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ORIGINAL ARTICLE
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
05-21-2021
Resumo
ORIGINAL ARTICLEOrthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
05-21-2021DOI 10.1590/0034-7167-2020-0089
Visualizações0Ver maisABSTRACT
Objectives:
to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.
Methods:
cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.
Results:
48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).
Conclusions:
the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.
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RESEARCH
Anxiety and knowledge of patients before being subjected to orthognathic surgery
Revista Brasileira de Enfermagem. 2018;71(suppl 5):2081-2086
01-01-2018
Resumo
RESEARCHAnxiety and knowledge of patients before being subjected to orthognathic surgery
Revista Brasileira de Enfermagem. 2018;71(suppl 5):2081-2086
01-01-2018DOI 10.1590/0034-7167-2017-0520
Visualizações0ABSTRACT
Objective:
to verify the correlation between anxiety level and degree of knowledge in patients before they are subjected to orthognathic surgery.
Method:
Descriptive cross-sectional study with 40 patients in the preoperative period before orthognathic surgery of a private clinic in the city of São Paulo.
Results:
IDATE-trait anxiety levels feature prevalence of medium-level anxiety with 72.5% (n=29), followed by low-level anxiety with 72.5% (n=29) and high-level level anxiety with 10% (n=4). In the pre-operative period, transitory IDATE-state anxiety levels feature medium-level anxiety with 65% (n=26), followed by high-level anxiety with 22.5% (n=9) and low-level anxiety with 10% (n=4). Pearson’s correlation coefficient resulted in negative r (−0.2) for anxiety-trait (p 0.197) and in negative r (−0.1) for anxiety-state (p 0.417).
Conclusion:
The data shows a weak correlation in which greater knowledge about the surgical procedure reduces levels of anxiety that may be related to the absence of appropriate guidance about the surgical procedure.
Palavras-chave: AnxietyOrthognathic SurgeryPatient Education as TopicPatient Education HandoutPerioperative NursingVer mais