Maria das Graças Mariano Nunes de Paiva

Association Between Nursing Diagnoses and Socioeconomic/Clinical Characteristics of Patients on Hemodialysis.

PURPOSE To analyze the association between nursing diagnoses and socioeconomic/clinical characteristics of patients on hemodialysis. METHODS Cross-sectional study conducted by means of interview and physical examination of 178 patients consecutively selected. FINDINGS Nursing diagnoses within the NANDA-I domains of health promotion, nutrition, activity/rest, perception/cognition, sexuality, safety/protection, and comfort presented statistically significant association with the socioeconomic/clinical data of age, education, sex, marital status, and duration of the chronic renal disease and hemodialysis. CONCLUSION The nursing diagnoses in this population may be influenced by the socioeconomic/clinical data. IMPLICATIONS FOR NURSING PRACTICE The results suggest an opportunity for improved nursing intervention in this community.Purpose To analyze the association between nursing diagnoses and socioeconomic/clinical characteristics of patients on hemodialysis. Methods Cross-sectional study conducted by means of interview and physical examination of 178 patients consecutively selected. Findings Nursing diagnoses within the NANDA-I domains of health promotion, nutrition, activity/rest, perception/cognition, sexuality, safety/protection, and comfort presented statistically significant association with the socioeconomic/clinical data of age, education, sex, marital status, and duration of the chronic renal disease and hemodialysis. Conclusion The nursing diagnoses in this population may be influenced by the socioeconomic/clinical data. Implications for Nursing Practice The results suggest an opportunity for improved nursing intervention in this community.

Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients

Objective: To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients. Method: Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic. Results: It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables. Conclusion: The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.Objetivo: analisar as caracteristicas definidoras e fatores relacionados ao diagnostico de enfermagem excesso de volume de liquidos e sua relacao com variaveis clinicas e sociodemograficas em pacientes em hemodialise. Metodo: estudo transversal, desenvolvido com a utilizacao de um formulario e exame fisico, com uma amostra de 100 pacientes, entre dezembro 2012 e abril 2013 em um hospital universitario e uma clinica de dialise. Resultados: dez associacoes estatisticamente significantes foram encontradas entre as caracteristicas definidoras/fatores relacionadas ao excesso de volume de liquidos e as variaveis clinicas e sociodemograficas. Conclusao: as caracteristicas definidoras e fatores relacionados ao excesso de volume de liquidos podem ser influenciados por variaveis clinicas e sociodemograficas em pacientes em hemodialise.

Prurido no paciente em hemodiálise: associação com ingestão de fósforo e nível sérico de cálcio

Objetivo: Analisar a associacao entre a ocorrencia do prurido e a adesao a dieta prescrita, indicadores bioquimicos da funcao renal e a qualidade da hemodialise, em pacientes renais cronicos. Metodo: Estudo transversal, realizado em uma clinica de dialise no Nordeste do Brasil, com 200 pacientes submetidos a hemodialise, no primeiro semestre de 2015. Para analise dos dados fez-se uso da estatistica inferencial, atraves dos testes de Qui-Quadrado e Exato de Fisher; e teste de U de Mann Whitney. Resultados: O prurido esteve presente em 51% da amostra, associando-se estatisticamente com o consumo de fosforo (P=0,024) e a elevacao do calcio serico (P=0,009). Conclusao: O prurido em pacientes renais cronicos submetidos a hemodialise sofre influencia da nao adesao adequada a dieta prescrita, alem da elevacao de indicadores bioquimicos da funcao renal. Palavras-chave: Prurido. Dialise renal. Insuficiencia renal cronica. Qualidade de vida. Enfermagem.OBJECTIVE To analyze the association between the occurrence of pruritus and adherence to the prescribed diet, biochemical indicators of renal function and the quality of hemodialysis in chronic renal patients. METHOD A cross-sectional study performed at a dialysis clinic in the Northeast of Brazil, with 200 patients undergoing hemodialysis in the first half of 2015.To analyze the data, inferential statistics were used, using Chi-Square and Fishers Exact tests; and Mann Whitney U test. RESULTS The pruritus was present in 51% of the sample, being associated statistically with phosphorus consumption (P = 0.024) and elevation of serum calcium (P = 0.009). CONCLUSION Pruritus in chronic renal patients undergoing hemodialysis is influenced by adequate nonadherence to the prescribed diet, in addition to the elevation of biochemical indicators of renal function.

Ineffective health management in hemodialysis patients: content analysis

OBJECTIVE To analyze the content of the nursing diagnosis Ineffective Health Management in hemodialysis patients. METHOD The Nursing Diagnoses Validation Model by Lopes, Silva and Auraújo was used in this research. A semi-structured questionnaire and evaluated the definition, location, defining characteristics, and related factors of the diagnosis Ineffective Health Management was answered by 22 experts in nursing diagnosis. The analysis was conducted from August 2014 to January 2015. RESULTS Experts considered the proposed definition and the current location in the taxonomy II by the NANDA-I, Domain 1 Health Promotion, Class 2 Health Control, adequate to the diagnosis. The adequacy level adopted at 85% or p > 0.05 were above 10 defining characteristics and 24 related factors. Experts also suggested that one defining characteristic should become a related factor and that three factors should turn into defining characteristics. CONCLUSION A new proposal was developed for the diagnosis under study after the analysis of experts.

Aspectos sociodemográficos e clínicos relacionados à qualidade de vida de pacientes em hemodiálise

Objective: To identify sociodemographic and clinical aspects associated with the quality of life of patients on hemodialysis. Method: A cross-sectional study was carried out with 200 individuals during the first semester of 2015. We used a structured anamnesis and physical examination to obtain the variables of interest, as well as the SF-36 instrument to evaluate the domains of quality of life. Fishers exact Chi-square and Mann-Whithey U tests were used to analyze the statistical association between variables, considering p.

Ineffective Protection in Hemodialysis Patients: Sociodemographic and Clinical Context

PURPOSE To analyze the association between components of the nursing diagnosis ineffective protection (00043) and sociodemographic and clinical data of hemodialysis patients. METHOD Cross-sectional study was conducted during the first half of 2015 with a sample of 200 patients from a reference clinic of nephrology. A structured instrument containing operational definitions was used to collect data. FINDINGS Hemodialysis patients presented defining characteristics of ineffective protection (00043) associated with sociodemographic and clinical context variables. CONCLUSION Components of this diagnosis may be influenced by sociodemographic and clinical context of hemodialysis patients.

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners.

El exceso de volumen de líquido: el análisis sociodemográfico y clínico en pacientes en hemodiálisis

Objective: To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients. Method: Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic. Results: It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables. Conclusion: The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.Objetivo: analisar as caracteristicas definidoras e fatores relacionados ao diagnostico de enfermagem excesso de volume de liquidos e sua relacao com variaveis clinicas e sociodemograficas em pacientes em hemodialise. Metodo: estudo transversal, desenvolvido com a utilizacao de um formulario e exame fisico, com uma amostra de 100 pacientes, entre dezembro 2012 e abril 2013 em um hospital universitario e uma clinica de dialise. Resultados: dez associacoes estatisticamente significantes foram encontradas entre as caracteristicas definidoras/fatores relacionadas ao excesso de volume de liquidos e as variaveis clinicas e sociodemograficas. Conclusao: as caracteristicas definidoras e fatores relacionados ao excesso de volume de liquidos podem ser influenciados por variaveis clinicas e sociodemograficas em pacientes em hemodialise.

Excesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise

Objective: To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients. Method: Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic. Results: It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables. Conclusion: The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.Objetivo: analisar as caracteristicas definidoras e fatores relacionados ao diagnostico de enfermagem excesso de volume de liquidos e sua relacao com variaveis clinicas e sociodemograficas em pacientes em hemodialise. Metodo: estudo transversal, desenvolvido com a utilizacao de um formulario e exame fisico, com uma amostra de 100 pacientes, entre dezembro 2012 e abril 2013 em um hospital universitario e uma clinica de dialise. Resultados: dez associacoes estatisticamente significantes foram encontradas entre as caracteristicas definidoras/fatores relacionadas ao excesso de volume de liquidos e as variaveis clinicas e sociodemograficas. Conclusao: as caracteristicas definidoras e fatores relacionados ao excesso de volume de liquidos podem ser influenciados por variaveis clinicas e sociodemograficas em pacientes em hemodialise.