Anna Lívia de Medeiros Dantas

Complications of pressure ulcers in severely ill patients: a descriptive-exploratory study

Aim: to identify the complications of pressure ulcers in severely ill patients from the perspective of the nurses. Method: This is a descriptive-exploratory study which adopts a qualitative approach involving a questionnaire to nurses working in an intensive care unit of Onofre Lopes Hospital, in Natal, Brazil. The data were submitted to the content analysis topics Results: From the comments of the professionals, we generated a category “Complications of pressure ulcers in severely ill patients”, and the subcategories “infection”, “period of hospitalization”, “hospital costs”, “mortality” and “suffering”. Discussion: Ulcers lead to infections and to an increase in microbiological resistance. They increase the period of hospitalization and the costs of treatment due to the resulting complications. Mortality is related to the worsening of clinical conditions. Suffering is a result of pain and dependency. Conclusion: For the nurses, pressure ulcers are complications that generate a worsening of clinical conditions of severely ill patients, which makes it necessary to adapt the treatment.

Diagnósticos de enfermagem e modelo adaptativo de roy: análise em pacientes críticos

Objective: The objective of the study was to correlate the nursing diagnoses of the safety and protection domain of NANDA Inter- national with the adaptive problems noted in the Roy model for patients in intensive care units (ICU). Methods: A cross-sectional study carried out at the ICU of a university hospital in a capital city of northeastern Brazil. The sample consisted of 86 individuals. The data, collected between October 2013 and May 2014 through an interview and physical examination, were analyzed by means of descriptive and inferential statistics. Results: Among the nursing diagnoses of the security and protection domain, 29 were found with variable frequen- cies. When related to the adaptive problems proposed by Roy, 12 adaptive problems were evidenced in the physiological adaptive mode, which includes the categories of senses, protection, oxygenation, activity, and rest and nutrition. Conclusions: A relationship was found between the nursing diagnoses of the safety and protection domain and the adaptive problems indicated in the Roy model for patients in intensive care.

Diagnósticos de enfermería y modelo adaptativo de Roy: análisis en pacientes críticos

Objective: The objective of the study was to correlate the nursing diagnoses of the safety and protection domain of NANDA Inter- national with the adaptive problems noted in the Roy model for patients in intensive care units (ICU). Methods: A cross-sectional study carried out at the ICU of a university hospital in a capital city of northeastern Brazil. The sample consisted of 86 individuals. The data, collected between October 2013 and May 2014 through an interview and physical examination, were analyzed by means of descriptive and inferential statistics. Results: Among the nursing diagnoses of the security and protection domain, 29 were found with variable frequen- cies. When related to the adaptive problems proposed by Roy, 12 adaptive problems were evidenced in the physiological adaptive mode, which includes the categories of senses, protection, oxygenation, activity, and rest and nutrition. Conclusions: A relationship was found between the nursing diagnoses of the safety and protection domain and the adaptive problems indicated in the Roy model for patients in intensive care.