Invasive procedures on patients under home-care

Abstract

OBJECTIVE: To describe the predominant invasive procedures on patients under home-care. METHOD: A retrospective quantitative and descriptive study from databanks of patients cared for through a private home-care unit in the city of Salvador, BA, Brazil. The sample comprised 110 medical records. For data collection a form was used with the following variables: sociodemographic data, therapeutic support, ventilatory support and nutritional therapy. The data was analyzed in absolute and relative frequencies. RESULTS: The occurrence of 152 invasive procedures was observed on the 110 patients. Within the therapeutic supports, predominance was for peripherally inserted central catheter (PICC) (92.0%), followed by central venous catheters (33.0%). In relation to ventilatory support, tracheostomy was the most frequent (25.0%), and with reference to nutritional therapy, prevalence was for gastrostomy (46.1%). Within the devises for bladder elimination, the indwelling urinary catheter presented a percentage of 10.5%. CONCLUSION: The most recurrent invasive procedures in patients under home care were the PICC (peripherally inserted central catheters, tracheostomy and gastrostomy. Determining the profile of procedures performed in home-care permits the construction of protocols related to such procedures, creation of homecare health strategies and the prevention of adverse events and guidance for patients and family members/caregivers.