Fernando Hiago da Silva Duarte

Predictive factors for the Nursing Diagnoses in people living with Acquired Immune Deficiency Syndrome

Objetivo: identificar los factores de prediccion de diagnosticos de enfermeria en personas viviendo con el sindrome de la inmunodeficiencia adquirida. Metodo: estudio transversal, realizado con 113 personas viviendo con el SIDA. Los datos fueron recolectados con un guion de entrevista y examen fisico. Para analizar los datos, fue utilizada la regresion logistica, considerando un nivel de significacion de 10%. Resultados: los factores de prediccion identificados fueron: para el diagnostico de enfermeria conocimiento deficiente - seguimiento inadecuado de instrucciones y verbalizacion del problema - para el diagnostico de enfermeria falta de adhesion - anos de estudio, comportamiento indicativo de falta de adhesion, participacion en el tratamiento y olvido - y para el diagnostico de enfermeria disfuncion sexual - renta familiar, frecuencia disminuida de la practica sexual, deficit percibido de deseo sexual, limitaciones percibidas impuestas por la enfermedad y funcion corporal alterada. Conclusion: los factores de prediccion, de esos diagnosticos de enfermeria, participaron: caracteristicas sociodemograficas y clinicas, caracteristicas definidoras y factores relacionados, las que deben ser consideradas durante la asistencia prestada por el enfermero.Abstract Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.

People living with AIDS: Association between nursing diagnoses and sociodemographic/clinical characteristics

OBJECTIVE To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. METHOD Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearsons Chi-Square Test and Fishers Exact Test. RESULTS The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. CONCLUSION The diagnoses presented significant associations with sociodemographic and clinical aspects.

Diagnóstico de enfermagem risco de úlcera por pressão segundo taxonomia II da North American Nursing Diagnosis Association

Objetivo: Identificar a prevalencia dos fatores de risco para o diagnostico de enfermagem (DE) de risco de ulcera por pressao (UP) de acordo com a taxonomia II da North American Nursing Diagnosis Association (NANDA-I) em pacientes na unidade de terapia intensiva (UTI). Metodos: Estudo transversal de natureza quantitativa realizado em um hospital da rede privada de saude, no periodo de janeiro a maio de 2014. O projeto foi avaliado e aprovado pelo Comite de Etica em Pesquisa. Participaram do estudo 30 pacientes. Os dados foram coletados diariamente durante o exame fisico por meio de um instrumento semiestruturado. Resultados: Elencaram-se 20 fatores de riscos. Os mais frequentes foram: escore na Escala de Braden (EB) <18, agentes farmacologicos, alteracao na funcao cognitiva, atrito em superficie, deficit do autocuidado, forcas de cisalhamento, incontinencia, nutricao inadequada, pressao sobre proeminencia ossea, reducao na mobilidade, reducao na perfusao tissular e umidade da pele. Conclusao: A identificacao dos fatores de risco de UP reforca a importância da implementacao do processo de enfermagem (PE) a esses pacientes, colaborando com o planejamento das acoes do enfermeiro fundamentadas e adequadas de acordo com as necessidades de cada individuo.

Análise das Ações Preventivas de Úlceras por Pressão por Meio da Escala de Braden

Objetivo: Analisar as medidas preventivas para o desenvolvimento de ulceras por pressao em pacientes admitidos em uma Unidade de Terapia Intensiva de um hospital da rede privada no municipio de Caruaru, no estado de Pernambuco, adotadas pela equipe de Enfermagem a partir dos escores da Escala de Braden. Metodos: Estudo descritivo, com abordagem quantitativa; a populacao constituiu-se de pacientes acamados, de ambos os sexos, com escore ≤16 na Escala de Braden. Para a coleta de dados, utilizaram-se um instrumento estruturado e uma analise dos prontuarios, apos aprovacao do Comite de Etica em Pesquisa. Resultados: Participaram do estudo 20 pacientes. Identificaram-se deficiencias na Sistematizacao da Assistencia de Enfermagem, bem como na aplicabilidade de medidas preventivas, o que revelou o surgimento de ulceras por pressao em 95% dos pesquisados. Conclusao: Observou-se um deficit de acoes da Enfermagem voltadas a prevencao de ulceras por pressao, evidenciadas na relacao causal entre as variaveis e, consequentemente, no surgimento das ulceras, contribuindo, assim, para demonstrar a importância da adocao de medidas preventivas por meio da Escala de Braden e da Sistematizacao da Assistencia de Enfermagem.

Fatores preditivos dos diagnósticos de enfermagem em pessoas vivendo com a síndrome da imunodeficiência adquirida

Objetivo: identificar los factores de prediccion de diagnosticos de enfermeria en personas viviendo con el sindrome de la inmunodeficiencia adquirida. Metodo: estudio transversal, realizado con 113 personas viviendo con el SIDA. Los datos fueron recolectados con un guion de entrevista y examen fisico. Para analizar los datos, fue utilizada la regresion logistica, considerando un nivel de significacion de 10%. Resultados: los factores de prediccion identificados fueron: para el diagnostico de enfermeria conocimiento deficiente - seguimiento inadecuado de instrucciones y verbalizacion del problema - para el diagnostico de enfermeria falta de adhesion - anos de estudio, comportamiento indicativo de falta de adhesion, participacion en el tratamiento y olvido - y para el diagnostico de enfermeria disfuncion sexual - renta familiar, frecuencia disminuida de la practica sexual, deficit percibido de deseo sexual, limitaciones percibidas impuestas por la enfermedad y funcion corporal alterada. Conclusion: los factores de prediccion, de esos diagnosticos de enfermeria, participaron: caracteristicas sociodemograficas y clinicas, caracteristicas definidoras y factores relacionados, las que deben ser consideradas durante la asistencia prestada por el enfermero.Abstract Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.

Factores de predicción de diagnósticos de enfermería en personas viviendo con el síndrome de la inmunodeficiencia adquirida

Objetivo: identificar los factores de prediccion de diagnosticos de enfermeria en personas viviendo con el sindrome de la inmunodeficiencia adquirida. Metodo: estudio transversal, realizado con 113 personas viviendo con el SIDA. Los datos fueron recolectados con un guion de entrevista y examen fisico. Para analizar los datos, fue utilizada la regresion logistica, considerando un nivel de significacion de 10%. Resultados: los factores de prediccion identificados fueron: para el diagnostico de enfermeria conocimiento deficiente - seguimiento inadecuado de instrucciones y verbalizacion del problema - para el diagnostico de enfermeria falta de adhesion - anos de estudio, comportamiento indicativo de falta de adhesion, participacion en el tratamiento y olvido - y para el diagnostico de enfermeria disfuncion sexual - renta familiar, frecuencia disminuida de la practica sexual, deficit percibido de deseo sexual, limitaciones percibidas impuestas por la enfermedad y funcion corporal alterada. Conclusion: los factores de prediccion, de esos diagnosticos de enfermeria, participaron: caracteristicas sociodemograficas y clinicas, caracteristicas definidoras y factores relacionados, las que deben ser consideradas durante la asistencia prestada por el enfermero.Abstract Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.

Preventive Actions in Pressure Ulcer Development in Intensive Care Units

Introduction: Preventive care of Pressure Ulcers have been increasingly enhanced, especially in the care of critically ill patients because they are exposed to intrinsic and extrinsic risk factors to develop them.Objective: To show the contributions of scientific productions for the Prevention of Pressure Ulcers in Intensive Care Units.Methods: Study of an integrative literature review held in April 2016. For the survey of the articles discussing the preventive action of pressure ulcers in critically ill patients, electronic searches were carried out in LILACS, SCIELO, and BDENF.Results: The sample consisted of nine studies that allow the preparation of a summary of care, education, and management, fundamental actions for a culture of prevention injuries.Conclusion: The study allowed summarizing the main care to guide the clinical practice of nurses in the daily care to critical patients.