Fatores que influenciam a percepção do paciente quanto a qualidade de recuperação pós-operatória/ Factors influencing the patient's perception of the quality of postoperative recovery/ Factores que influencian la percepción del paciente...

Autores

  • Daniel de Carli Faculdade de Medicina de Jundiaí
  • José Fernando Amaral Meletti Faculdade de Medicina de Jundiaí
  • Rodrigo Paupério Soares de Camargo Faculdade de Medicina de Jundiaí
  • César de Araújo Miranda Faculdade de Medicina de Jundiaí

DOI:

https://doi.org/10.30681/25261010

Palavras-chave:

Período Pós-Operatório, Satisfação do Paciente, Qualidade da Assistência à Saúde, Anestesia, Período de Recuperação da Anestesia

Resumo

Objetivo: a satisfação do paciente é um conceito complexo e multifatorial que ganhou muita importância nas últimas décadas, através dos processos de acreditação. Além disso, a satisfação do paciente influencia o relacionamento com a equipe multidisciplinar e, até mesmo, a adesão ao tratamento proposto. A percepção do paciente quanto à qualidade de recuperação pós-operatória é um dos componentes que influenciam essa satisfação. O objetivo dessa revisão foi avaliar os fatores relacionados ao ato anestésico e cirúrgico que interferem na percepção do paciente quanto à qualidade de recuperação pós-operatória. Método: durante o período entre 01 de março e 31 julho de 2018, a presente revisão integrativa pesquisou os descritores nas bases de dados e encontrou 52000 citações de artigos publicados entre janeiro de 2011 e julho de 2018. Através dos operadores booleanos, combinou os termos da pesquisa e excluiu os artigos duplicados, avaliou 256 artigos e selecionou 51 artigos para essa revisão. Conclusão: a utilização de medicamentos e técnicas que minimizem a permanência hospitalar ou evitem efeitos colaterais como dor, náuseas e vômitos, melhora a percepção do paciente quanto à qualidade de recuperação.

Referências

Schug SA. Patient Satisfaction?Politically Correct Fashion of the Nineties or a Valuable Measure of Outcome? Reg Anesth Pain Med. 2001;26(3):193-5.

Lustosa MA, Alcaires J, Costa JC. Adesão do paciente ao tratamento no Hospital Geral. Rev SBPH. 2011;14(2):27-49.

Heidegger T, Saal D, Nübling M. Patient satisfaction with anaesthesia–Part 1: Satisfaction as part of outcome–and what satisfies patients. Anaesthesia. 2013; 68(11):1165-72.

Poitras S, Beaule PE, Dervin GF. Validity of A Short-Term Quality of Life Questionnaire in Patients Undergoing Joint Replacement: The Quality of Recovery–40. J Arthroplasty. 2012;27(9):1604-8.

Kluivers KB, Riphagen I, Vierhout ME, Brölmann HA, de Vet HC. Systematic review on recovery specific quality-of-life instruments. Surgery. 2008;143(2):206-15.

Murphy GS, Szokol JW, Greenberg SB, Avram MJ, Vender JS, Nisman M, et al. Preoperative Dexamethasone Enhances Quality of Recovery after Laparoscopic CholecystectomyEffect on In-hospital and Postdischarge Recovery Outcomes. Anesthesiology. 2011;114(4):882-90.

Lee W-K, Kim M-S, Kang S-W, Kim S, Lee J-R. Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total iv anaesthesia with desflurane anaesthesia. Br J Anaesth. 2014;114(4):663-8.

Estivalet FF, Bagatini A, Gomes CR. Remifentanil associado ao propofol ou sevoflurano para colecistectomia videolaparoscópica. Estudo comparativo. Rev Bras Anestesiol. 2002;52(4):385-93.

Feldman LS, Lee L, Fiore Jr J. What outcomes are important in the assessment of Enhanced Recovery After Surgery (ERAS) pathways? Can J Anaesth. 2015;62(2):120-30.

Guimarães-Pereira L, Costa M, Sousa G, Abelha F. Quality of recovery after anaesthesia measured with QoR-40: a prospective observational study. Rev Bras Anestesiol. 2016;66(4):369-75.

Gornall B, Myles PS, Smith C, Burke J, Leslie K, Pereira M, et al. Measurement of quality of recovery using the QoR-40: a quantitative systematic review. Br J Anaesth. 2013;111(2):161-9.

Myles PS, Hunt JO, Fletcher H, Solly R, Woodward D, Kelly S. Relation between quality of recovery in hospital and quality of life at 3 months after cardiac surgery. Anesthesiology. 2001;95(4):862-7.

Macario A, Weinger M, Carney S, Kim A. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg. 1999;89(3):652.

Barnett SF, Alagar RK, Grocott MP, Giannaris S, Dick JR, Moonesinghe SR. Patient-Satisfaction Measures in AnesthesiaQualitative Systematic Review. Anesthesiology. 2013;119(2):452-78.

Flierler WJ, Nübling M, Kasper J, Heidegger T. Implementation of shared decision making in anaesthesia and its influence on patient satisfaction. Anaesthesia. 2013;68(7):713-22.

Whitty P, Shaw I, Goodwin D. Patient satisfaction with general anaesthesia. Anaesthesia. 1996;51(4):327-32.

Myles P, Weitkamp B, Jones K, Melick J, Hensen S. Validity and reliability of a postoperative quality of recovery score: the QoR-40. Br J Anaesth. 2000;84(1):11-5.

Eduardo AHA, Santos CBd, Carvalho AMP, Carvalho ECd. Validation of the Brazilian version of the Quality of Recovery-40 Item questionnaire. Acta Paul Enferm. 2016;29(3):253-9.

Auquier P, Pernoud N, Bruder N, Simeoni M-C, Auffray J-P, Colavolpe C, et al. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005;102(6):1116-23.

Myles PS, Hunt JO, Nightingale CE, Fletcher H, Beh T, Tanil D, et al. Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults. Anesth Analg. 1999;88(1):83-90.

Bowyer A, Jakobsson J, Ljungqvist O, Royse C. A review of the scope and measurement of postoperative quality of recovery. Anaesthesia. 2014;69(11):1266-78.

Myles P, Reeves M, Anderson H, Weeks A. Measurement of quality of recovery in 5672 patients after anaesthesia and surgery. Anaesth Intensive Care. 2000;28(3):276.

Idvall E, Berg K, Unosson M, Brudin L, Nilsson U. Assessment of recovery after day surgery using a modified version of quality of recovery?40. Acta Anaesthesiol Scand . 2009;53(5):673-7.

Herrera FJ, Wong J, Chung F. A systematic review of postoperative recovery outcomes measurements after ambulatory surgery. Anesth Analg. 2007;105(1):63-9.

Nübling M, Saal D, Heidegger T. Patient satisfaction with anaesthesia–Part 2: Construction and quality assessment of questionnaires. Anaesthesia. 2013;68(11):1173-8.

Moro ET, Leme FCO, Noronha BR, Saraiva GFP, de Matos Leite NV, Navarro LHC. Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial. J Clin Anesth. 2016;35:369-75.

Varughese AM, Rampersad SE, Whitney GM, Flick RP, Anton B, Heitmiller ES. Quality and safety in pediatric anesthesia. Anesth Analg. 2013;117(6):1408-18.

Çaparlar CÖ, Özhan MÖ, Süzer MA, Yazicio?lu D, E?kin MB, ?enkal S, et al. Fast-track anesthesia in patients undergoing outpatient laparoscopic cholecystectomy: comparison of sevoflurane with total intravenous anesthesia. J Clin Anesth. 2017;37:25-30.

Herling SF, Dreijer B, Wrist Lam G, Thomsen T, Møller AM. Total intravenous anaesthesia versus inhalational anaesthesia for adults undergoing transabdominal robotic assisted laparoscopic surgery. Cochrane Database Syst Rev. 2017(4).

Koo B-W, Oh A-Y, Seo K-S, Han J-W, Han H-S, Yoon Y-S. Randomized Clinical Trial of Moderate Versus Deep Neuromuscular Block for Low-Pressure Pneumoperitoneum During Laparoscopic Cholecystectomy. World J Surg. 2016;40(12):2898-903.

Özdemir-van Brunschot DM, Scheffer GJ, van der Jagt M, Langenhuijsen H, Dahan A, Mulder JE, et al. Quality of Recovery After Low-Pressure Laparoscopic Donor Nephrectomy Facilitated by Deep Neuromuscular Blockade: A Randomized Controlled Study. World J Surg. 2017:1-9.

Murphy GS, Szokol JW, Avram MJ, Greenberg SB, Shear T, Vender JS, et al. Postoperative residual neuromuscular blockade is associated with impaired clinical recovery. Anesth Analg. 2013;117(1):133-41.

Murphy GS, Szokol JW, Marymont JH, Greenberg SB, Avram MJ, Vender JS. Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit. Anesth Analg. 2008;107(1):130-7.

Brueckmann B, Sasaki N, Grobara P, Li M, Woo T, De Bie J, et al. Effects of sugammadex on incidence of postoperative residual neuromuscular blockade: a randomized, controlled study. Br J Anaesth. 2015;115(5):743-51.

Ya?an Ö, Ta? N, Mutlu T, Hanc? V. Comparison of the effects of sugammadex and neostigmine on postoperative nausea and vomiting. Rev Bras Anestesiol. 2017;67(2):147-52.

Wu CL, Naqibuddin M, Fleisher LA. Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review. Reg Anesth Pain Med. 2001;26(3):196-208.

Catro-Alves LJS, De Azevedo VLF, Braga TFDF, Goncalves AC, De Oliveira Jr GS. The effect of neuraxial versus general anesthesia techniques on postoperative quality of recovery and analgesia after abdominal hysterectomy: a prospective, randomized, controlled trial. Anesth Analg. 2011;113(6):1480-6.

Elkassabany N, Cai LF, Mehta S, Ahn J, Pieczynski L, Polomano RC, et al. Does regional anesthesia improve the quality of postoperative pain management and the quality of recovery in patients undergoing operative repair of tibia and ankle fractures? J Orthop Trauma. 2015;29(9):404-9.

Abdallah FW, Morgan PJ, Cil T, McNaught A, Escallon JM, Semple JL, et al. Ultrasound-guided multilevel paravertebral blocks and total intravenous anesthesia improve the quality of recovery after ambulatory breast tumor resection. Anesthesiology. 2014;120(3):703-13.

Pöpping D, Elia N, Van Aken H, Marret E, Schug S, Kranke P, et al. Impact of epidural analgesia on mortality and morbidity after surgery: systematic review and meta-analysis of randomized controlled trials. 2014.

Ali A, Altun D, Oguz BH, Ilhan M, Demircan F, Koltka K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. J Anesth. 2014;28(2):222-7.

Kubulus C, Schmitt K, Albert N, Raddatz A, Gräber S, Kessler P, et al. Awake, sedated or anaesthetised for regional anaesthesia block placements?: A retrospective registry analysis of acute complications and patient satisfaction in adults. Eur J Anaesthesiol. 2016;33(10):715-24.

Moro ET, Silva MANd, Couri MG, Issa DdS, Barbieri JM. Quality of recovery from anesthesia in patients undergoing orthopedic surgery of the lower limbs. Rev Bras Anestesiol. 2016;66(6):642-50.

Royse CF, Chung F, Newman S, Stygall J, Wilkinson DJ. Predictors of patient satisfaction with anaesthesia and surgery care: a cohort study using the Postoperative Quality of Recovery Scale. Eur J Anaesthesiol. 2013;30(3):106-10.

Wu CL, Rowlingson AJ, Partin AW, Kalish MA, Courpas GE, Walsh PC, et al. Correlation of postoperative pain to quality of recovery in the immediate postoperative period. Reg Anesth Pain Med. 2005;30(6):516-22.

Myles P, Williams D, Hendrata M, Anderson H, Weeks A. Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10,811 patients. Br J Anaesth. 2000;84(1):6-10.

Amante LN, Slomochenski LA, Teixeira MGPN, Bertoncello KCG. Ocorrência de Hipotermia não planejada em sala de recuperação anestésica. J Health Sci. 2015;14(4).

Murphy GS, Szokol JW, Greenberg SB, Avram MJ, Vender JS, Nisman M, et al. Preoperative Dexamethasone Enhances Quality of Recovery after Laparoscopic CholecystectomyEffect on In-hospital and Postdischarge Recovery Outcomes. Anesthesiology. 2011;114(4):882-90.

Mihara T, Ishii T, Ka K, Goto T. Effects of Steroids on Quality of Recovery and Adverse Events after General Anesthesia: Meta-Analysis and Trial Sequential Analysis of Randomized Clinical Trials. PloS one. 2016;11(9):e0162961.

Oliveira GS, Bialek J, Marcus R-J, McCarthy R. Dose-ranging effect of systemic diphenhydramine on postoperative quality of recovery after ambulatory laparoscopic surgery: a randomized, placebo-controlled, double-blinded, clinical trial. J Clin Anesth. 2016;34:46-52.

Kim MH, Lee KY, Park S, Kim SI, Park HS, Yoo YC. Effects of systemic lidocaine versus magnesium administration on postoperative functional recovery and chronic pain in patients undergoing breast cancer surgery: A prospective, randomized, double-blind, comparative clinical trial. PloS one. 2017;12(3):e0173026.

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Publicado

20/12/2018

Como Citar

Carli, D. de, Amaral Meletti, J. F., Soares de Camargo, R. P., & de Araújo Miranda, C. (2018). Fatores que influenciam a percepção do paciente quanto a qualidade de recuperação pós-operatória/ Factors influencing the patient’s perception of the quality of postoperative recovery/ Factores que influencian la percepción del paciente. Journal Health NPEPS, 3(2), 601–617. https://doi.org/10.30681/25261010

Edição

Seção

Artigo de Revisão/ Review Article/ Artículo de Revisión