Luciana Regina Ferreira da Mata

Diagnosticos de enfermagem em pacientes classificados nos niveis I e II de prioridade do Protocolo Manchester

The aim of this study was to identify possible nursing diagnoses in patients classified as priority level I and II according to the Manchester protocol. This descriptive retrospective study evaluated 40 medical charts classified as priority level I and II. To identify nursing diagnoses, two experts analyzed signs and symptoms registered in medical charts at the time of risk classification. For priority level I patients, the most frequent nursing diagnoses were acute pain (65.0%), respiratory insufficiency (45.0%), and impaired gas exchange (40.0%). For the priority level II patients, the most frequent nursing diagnoses were acute pain (80.0%), nausea (10.0%), and risk for electrolyte imbalance (10.0%). This study suggests that the use of the Manchester protocol enabled identification of defining characteristics and risk factors and supports the elaboration of nursing diagnoses in risk classification.The aim of this study was to identify possible nursing diagnoses in patients classified as priority level I and II according to the Manchester protocol. This descriptive retrospective study evaluated 40 medical charts classified as priority level I and II. To identify nursing diagnoses, two experts analyzed signs and symptoms registered in medical charts at the time of risk classification. For priority level I patients, the most frequent nursing diagnoses were acute pain (65.0%), respiratory insufficiency (45.0%), and impaired gas exchange (40.0%). For the priority level II patients, the most frequent nursing diagnoses were acute pain (80.0%), nausea (10.0%), and risk for electrolyte imbalance (10.0%). This study suggests that the use of the Manchester protocol enabled identification of defining characteristics and risk factors and supports the elaboration of nursing diagnoses in risk classification.

Creating diagnoses and interventions under the auspices of different nursing classification systems

This study analyzes the use of different nursing classification systems to meet the standards established by the norm ISO 18.104:2003, based on a fictitious clinical situation. Nursing diagnoses and interventions were created using NANDA-I, NIC and ICNP® and an analysis was performed of the terminology agreement of these classification systems with the model proposed by the norm ISO 18.104:2003. For the creation of nursing diagnoses, NANDA-I and ICNP® comply with norm ISO 18.104:2003. As for the creation of nursing interventions, ICNP® meets the terminology reference model proposed by ISO 18104:2003. NIC, on the other hand, does not propose a combinatory terminology reference model. The unification of nursing terminology depends on reviewing, standardizing and testing these classifications in order to establish a common and sound language for the profession.Este estudo faz uma analise sobre o uso de diferentes sistemas de classificacao e o atendimento aos padroes estabelecidos pela ISO 18.104:2003 a partir de uma situacao clinica ficticia. Foram elaborados diagnosticos e intervencoes de enfermagem utilizando a NANDA-I, NIC e CIPE®, e analisou-se a correspondencia terminologica destes sistemas de classificacao ao modelo proposto pela norma ISO 18.104:2003. Para a construcao de diagnosticos de enfermagem, a NANDA-I e a CIPE® adequando-se a norma ISO 18.104:2003. Para a construcao das intervencoes de enfermagem, a CIPE® atende ao modelo de referencia terminologica proposto pela ISO 18104:2003. Por sua vez, a NIC nao propoe um modelo de referencia terminologica combinatoria. A unificacao das terminologias de enfermagem depende da revisao, padronizacao e teste dessas classificacoes para o estabelecimento de uma linguagem comum e solida da profissao.

Percepção dos enfermeiros gestores da atenção primária sobre o processo de enfermagem

OBJECTIVEnthis qualitative study aimed to analyze the perceptions of primary health care management nurses on the nursing process.nnnMETHODndata were collected through interviews and analyzed by the Content Analysis proposed by Bardins theoretical framework.nnnRESULTSnmanagers recognize the importance of the nursing process, although its implementation was not a priority at the time of the interviews. A conceptual difficulty and a lack of understanding that the implementation of the care methodology should be a cross-departmental action in the local healthcare management were clearly observed.nnnCONCLUSIONnmanagers should have their perspectives broadened concerning the relevance of the nursing process and the professional training. The active participation of legislative nursing bodies, local healthcare management and the federal government may open the way for the effective implementation of the nursing process.

Perception of primary healthcare management nurses on the nursing process

OBJECTIVEnthis qualitative study aimed to analyze the perceptions of primary health care management nurses on the nursing process.nnnMETHODndata were collected through interviews and analyzed by the Content Analysis proposed by Bardins theoretical framework.nnnRESULTSnmanagers recognize the importance of the nursing process, although its implementation was not a priority at the time of the interviews. A conceptual difficulty and a lack of understanding that the implementation of the care methodology should be a cross-departmental action in the local healthcare management were clearly observed.nnnCONCLUSIONnmanagers should have their perspectives broadened concerning the relevance of the nursing process and the professional training. The active participation of legislative nursing bodies, local healthcare management and the federal government may open the way for the effective implementation of the nursing process.

Elaboração de diagnósticos e intervenções à luz de diferentes sistemas de classificações de enfermagem

This study analyzes the use of different nursing classification systems to meet the standards established by the norm ISO 18.104:2003, based on a fictitious clinical situation. Nursing diagnoses and interventions were created using NANDA-I, NIC and ICNP® and an analysis was performed of the terminology agreement of these classification systems with the model proposed by the norm ISO 18.104:2003. For the creation of nursing diagnoses, NANDA-I and ICNP® comply with norm ISO 18.104:2003. As for the creation of nursing interventions, ICNP® meets the terminology reference model proposed by ISO 18104:2003. NIC, on the other hand, does not propose a combinatory terminology reference model. The unification of nursing terminology depends on reviewing, standardizing and testing these classifications in order to establish a common and sound language for the profession.Este estudo faz uma analise sobre o uso de diferentes sistemas de classificacao e o atendimento aos padroes estabelecidos pela ISO 18.104:2003 a partir de uma situacao clinica ficticia. Foram elaborados diagnosticos e intervencoes de enfermagem utilizando a NANDA-I, NIC e CIPE®, e analisou-se a correspondencia terminologica destes sistemas de classificacao ao modelo proposto pela norma ISO 18.104:2003. Para a construcao de diagnosticos de enfermagem, a NANDA-I e a CIPE® adequando-se a norma ISO 18.104:2003. Para a construcao das intervencoes de enfermagem, a CIPE® atende ao modelo de referencia terminologica proposto pela ISO 18104:2003. Por sua vez, a NIC nao propoe um modelo de referencia terminologica combinatoria. A unificacao das terminologias de enfermagem depende da revisao, padronizacao e teste dessas classificacoes para o estabelecimento de uma linguagem comum e solida da profissao.

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

ABSTRACT Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures. Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05. Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall. Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.Objetivo: evaluar los factores asociados al riesgo de caida en pacientes sometidos a procedimientos quirurgicos. Metodo: estudio cuantitativo, transversal, realizado en 257 pacientes adultos en un hospital de Minas Gerais, Brasil. La recoleccion de datos se realizo por medio de un cuestionario sociodemografico y clinico, Morse Fall Scale Quality of Recovery Score. Los datos fueron sometidos al analisis estadistico descriptivo y regresion logistica multinomial. El nivel de significacion adoptado fue de 0,05. Resultados: 35,4% de los pacientes presentaron elevado riesgo de caidas, 38,9% moderado riesgo y 25,7% bajo riesgo. La escala de recuperacion quirurgica indico valor promedio de 175,37 puntos y ningun paciente presento recuperacion quirurgica precaria. En relacion a los resultados del analisis bivariado, se identifico que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caida y el cancer (p=0,004) estuvo asociado positivamente con moderado riesgo de caida. La recuperacion quirurgica (p=0,008) estuvo asociada inversamente con alto riesgo de caida. Conclusion: los resultados de este estudio posibilitaran la identificacion de cinco factores asociados al riesgo de caida en adultos de internacion quirurgica. Los hallazgos podran auxiliar la planificacion de acciones de enfermeria dirigidas para prevenir el riesgo de caida en el posoperatorio.

Fatores associados ao risco de queda em adultos no pós-operatório: estudo transversal

ABSTRACT Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures. Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05. Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall. Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.Objetivo: evaluar los factores asociados al riesgo de caida en pacientes sometidos a procedimientos quirurgicos. Metodo: estudio cuantitativo, transversal, realizado en 257 pacientes adultos en un hospital de Minas Gerais, Brasil. La recoleccion de datos se realizo por medio de un cuestionario sociodemografico y clinico, Morse Fall Scale Quality of Recovery Score. Los datos fueron sometidos al analisis estadistico descriptivo y regresion logistica multinomial. El nivel de significacion adoptado fue de 0,05. Resultados: 35,4% de los pacientes presentaron elevado riesgo de caidas, 38,9% moderado riesgo y 25,7% bajo riesgo. La escala de recuperacion quirurgica indico valor promedio de 175,37 puntos y ningun paciente presento recuperacion quirurgica precaria. En relacion a los resultados del analisis bivariado, se identifico que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caida y el cancer (p=0,004) estuvo asociado positivamente con moderado riesgo de caida. La recuperacion quirurgica (p=0,008) estuvo asociada inversamente con alto riesgo de caida. Conclusion: los resultados de este estudio posibilitaran la identificacion de cinco factores asociados al riesgo de caida en adultos de internacion quirurgica. Los hallazgos podran auxiliar la planificacion de acciones de enfermeria dirigidas para prevenir el riesgo de caida en el posoperatorio.

Factores asociados al riesgo de caída en adultos en el posoperatorio: estudio transversal

ABSTRACT Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures. Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05. Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall. Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.Objetivo: evaluar los factores asociados al riesgo de caida en pacientes sometidos a procedimientos quirurgicos. Metodo: estudio cuantitativo, transversal, realizado en 257 pacientes adultos en un hospital de Minas Gerais, Brasil. La recoleccion de datos se realizo por medio de un cuestionario sociodemografico y clinico, Morse Fall Scale Quality of Recovery Score. Los datos fueron sometidos al analisis estadistico descriptivo y regresion logistica multinomial. El nivel de significacion adoptado fue de 0,05. Resultados: 35,4% de los pacientes presentaron elevado riesgo de caidas, 38,9% moderado riesgo y 25,7% bajo riesgo. La escala de recuperacion quirurgica indico valor promedio de 175,37 puntos y ningun paciente presento recuperacion quirurgica precaria. En relacion a los resultados del analisis bivariado, se identifico que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caida y el cancer (p=0,004) estuvo asociado positivamente con moderado riesgo de caida. La recuperacion quirurgica (p=0,008) estuvo asociada inversamente con alto riesgo de caida. Conclusion: los resultados de este estudio posibilitaran la identificacion de cinco factores asociados al riesgo de caida en adultos de internacion quirurgica. Los hallazgos podran auxiliar la planificacion de acciones de enfermeria dirigidas para prevenir el riesgo de caida en el posoperatorio.

Autoestima e distress em indivíduos submetidos a cirurgias oncológicas: estudo correlacional

Aim: xa0to xa0evaluate, xa0in xa0patients xa0in xa0postoperative xa0cancer xa0surgery, xa0the presence xa0of xa0distress xa0and xa0changes xa0in xa0self-esteem, xa0and xa0their xa0possible xa0relationship xa0to xa0the surgical treatment. Method: a cross-sectional study, quantitative, correlational, performed in a hospital xa0located in the state of Minas Gerais. Three instruments of data collection xa0were xa0used: xa0Thermometer xa0Distress, xa0the xa0Rosenberg xa0Self-Esteem xa0Scale and xa0a questionnaire about the participants. Results: 100 patients participated with an average age of 59.56 years, with urological cancer (30%), mostly men (54.0%). The presence of distress xa0was xa0identified xa0in xa065% xa0of xa0patients xa0whose xa0average xa0score was xa05.05. xa0The xa0average self-esteem xa0level xa0was xa07.07. xa0The xa0distress xa0and xa0self-esteem xa0variables xa0were significantly correlated. xa0Conclusion: xa0the xa0better xa0the xa0level xa0of xa0self-esteem, xa0the xa0lower xa0the xa0distress; variables xa0of xa0age xa0and xa0education had xa0no xa0relationship; xa0there xa0was no significant xa0difference between gender and tumor types.

Prospects for palliative care in primary healthcare: a descriptive study

Aim: To identify eligible patients for palliative care and characterize the xa0services xa0involved xa0in xa0primary xa0healthcare. xa0Method: xa0This xa0was xa0a xa0descriptive xa0and documental xa0study xa0conducted xa0in xa019 xa0health xa0units xa0in xa0a xa0municipality xa0in xa0the xa0countryside xa0of Minas xa0Gerais xa0in xa0Brazil. xa0The xa0Karnofsky xa0performance xa0scale xa0was xa0applied xa0to xa0the xa0medical records xa0of xa0patients xa0in xa0the xa0health xa0sector xa0with xa0the xa0largest xa0number xa0of xa0eligible xa0individuals. Results: xa0We xa0identified xa02,715 xa0eligible xa0individuals, xa0representing 3.59% xa0of xa0the xa0registered population xa0and xa025.3% xa0of xa0patients xa0in xa0sector xa0seven, xa0which xa0had the xa0highest xa0number xa0of eligible xa0individuals. xa0Diabetes xa0was the most common xa0pathology, xa0followed xa0by xa0cancer xa0and cardiovascular diseases. Furthermore, 17.2% of these individuals have required palliative xa0care xa0precociously; xa09.7%, xa0required xa0exclusive xa0care, xa0and xa0the xa0elderly xa0above xa060 years xa0constituted xa0the xa0highest xa0number xa0among xa0those xa0eligible. xa0Discussion: xa0The xa0data confirmed xa0the xa0need xa0for xa0structuring xa0the xa0primary xa0healthcare xa0for xa0early xa0care in xa0palliativexa0care, xa0especially xa0for xa0the xa0elderly. xa0Conclusion: xa0It is xa0necessary to xa0structure xa0a xa0care xa0network that is integrated and ordained by PHC and professional training.Aim: To identify eligible patients for palliative care and characterize the xa0services xa0involved xa0in xa0primary xa0healthcare. xa0Method: xa0This xa0was xa0a xa0descriptive xa0and documental xa0study xa0conducted xa0in xa019 xa0health xa0units xa0in xa0a xa0municipality xa0in xa0the xa0countryside xa0of Minas xa0Gerais xa0in xa0Brazil. xa0The xa0Karnofsky xa0performance xa0scale xa0was xa0applied xa0to xa0the xa0medical records xa0of xa0patients xa0in xa0the xa0health xa0sector xa0with xa0the xa0largest xa0number xa0of xa0eligible xa0individuals. Results: xa0We xa0identified xa02,715 xa0eligible xa0individuals, xa0representing 3.59% xa0of xa0the xa0registered population xa0and xa025.3% xa0of xa0patients xa0in xa0sector xa0seven, xa0which xa0had the xa0highest xa0number xa0of eligible xa0individuals. xa0Diabetes xa0was the most common xa0pathology, xa0followed xa0by xa0cancer xa0and cardiovascular diseases. Furthermore, 17.2% of these individuals have required palliative xa0care xa0precociously; xa09.7%, xa0required xa0exclusive xa0care, xa0and xa0the xa0elderly xa0above xa060 years xa0constituted xa0the xa0highest xa0number xa0among xa0those xa0eligible. xa0Discussion: xa0The xa0data confirmed xa0the xa0need xa0for xa0structuring xa0the xa0primary xa0healthcare xa0for xa0early xa0care in xa0palliativexa0care, xa0especially xa0for xa0the xa0elderly. xa0Conclusion: xa0It is xa0necessary to xa0structure xa0a xa0care xa0network that is integrated and ordained by PHC and professional training.