Ações de enfermagem do serviço de orientação de alta do Hospital Estadual do Rio de Janeiro: estudo de caso

Abstract

This is a typical study of an especific, retrospective and descritive case, with a quantitative approach from reports of care accomplished for the service orientation of dischard of the State Hospital in Rio de Janeiro from June to December 2011. The data was collected from primary researches from the service discharge orientation and also from the secondary hospitals s computerized database. Aiming to analyze the profile of hospital readmissions after the implementation of orientation service of discharge hospital in Rio de Janeiro, relating to the developed in the service. For that, first it characterized the demand of patients care through the service, with maternity as prevalence clinic type. As far as the demographics data of readmitted patients are concerned, it realized the majority of them is made by women and the avage age of readmitted patient is 66.4 years and PD ± 14.0065. Related to the district where the live, it was verified that 58.67%, were living in the programatic area 5.1 of the Health Family Program of that area. The main diagnostic datas were not significant, we can not state the relationship between the presented diseases and readmission and developed actions in the service. Regarding to the time gap between the discharge and readmission, it was showed that the average number of days equal to 63.4138 and PD ±52,6074, with a minimum of 0 days and maximum of 153 days. Regarding to the actions of the service and discharge orientation, it was showed that 65.52% of the readmitted patients would wait for the arangement of the appointment through SISREG, however, it tooke a long time for them to be readmitted to te unit. Pointing a hupe gap between discharge and the continuation of the treatment in the primary attention health, with the especialities of cardiology and neurology as the ones which represent the biggest number of routings. The nursing intervention showed that all the readmitted patients received at last 3 orientations, however, these were about general issues not specific to the routed cares.The results of these investigation give subsidy to the nurses in the planning of the discharge, since the profile of readmission of the unit is the same appointed in the literature, advanced ages and chronic-degenerative diseases, however, the absence of records forbid a closer deepening study about the subjective, also demonstrating the need for training of employees in filling in the form of service.