Angela Amorim de Araújo

Diagnósticos e intervenções de enfermagem para pacientes portadores de insuficiência cardíaca congestiva utilizando a CIPE

The aim of this descriptive exploratory study was to construct nursing diagnosis and intervention statements for patients with Congestive Heart Failure. To accomplish this aim, 53 terms were identified in the focus axis of the International Classification for Nursing Practice (ICNP®), which guided the construction of these statements using the guidelines of the International Council of Nurses and ISO 18. 104. A total of 92 nursing diagnosis statements were constructed, which resulted in 66 statements after standardization. The standardized statements were separated according to the following pathophysiological models: 13 related to tachycardia, 20 related to dyspnea, 19 related to edema, and 14 related to congestion. A total of 234 interventions were constructed for these statements using the terms from the 7-Axis Model of the ICNP®, the literature in the area and the clinical experience of the authors. The nursing diagnosis and intervention statements designed are expected to facilitate the evaluation of CHF patients and assist in the construction of a terminological subset for the ICNP®.

Pressure ulcers in elders and in non-elders: a historical cohort study

Aim: to compare demographical and clinical characteristics of elders and non-elders with pressure ulcers (PU), hospitalized in an Intensive Care Unit (ICU) of a public school hospital in the Brazilian state of Paraiba. Method: this is a historical cohort study, which included 29 patients between the ages of 18 and 94 years, divided into two age groups (≥60 years old = elder; <60 years old = non-elder). Results: 14 individuals were elders (average age 73.8±10.7 years old) and 15 were non-elders (average age 38.3±12.9 years old). Comorbidities and PU in advanced stages were significantly more common among elders (p=0.017 and p=0.010, respectively). Discussion: it is recognized that the number of ulcers, their stage and parts of the body affected by them can influence the evolution of the clinical state of the patient in the ICU, as well as the acute disturbance responsible for the patient’s hospitalization and associated comorbidities. Conclusion: elder patients present significantly more comorbidities and PU in advanced stages than non-elderly patients. Other characteristics here investigated did not show any significant differences based on the age group.

Associação das condições sociais e clínicas à qualidade de vida de pacientes com insuficiência cardíaca.

Objetivo: Analisar a associacao entre as condicoes sociodemograficas e clinicas com a qualidade de vida relacionada a saude de pacientes com insuficiencia cardiaca. Metodo: Estudo transversal, com amostra nao probabilistica de 84 pacientes com insuficiencia cardiaca, em seguimento ambulatorial, realizado no municipio de Joao Pessoa, PB, Brasil, no periodo de janeiro a julho de 2015. Utilizou-se o questionario Minnesota Living with Heart Failure Questionnaire. Na analise dos dados, foram aplicados os testes: t-Student, ANOVA e Correlacao de Pearson, com nivel de significância de 5%. Resultados: Os escores medios do Minnesota Living with Heart Failure Questionnaire revelaram boa qualidade de vida do grupo pesquisado. Houve associacao negativa significante entre qualidade de vida e idade: portanto, quanto menor a idade, pior a qualidade de vida. Conclusao: Fazem-se necessarias acoes de promocao a saude para melhorar a capacidade de enfretamento dessa doenca, em especial, para os pacientes mais jovens. Palavras-chave: Insuficiencia cardiaca. Qualidade de vida. Associacao. Promocao da saude.Objective To analyze the association between sociodemographic and clinical conditions with the quality of life related to health of heart failure patients. Method Cross-sectional study with a non-random sample of 84 outpatients with heart failure, performed in the city of João Pessoa, PB, Brazil, in the period from January to July 2015. The questionnaire by name Minnesota Living with Heart Questionnaire was used The following tests were applied in data analysis: t-Student, ANOVA and Pearsons Correlation, com a 5% significance level. Results The average scores of the Minnesota Living with Heart Failure Questionnaire showed a good quality of life in the group under study. There was a significant negative association between quality of life and age: thus the lower the age, the worse the quality of life. Conclusion Health promotion actions become necessary to improve the coping capacity of this disease, especially for younger patients.