds the period previous to the surgery; approaches the trajectory taken by the family in order to have the surgery done, therefore, their “arrival” at the hospital and taking the patient to the Surgical Center and describes the relative aspects to the pre operative preparation. The second period presents how the subjects were feeling while waiting for the end of the surgery. The third period approach the remembrances (or not) of the procedure by the child and describes the family reports after the surgery, including the expectation for news about the result of the procedure and the post operation care. In the pre operation the family expect to have a medical appointment, schedule a surgery and have it done. In the trans operation, the family is expecting for information concerning the surgery itself as well as wait for the end of it. In the post operation period, the family is still waiting for the result of the surgery, the care to be taken and for the discharge from the hospital of the subject. It is also highlighted the absence of the nurse who was not present in any of the observed moments as well as was not mentioned by the subjects. To conclude, the knowledge of the feelings of the families concerning the surgical situation and its related factors can be used to plan, make adequate and improve the assistance developed by the professionals, acknowledging the importance of the psychosocial and emotional aspects which involve the client and the family.

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