Priscila de Oliveira da Silva

Validation of defining characteristics for the nursing diagnosis of fatigue in oncological patients.

Correspondencia: Maria Isabel Pinto Coelho Gorini Universidade Federal do Rio Grande do Sul. Escola de Enfermagem. Rua Sao Manoel, 963, Campus Saude Bairro Rio Branco CEP: 90620-110, Porto Alegre, RS, Brasil E-mail: gorini@terra.com.br Este estudio tiene como objetivo validar las caracteristicas definidoras del diagnostico de enfermeria fatiga en pacientes adultos oncologicos. Se trata de un estudio transversal y descriptivo, en una perspectiva cuantitativa, del tipo validacion de contenido diagnostico. La recoleccion de datos fue realizada en un Hospital Universitario. Compusieron la muestra 35 enfermeros peritos. Para la recoleccion de datos, se utilizo un instrumento subdividido en cuatro partes. Los datos fueron analizados por estadistica descriptiva. Se anadio las caracteristicas definidoras Interaccion Social Perjudicada. No se encontro principales indicadores. Fueron identificados 15 caracteristicas definidoras como indicadores secundarios. Con media ponderada inferior a 0.50, se excluyeron cuatro CD’s. La caracteristica definidora Interaccion Social Perjudicada, anadido a los descritos por la NANDA-I despues de la revision de la literatura, fue validada con media ponderada de 0.71. Se concluyo que la subjetividad de las caracteristicas definidoras del diagnostico de enfermeria fatiga y la dificultad de los profesionales en reconocerlos influencio en la identificacion de este diagnostico.The objective of this study was to validate the defining characteristics for the nursing diagnosis of Fatigue in adult oncological patients. It is a cross-sectional, descriptive study with a quantitative perspective, and its type is diagnostic content validation. Data collection was carried out in a University Hospital. The sample was made up of 35 expert nurses. The instrument used was subdivided into four parts. The data was analyzed by descriptive statistics. 15 defining characteristics were identified, considered secondary indicators. With an average weighting of less than 0.50, four defining characteristics were excluded. The defining characteristic Impaired social interaction, added to those described by NANDA-I after review of the literature, was validated with a weighted average of 0.71. It was concluded that the subjectivity of the defining characteristics and the difficulty nurses have in recognizing them influence the identification of this diagnosis.

Registro do diagnóstico de enfermagem fadiga em prontuários de pacientes oncológicos

Objective: To identify the health records of the diagnosis of fatigue (FD) registered by nurses, to define the characteristics of this FD and, to verify the nursing interventions, in the health records of patients with cancer, admitted into hospitals. Methods: Is a retrospective crosssectional study. The data collection was performed in 107 health records of patients with medical diagnosis of cancer, from August to December 2007. Results: It was found that the diagnosis of fatigue represented 0.9%, despite that in the daily developments recorded by the nurses, it was found the defining characteristics of fatigue in 15.9% of the patients. Conclusion: Despite identifying the defining characteristics (signs and symptoms), the nurses did not establish the fatigue diagnosis. For this reason, doubts appeared about the adequacy of the defining characteristics of this diagnosis. Further studies, on this subject, should be made to improve the nursing care of cancer patients.

Validação das características definidoras do diagnóstico de Enfermagem: fadiga no paciente oncológico

Correspondencia: Maria Isabel Pinto Coelho Gorini Universidade Federal do Rio Grande do Sul. Escola de Enfermagem. Rua Sao Manoel, 963, Campus Saude Bairro Rio Branco CEP: 90620-110, Porto Alegre, RS, Brasil E-mail: gorini@terra.com.br Este estudio tiene como objetivo validar las caracteristicas definidoras del diagnostico de enfermeria fatiga en pacientes adultos oncologicos. Se trata de un estudio transversal y descriptivo, en una perspectiva cuantitativa, del tipo validacion de contenido diagnostico. La recoleccion de datos fue realizada en un Hospital Universitario. Compusieron la muestra 35 enfermeros peritos. Para la recoleccion de datos, se utilizo un instrumento subdividido en cuatro partes. Los datos fueron analizados por estadistica descriptiva. Se anadio las caracteristicas definidoras Interaccion Social Perjudicada. No se encontro principales indicadores. Fueron identificados 15 caracteristicas definidoras como indicadores secundarios. Con media ponderada inferior a 0.50, se excluyeron cuatro CD’s. La caracteristica definidora Interaccion Social Perjudicada, anadido a los descritos por la NANDA-I despues de la revision de la literatura, fue validada con media ponderada de 0.71. Se concluyo que la subjetividad de las caracteristicas definidoras del diagnostico de enfermeria fatiga y la dificultad de los profesionales en reconocerlos influencio en la identificacion de este diagnostico.The objective of this study was to validate the defining characteristics for the nursing diagnosis of Fatigue in adult oncological patients. It is a cross-sectional, descriptive study with a quantitative perspective, and its type is diagnostic content validation. Data collection was carried out in a University Hospital. The sample was made up of 35 expert nurses. The instrument used was subdivided into four parts. The data was analyzed by descriptive statistics. 15 defining characteristics were identified, considered secondary indicators. With an average weighting of less than 0.50, four defining characteristics were excluded. The defining characteristic Impaired social interaction, added to those described by NANDA-I after review of the literature, was validated with a weighted average of 0.71. It was concluded that the subjectivity of the defining characteristics and the difficulty nurses have in recognizing them influence the identification of this diagnosis.

Registro del diagnóstico de enfermería fatiga en fichas de pacientes oncológicos

Objective: To identify the health records of the diagnosis of fatigue (FD) registered by nurses, to define the characteristics of this FD and, to verify the nursing interventions, in the health records of patients with cancer, admitted into hospitals. Methods: Is a retrospective crosssectional study. The data collection was performed in 107 health records of patients with medical diagnosis of cancer, from August to December 2007. Results: It was found that the diagnosis of fatigue represented 0.9%, despite that in the daily developments recorded by the nurses, it was found the defining characteristics of fatigue in 15.9% of the patients. Conclusion: Despite identifying the defining characteristics (signs and symptoms), the nurses did not establish the fatigue diagnosis. For this reason, doubts appeared about the adequacy of the defining characteristics of this diagnosis. Further studies, on this subject, should be made to improve the nursing care of cancer patients.

Health records of the nursing diagnosis fatigue in cancer patients

Objective: To identify the health records of the diagnosis of fatigue (FD) registered by nurses, to define the characteristics of this FD and, to verify the nursing interventions, in the health records of patients with cancer, admitted into hospitals. Methods: Is a retrospective crosssectional study. The data collection was performed in 107 health records of patients with medical diagnosis of cancer, from August to December 2007. Results: It was found that the diagnosis of fatigue represented 0.9%, despite that in the daily developments recorded by the nurses, it was found the defining characteristics of fatigue in 15.9% of the patients. Conclusion: Despite identifying the defining characteristics (signs and symptoms), the nurses did not establish the fatigue diagnosis. For this reason, doubts appeared about the adequacy of the defining characteristics of this diagnosis. Further studies, on this subject, should be made to improve the nursing care of cancer patients.