Abstract
Resumo Este estudo objetiva avaliar a percepção de coerção em adultos e idosos internados submetidos a procedimento médico invasivo. Utilizou-se método transversal quantitativo, com 300 pacientes internados após cirurgia, com escala de percepção de coerção. Compararam-se proporções e possíveis associações entre grupos, gêneros, procedimentos eletivos, de urgência e grau de complexidade. Foram realizadas análises estatísticas descritivas e inferenciais. Os resultados apontam que a maioria dos pacientes (82,7%) tem baixa percepção de coerção, independente do grau de complexidade das operações. Porém, a percepção aumenta nos procedimentos de urgência, quando comparados aos eletivos, independentemente da idade ( p <0,0001). A percepção de coerção, de modo geral, foi baixa, pois a maioria dos participantes sentiu-se envolvida na decisão de realizar o procedimento. Verificou-se respeito à autonomia dos pacientes, já que a equipe médica compartilhou com eles e a família a decisão de operar, resultado adequado do ponto de vista bioético.
Highlights
The objective of this study was to evaluate the perception of coercion in hospitalized adults and elderly people subjected to invasive medical procedures
No studies were found to consider how much the elderly perceive themselves participants in decisions about their health 21. Would they have the same freedom as adults to decide or other variables, such as sex and schooling, influence this process? Does the urgency of the invasive procedure change the way patients perceive coercion? Based on these questions, the aim of this study is to evaluate the understanding of coercion of adult and elderly patients regarding surgical interventions
This is a quantitative cross-sectional study with adult patients submitted to invasive medical procedures, hospitalized in surgical units of the Hospital de Clínicas de Porto Alegre (HCPA), Rio Grande do Sul, Brazil
Summary
The objective of this study was to evaluate the perception of coercion in hospitalized adults and elderly people subjected to invasive medical procedures. The results indicate that most patients (82.7%) presented low perception of coercion, regardless of the degree of complexity of the procedures. This perception increased in cases of urgent procedures, when compared to elective procedures, regardless of age (p
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