Romanniny Hévillyn Silva Costa

Diagnósticos de enfermagem e seus componentes em pacientes com a síndrome da imunodeficiência adquirida

Objective To identify nursing diagnoses in patients with acquired immune deficiency syndrome and to analyze the association between the most frequent diagnoses and their defining characteristics, and related or risk factors in this population. Methods A cross-sectional study was developed with 113 patients admitted in a hospital in Northeast Brazil. An anamnesis script and physical exams were carried out for data analysis. The diagnoses went through a peer-review process conducted by the authors. The association occurred through Pearson’s Chi-squared and Fisher’s exact tests. Results Twenty-four diagnoses were identified. The most frequent had a statistically significant relationship with their components and were included in the domains of health promotion, perception/cognition, sexuality, and life principles. Conclusion The most prevailing nursing diagnoses were ineffective protection, deficient knowledge, noncompliance, and sexual dysfunction. Overall, the defining characteristics and diagnostic factors showed a significant association.

Predictive factors for the Nursing Diagnoses in people living with Acquired Immune Deficiency Syndrome

Objetivo: identificar los factores de prediccion de diagnosticos de enfermeria en personas viviendo con el sindrome de la inmunodeficiencia adquirida. Metodo: estudio transversal, realizado con 113 personas viviendo con el SIDA. Los datos fueron recolectados con un guion de entrevista y examen fisico. Para analizar los datos, fue utilizada la regresion logistica, considerando un nivel de significacion de 10%. Resultados: los factores de prediccion identificados fueron: para el diagnostico de enfermeria conocimiento deficiente - seguimiento inadecuado de instrucciones y verbalizacion del problema - para el diagnostico de enfermeria falta de adhesion - anos de estudio, comportamiento indicativo de falta de adhesion, participacion en el tratamiento y olvido - y para el diagnostico de enfermeria disfuncion sexual - renta familiar, frecuencia disminuida de la practica sexual, deficit percibido de deseo sexual, limitaciones percibidas impuestas por la enfermedad y funcion corporal alterada. Conclusion: los factores de prediccion, de esos diagnosticos de enfermeria, participaron: caracteristicas sociodemograficas y clinicas, caracteristicas definidoras y factores relacionados, las que deben ser consideradas durante la asistencia prestada por el enfermero.Abstract Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.

PRÁTICA CLÍNICA DO ENFERMEIRO NA ESTRATÉGIA DE SAÚDE DA FAMÍLIA

Objective: to list and analyze the possible enhancers and hindering factors of clinical nursing practice in the context of the Family Health Strategy. Method: integrative literature review conducted in LILACS and MEDLINE databases. Results: It is found in the reviewed articles the following potential factors: social care practice involving expanded from strategies as the host and the systematization of nursing care clinic. And while hindering factors: influence of the biomedical model; incipient qualification of nurses, for example, to implement the nursing process; and inadequate organizational and structural conditions. Final considerations: there is the importance of research-intervention to take effect so that they can perform certain practices and recommend them, especially with regard to the application of the nursing process in Primary Health Care, in its full aspects organizational, structural and assistance. Descriptors: Nursing; Nursing Process; Primary Health Care.

People living with AIDS: Association between nursing diagnoses and sociodemographic/clinical characteristics

OBJECTIVE To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. METHOD Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearsons Chi-Square Test and Fishers Exact Test. RESULTS The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. CONCLUSION The diagnoses presented significant associations with sociodemographic and clinical aspects.

Fatores preditivos dos diagnósticos de enfermagem em pessoas vivendo com a síndrome da imunodeficiência adquirida

Objetivo: identificar los factores de prediccion de diagnosticos de enfermeria en personas viviendo con el sindrome de la inmunodeficiencia adquirida. Metodo: estudio transversal, realizado con 113 personas viviendo con el SIDA. Los datos fueron recolectados con un guion de entrevista y examen fisico. Para analizar los datos, fue utilizada la regresion logistica, considerando un nivel de significacion de 10%. Resultados: los factores de prediccion identificados fueron: para el diagnostico de enfermeria conocimiento deficiente - seguimiento inadecuado de instrucciones y verbalizacion del problema - para el diagnostico de enfermeria falta de adhesion - anos de estudio, comportamiento indicativo de falta de adhesion, participacion en el tratamiento y olvido - y para el diagnostico de enfermeria disfuncion sexual - renta familiar, frecuencia disminuida de la practica sexual, deficit percibido de deseo sexual, limitaciones percibidas impuestas por la enfermedad y funcion corporal alterada. Conclusion: los factores de prediccion, de esos diagnosticos de enfermeria, participaron: caracteristicas sociodemograficas y clinicas, caracteristicas definidoras y factores relacionados, las que deben ser consideradas durante la asistencia prestada por el enfermero.Abstract Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.

Factores de predicción de diagnósticos de enfermería en personas viviendo con el síndrome de la inmunodeficiencia adquirida

Objetivo: identificar los factores de prediccion de diagnosticos de enfermeria en personas viviendo con el sindrome de la inmunodeficiencia adquirida. Metodo: estudio transversal, realizado con 113 personas viviendo con el SIDA. Los datos fueron recolectados con un guion de entrevista y examen fisico. Para analizar los datos, fue utilizada la regresion logistica, considerando un nivel de significacion de 10%. Resultados: los factores de prediccion identificados fueron: para el diagnostico de enfermeria conocimiento deficiente - seguimiento inadecuado de instrucciones y verbalizacion del problema - para el diagnostico de enfermeria falta de adhesion - anos de estudio, comportamiento indicativo de falta de adhesion, participacion en el tratamiento y olvido - y para el diagnostico de enfermeria disfuncion sexual - renta familiar, frecuencia disminuida de la practica sexual, deficit percibido de deseo sexual, limitaciones percibidas impuestas por la enfermedad y funcion corporal alterada. Conclusion: los factores de prediccion, de esos diagnosticos de enfermeria, participaron: caracteristicas sociodemograficas y clinicas, caracteristicas definidoras y factores relacionados, las que deben ser consideradas durante la asistencia prestada por el enfermero.Abstract Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.