Luzia Elaine Galdeano

Diagnóstico de enfermagem de pacientes no período transoperatório de cirurgia cardíaca

O objetivo deste estudo foi identificar os diagnosticos de enfermagem de pacientes no periodo transoperatorio de cirurgia cardiaca. Para a coleta de dados, foi elaborado e validado um instrumento baseado no modelo conceitual de Horta. Foram avaliados 17 pacientes adultos, no periodo transoperatorio de cirurgia cardiaca, sendo nove homens e oito mulheres, com idade media de 58 anos. Os diagnosticos de enfermagem, identificados segundo a Taxonomia I da NANDA, com frequencia superior a 50,0%, foram: risco para infeccao (100%), risco para desequilibrio de volume de liquidos (100%), troca de gases prejudicada (100%), risco para aspiracao (100%), protecao alterada (100%), integridade da pele prejudicada (100%), risco para disfuncao neurovascular periferica (100%), risco para lesao perioperatoria de posicionamento (100%) e risco para temperatura corporal alterada (94,1%). Observamos uma predominância dos diagnosticos de enfermagem relacionados as necessidades fisiologicas.The purpose of this study was to identify nursing diagnoses of patients in the intra-operative period of cardiac surgery. One instrument was elaborated and validated for data collection. Such instrument was organized according to The Theory of Basic Human Needs. Seventeen adult patients in the intra-operative period of cardiac surgery were evaluated, of whom 09 were males and 08 were females with the average of 58 years old. Following data collection, the nursing diagnoses were identified based on NANDAs Taxonomy I. The nursing diagnoses identified with a higher frequency than 50% were: Risk for infection (100%), Risk for fluid volume imbalance (100%), Impaired gas exchange (100%), Risk for aspiration (100%), Altered protection (100%), Impaired skin integrity (100%), Risk for peripheral neurovascular dysfunction (100%), Risk for perioperative positioning injury (100%) and Risk for altered body temperature (94.1%). It was identified a predominance of the diagnoses related to psychobiological needs.

Qualidade de vida de portadores de insuficiência cardíaca

Objective: To identify the level of quality of life of heart failure patients; the patients’ degree of heart failure; the hart failure patients’ opinion on their current health status in comparison with one year earlier. Methods: The sample was composed of 30 heart failure patients attended at an outpatient clinic of a general hospital in Taboao da Serra – SP, Brazil. The Medical Outcomes Study 36-item Short Form Health Survey (SF-36) was used for data collection. Results: The study results permitted the identification of the level of quality of life in different dimensions: role-physical (08); role-emotional (09); physical functioning (22); general health (34); bodily pain (39); social functioning (39); vitality (47) and mental health (53). Conclusion: This study can contribute to improve nursing care delivery to heart failure patients to the extent that it highlights the limitations these persons experience, as well as how they influence their normal way of life.

Diagnósticos de enfermagem no perioperatório de cirurgia cardíaca

This study identified the nursing diagnoses of patients in the perioperative period of cardiac surgeries and verified the existence or not of agreement between the first author and other nurses in the identification of these diagnoses. Seventeen patients admitted for cardiac surgery were submitted to evaluation using instruments for the perioperative period. In the preoperative, out of the 9 diagnosis categories identified by the first author, three agreed with the nurses (example: Activity intolerance). In the trans-operative, seven categories showed agreement among the nurses and the first author (example: Risk for infection). In the post-operative, 11 categories showed agreement among the nurses and the first author (example: Risk for peripheral neurovascular dysfunction).This study identified the nursing diagnoses of patients in the perioperative period of cardiac surgeries and verified the existence or not of agreement between the first author and other nurses in the identification of these diagnoses. Seventeen patients admitted for cardiac surgery were submitted to evaluation using instruments for the perioperative period. In the pre-operative, out of the 9 diagnosis categories identified by the first author, three agreed with the nurses (example: Activity intolerance). In the trans-operative, seven categories showed agreement among the nurses and the first author (example: Risk for infection). In the post-operative, 11 categories showed agreement among the nurses and the first author (example: Risk for peripheral neurovascular dysfunction).

Diagnósticos de enfermagem de pacientes no período pré-operatório de cirurgia cardíaca

The purpose of this study was to identify nursing diagnosis of patients in the preoperative period of cardiac surgery. One instrument was elaborated and validated for data collection. Such instrument was organized according to Hortas Conceptual Model. Seventeen adult patients in the preoperative period of cardiac surgery were evaluated, of whom 09 were males and 08 were females with the average of 58 years old. After data collection, the nursing diagnoses were identified based on NANDAs Taxonomy I. The nursing diagnoses identified with a higher frequency than 50% were: Activity Intolerance (88.2%), Infection risk (76.5%), Risk for peripheral neurovascular dysfunction (76.5%), Knowledge deficit (on the disease, surgery and anesthesia) (76.%), Altered cardiopulmonary tissue perfusion (70.6%), Ineffective airway pattern (70.6%); Pain (70.6%), Altered Sexual Patterns (58.8%) and Sleep Pattern Disturbance (52.9%). It was observed a predominance of diagnoses related to physiological needs.The purpose of this study was to identify nursing diagnosis of patients in the preoperative period of cardiac surgery. One instrument was elaborated and validated for data collection. Such instrument was organized according to Hortas Conceptual Model. Seventeen adult patients in the preoperative period of cardiac surgery were evaluated, of whom 09 were males and 08 were females with the average of 58 years old. After data collection, the nursing diagnoses were identified based on NANDAs Taxonomy I. The nursing diagnoses identified with a higher frequency than 50% were: Activity Intolerance (88.2%), Infection risk (76.5%), Risk for peripheral neurovascular dysfunction (76.5%), Knowledge deficit (on the disease, surgery and anesthesia) (76.5%), Altered cardiopulmonary tissue perfusion (70.6%), Ineffective airway pattern (70.6%); Pain (70.6%), Altered Sexual Patterns (58.8%) and Sleep Pattern Disturbance (52.9%). It was observed a predominance of diagnoses related to physiological needs.

Construção e validação de instrumentos de coleta de dados para o período perioperatório de cirurgia cardíaca

Este estudo teve como objetivo construir e validar instrumentos de coleta de dados para a identificacao de diagnosticos de enfermagem de pacientes adultos que se encontram no periodo perioperatorio de cirurgia cardiaca. Os instrumentos de coleta de dados propostos foram fundamentados no modelo conceitual de Wanda Horta. Para construcao dos instrumentos foi realizado um levantamento bibliografico com o objetivo de levantar sinais e sintomas importantes, que caracterizariam os diagnosticos de enfermagem. Para a validacao de aparencia e conteudo dos instrumentos de coleta de dados, elaboramos um questionario, que foi entregue a cinco enfermeiros convidados para realizar a validacao. Todos os profissionais solicitados para realizar a validacao expressaram que os instrumentos favorecem a formulacao dos diagnosticos de enfermagem e que os dados ou questoes sao suficientes para identificar alteracoes nas necessidades basicas.

Validação de conteúdo do diagnóstico de enfermagem conhecimento deficiente

OBJETIVO: Realizar la validacion de contenido de las caracteristicas definitorias de la categoria diagnostica Conocimiento deficiente en relacion a la enfermedad coronaria y a la revascularizacion del miocardio. METODOS: Fue utilizado el Modelo de Validacion de Contenido propuesto por Fehring. Participaron del estudio, 50 enfermeros expertos en diagnostico de enfermeria y cardiologia y/o en la ciencia de la educacion. RESULTADOS: Las caracteristicas definitorias clasificadas como principales fueron: verbalizacion del problema (0,96), desempeno inadecuado en test (0,83) y expresar percepcion incorrecta a cerca de su estado de salud (0,83). CONCLUSION: La caracteristica definitoria comportamientos impropios o exagerados (0,34) fue considerada como insuficiente para caracterizar la categoria diagnostica en estudio. Los resultados de este estudio pueden contribuir para la aplicacion adecuada del diagnostico estudiado y subsidiar estudios para su validacion clinica.

Níveis de ansiedade de alunos de graduação em enfermagem frente à primeira instrumentação cirúrgica

A finalidade deste estudo foi verificar o nivel de ansiedade de alunos de graduacao em enfermagem frente a primeira instrumentacao cirurgica. A amostra foi constituida por 30 estudantes do sexto semestre, que cursaram a disciplina Enfermagem em Centro Cirurgico. Utilizou-se o Teste de Ansiedade IDATE (Inventario de Ansiedade Traco-Estado). Identificou-se que 27 alunos (90,0%) apresentaram baixo nivel de ansiedade-traco. Quanto a ansiedade-estado, verificou-se como maiores incidencias: baixo nivel de ansiedade no primeiro dia de aula teorica (76,7% dos alunos), medio nivel de ansiedade no laboratorio (53,4% dos alunos) e medio nivel de ansiedade no estagio supervisionado (80,0% dos alunos). Identificou-se, ainda, baixa percentagem de alunos com alto nivel de ansiedade. As analises estatisticas comprovaram haver diferencas significantes entre as medias de ansiedade-estado nas tres etapas da coleta dos dados.

Ansiedade e depressão em familiares de pacientes internados em unidade de cuidados intensivos

ABSTRACT Objective: to identify the occurrence of symptoms of anxiety and/or depression in relatives of patients admitted in an intensive care unitand correlate the presence of such symptoms with the relatives™ gender, age, and with the total length of the patient™s hospital stay. Methods: The sample consisted of 39 relatives of critical patients. The Hospital Anxiety and Depression Scale was used for data collect ion. Results: 11 (28.2%) possible cases of anxiety, 17 (43.6%) probable cases of anxiety, (35.9%) possible cases of depressions and 7 (17.9%)probable cases of depression were identified. Final Considerations: The emotional support and satisfaction of the relatives™ necessitiesmust be prioritized in the nursing care plan to prevent such disorders. Keywords: Anxiety; Depression; Professional-family relations; Intensive care units RESUMO Objetivo: Identificar a ocorrŒncia de sintomas de ansiedade e/ou depressao em familiares de pacientes internados em uma unidade decuidados intensivos e correlacionar a presenca desses sintomas com o sexo e idade de familiar e com o tempo de internacao dos pacientes.Objective: to identify the occurrence of symptoms of anxiety and/or depression in relatives of patients admitted in an intensive care unit and correlate the presence of such symptoms with the relatives’ gender, age, and with the total length of the patient’s hospital stay. Methods: The sample consisted of 39 relatives of critical patients. The Hospital Anxiety and Depression Scale was used for data collection. Results: 11 (28.2%) possible cases of anxiety, 17 (43.6%) probable cases of anxiety, (35.9%) possible cases of depressions and 7 (17.9%) probable cases of depression were identified. Final Considerations: The emotional support and satisfaction of the relatives’ necessities must be prioritized in the nursing care plan to prevent such disorders.

Content validation of the "deficient knowledge" nursing diagnosis

OBJETIVO: Realizar la validacion de contenido de las caracteristicas definitorias de la categoria diagnostica Conocimiento deficiente en relacion a la enfermedad coronaria y a la revascularizacion del miocardio. METODOS: Fue utilizado el Modelo de Validacion de Contenido propuesto por Fehring. Participaron del estudio, 50 enfermeros expertos en diagnostico de enfermeria y cardiologia y/o en la ciencia de la educacion. RESULTADOS: Las caracteristicas definitorias clasificadas como principales fueron: verbalizacion del problema (0,96), desempeno inadecuado en test (0,83) y expresar percepcion incorrecta a cerca de su estado de salud (0,83). CONCLUSION: La caracteristica definitoria comportamientos impropios o exagerados (0,34) fue considerada como insuficiente para caracterizar la categoria diagnostica en estudio. Los resultados de este estudio pueden contribuir para la aplicacion adecuada del diagnostico estudiado y subsidiar estudios para su validacion clinica.

Anxiety and depressions in relatives of patients admitted in intensive care units

ABSTRACT Objective: to identify the occurrence of symptoms of anxiety and/or depression in relatives of patients admitted in an intensive care unitand correlate the presence of such symptoms with the relatives™ gender, age, and with the total length of the patient™s hospital stay. Methods: The sample consisted of 39 relatives of critical patients. The Hospital Anxiety and Depression Scale was used for data collect ion. Results: 11 (28.2%) possible cases of anxiety, 17 (43.6%) probable cases of anxiety, (35.9%) possible cases of depressions and 7 (17.9%)probable cases of depression were identified. Final Considerations: The emotional support and satisfaction of the relatives™ necessitiesmust be prioritized in the nursing care plan to prevent such disorders. Keywords: Anxiety; Depression; Professional-family relations; Intensive care units RESUMO Objetivo: Identificar a ocorrŒncia de sintomas de ansiedade e/ou depressao em familiares de pacientes internados em uma unidade decuidados intensivos e correlacionar a presenca desses sintomas com o sexo e idade de familiar e com o tempo de internacao dos pacientes.Objective: to identify the occurrence of symptoms of anxiety and/or depression in relatives of patients admitted in an intensive care unit and correlate the presence of such symptoms with the relatives’ gender, age, and with the total length of the patient’s hospital stay. Methods: The sample consisted of 39 relatives of critical patients. The Hospital Anxiety and Depression Scale was used for data collection. Results: 11 (28.2%) possible cases of anxiety, 17 (43.6%) probable cases of anxiety, (35.9%) possible cases of depressions and 7 (17.9%) probable cases of depression were identified. Final Considerations: The emotional support and satisfaction of the relatives’ necessities must be prioritized in the nursing care plan to prevent such disorders.