Melissa de Freitas Luzia

Nursing care mapping for patients at risk of falls in the Nursing Interventions Classification

Objetivo: Identificar los cuidados de enfermeria prescritos para pacientes hospitalizados con riesgos de caidas y compararlos con las intervenciones de la Nursing Interventions Classifications (NIC). Metodo: Estudio transversal realizado en un hospital universitario del sur de Brasil. La recoleccion de datos fue retrospectiva en un sistema informatizado de registros de enfermeria. La muestra se constituyo por 174 pacientes adultos internados en unidades clinicas y quirurgicas con el Diagnostico de Enfermeria Riesgo de Caidas. Los cuidados prescritos fueron comparados con las intervenciones de la NIC por el metodo de mapeo cruzado. Resultados: Los cuidados mas prevalentes fueron: mantener barandas en la cama, orientar al paciente y familia en relacion a los riesgos y prevencion de caidas, mantener el timbre al alcance del paciente y mantener las pertenencias cerca al paciente. Estos fueron mapeados en las intervenciones Control del Ambiente: Seguridad y Proteccion contra Caidas. Conclusion: Los cuidados prescritos en la practica clinica fueron corroborados por el referencial de la NIC.

Mapeamento de cuidados de enfermagem para pacientes com risco de quedas na Nursing Interventions Classification

Objetivo: Identificar los cuidados de enfermeria prescritos para pacientes hospitalizados con riesgos de caidas y compararlos con las intervenciones de la Nursing Interventions Classifications (NIC). Metodo: Estudio transversal realizado en un hospital universitario del sur de Brasil. La recoleccion de datos fue retrospectiva en un sistema informatizado de registros de enfermeria. La muestra se constituyo por 174 pacientes adultos internados en unidades clinicas y quirurgicas con el Diagnostico de Enfermeria Riesgo de Caidas. Los cuidados prescritos fueron comparados con las intervenciones de la NIC por el metodo de mapeo cruzado. Resultados: Los cuidados mas prevalentes fueron: mantener barandas en la cama, orientar al paciente y familia en relacion a los riesgos y prevencion de caidas, mantener el timbre al alcance del paciente y mantener las pertenencias cerca al paciente. Estos fueron mapeados en las intervenciones Control del Ambiente: Seguridad y Proteccion contra Caidas. Conclusion: Los cuidados prescritos en la practica clinica fueron corroborados por el referencial de la NIC.

Pacientes com câncer gástrico submetidos à gastrectomia: uma revisão integrativa.

This study aims to analyze the scientific production about patients with gastric cancer submitted to gastrectomy and describe important aspects of nursing guidelines for these patients. An integrative review was carried out using Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases; twenty two articles were analyzed. Retrospective cross-sectional studies were the most frequent. The scientific production of nursing is numerically small in relation to the medical area. The results show that approaches related to pre and post-operative in gastrectomy for gastric cancer resection subsidize the knowledge of issues essential for nurses to promote efficient intervention for the recovery of such patients. There is still the need for further research on the practice of nursing in the guidelines of this kind of surgery.

Incidência de quedas e ações preventivas em um Hospital Universitário

Objective Describing the incidence of falls and its relation with preventive actions developed in a Brazilian university hospital. Method A retrospective longitudinal study. Hospitalized adult patients in the clinical, surgical, psychiatric and emergency units who suffered a fall in the institution, and who had the event notified in the period from January 2011 to December 2015 were included in the study. The data were collected from the institutions management information system and analyzed in the SPSS statistical program. Results There were 2,296 falls, with a mean incidence of 1.70 falls/1,000 patients per day. An increase in the incidence of falls was observed in the period from 2011 (1.61) to 2012 (2.03). In the following years, the incidence of falls decreased from 1.83 falls/1,000 patients per day in 2013 to 1.42 falls/1,000 patients per day in 2015. The incidence of falls accompanied an implementation of preventive actions, suggesting the impact of such interventions in reducing the event occurrence. Conclusion The findings demonstrate the importance of implementing preventive interventions in reducing the incidence of falls in hospitalized patients.

Mapeo de cuidados de enfermería para pacientes con riesgo de caídas en la nursing interventions classification

Objetivo: Identificar los cuidados de enfermeria prescritos para pacientes hospitalizados con riesgos de caidas y compararlos con las intervenciones de la Nursing Interventions Classifications (NIC). Metodo: Estudio transversal realizado en un hospital universitario del sur de Brasil. La recoleccion de datos fue retrospectiva en un sistema informatizado de registros de enfermeria. La muestra se constituyo por 174 pacientes adultos internados en unidades clinicas y quirurgicas con el Diagnostico de Enfermeria Riesgo de Caidas. Los cuidados prescritos fueron comparados con las intervenciones de la NIC por el metodo de mapeo cruzado. Resultados: Los cuidados mas prevalentes fueron: mantener barandas en la cama, orientar al paciente y familia en relacion a los riesgos y prevencion de caidas, mantener el timbre al alcance del paciente y mantener las pertenencias cerca al paciente. Estos fueron mapeados en las intervenciones Control del Ambiente: Seguridad y Proteccion contra Caidas. Conclusion: Los cuidados prescritos en la practica clinica fueron corroborados por el referencial de la NIC.

Patients with gastric cancer submitted to gastrectomy: an integrative review

This study aims to analyze the scientific production about patients with gastric cancer submitted to gastrectomy and describe important aspects of nursing guidelines for these patients. An integrative review was carried out using Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases; twenty two articles were analyzed. Retrospective cross-sectional studies were the most frequent. The scientific production of nursing is numerically small in relation to the medical area. The results show that approaches related to pre and post-operative in gastrectomy for gastric cancer resection subsidize the knowledge of issues essential for nurses to promote efficient intervention for the recovery of such patients. There is still the need for further research on the practice of nursing in the guidelines of this kind of surgery.

Pacientes con cáncer gástrico sometidos a la gastrectomía: una revisión integrativa

This study aims to analyze the scientific production about patients with gastric cancer submitted to gastrectomy and describe important aspects of nursing guidelines for these patients. An integrative review was carried out using Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases; twenty two articles were analyzed. Retrospective cross-sectional studies were the most frequent. The scientific production of nursing is numerically small in relation to the medical area. The results show that approaches related to pre and post-operative in gastrectomy for gastric cancer resection subsidize the knowledge of issues essential for nurses to promote efficient intervention for the recovery of such patients. There is still the need for further research on the practice of nursing in the guidelines of this kind of surgery.