Procedimento computacional de avaliação dinâmica do risco de delirium em idosos em unidade de terapia intensiva
Clinical Engineering is defined as the branch of engineering dedicated to assisting in the health area, aiming to achieve well-being, safety, cost reduction and quality in the services available to patients and to the multidisciplinary team of the hospital, through the application from managerial...
| Autor principal: | Luvizotto, Janayna do Rocio |
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| Formato: | Dissertação |
| Idioma: | Português |
| Publicado em: |
Universidade Tecnológica Federal do Paraná
2019
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| Assuntos: | |
| Acesso em linha: |
http://repositorio.utfpr.edu.br/jspui/handle/1/3838 |
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| Resumo: |
Clinical Engineering is defined as the branch of engineering dedicated to assisting in
the health area, aiming to achieve well-being, safety, cost reduction and quality in the
services available to patients and to the multidisciplinary team of the hospital,
through the application from managerial and engineering knowledge to health
technology. When the diagnosis does not occur and is not evaluated correctly,
medical and nursing interventions can be used in an inadequate way, that is, the
behaviors may not contribute at all to the improvement of the patient or mask the
identification of a disease. The Delirium presented in elderly patients hospitalized in
the Intensive Care Unit is currently related to a longer hospitalization period, a
greater possibility of re-hospitalization and institutionalization, a decrease in cognitive
and/or functional domain. However, the diagnosis of delirium is insufficiently
recognized by the multiprofessional team. The main objective of this dissertation was
to develop a computational procedure of dynamic evaluation that classifies the risk of
developing Delirium in the elderly hospitalized in the Intensive Care Unit. It is a
descriptive, quantitative and qualitative research; technological development with
experimental development, aimed at the materialization of a product, prototype,
process, software. This study was carried out with the search of records of patients
hospitalized in an intensive care unit, aged 60 or over, with more than 24 hours of
hospitalization and at least two risk factors for the development of Delirium. A total of
214 elderly patients admitted to an intensive care unit were evaluated; of these, 17
patients had a diagnosis of Delirium. He observed in this research that Delirium is a
clinical event of high incidence in the elderly hospitalized in intensive care unit, but is
still little diagnosed. The computational procedure elaborated in this study determines
the risk of developing Delirium, being this risk classified as low, medium and high;
providing a tool for its diagnosis and for the prescription of preventive measures for
the Delirium event, according to the determined risk. |
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