medigraphic.com
ISSN 1561-2961 (Print)

2019, Number 2

<< Back Next >>

Rev Cuba Enf 2019; 35 (2)

Nursing diagnosis within the domain safety and protection in critically-ill patients

de Medeiros DAL, de Andrade SPK, Rodrigues LJ, da Conceição DFMI, de Almeida MAB, Dantas STJ, Freire DM, Brandão CLAL

Language: Portugu?s
References: 18
Page: 1-17
PDF size: 323.17 Kb.


ABSTRACT

Introduction: Critically-ill patients, admitted to an intensive care unit, are exposed to risks. Therefore, understanding the relationships between the elements involving their safety and protection becomes fundamental.
Objective: To verify the association between the nursing diagnoses within the domain safety and protection of NANDA (North American Nursing Diagnosis Association) International with its components in critically-ill patients hospitalized in an intensive care unit.
Methods: Cross-sectional study carried out through a form conducted on 86 critically-ill patients of a hospital in the northeast of Brazil. The chi-square and Fisher's exact tests were applied in the statistical analysis.
Results: The diagnosis of the risk of adverse response to the contrast medium with iodine presented statistical association with the components: physical and chemical properties of the contrast media, anxiety, concomitant use of medications, fragile veins, underlying disease, and age extremes. The diagnosis of the risk of imbalance in body temperature was associated with the altered metabolic rate, age extremes, and sedation.
Conclusion: These findings provide scientific advances for nursing by providing help in diagnostic inference, in the anticipation of care, and in the decision-making by the nursing staff.


REFERENCES

  1. Brasil. Ministério da Saúde. ANVISA. Agência Nacional de Vigilância Sanitária. Resolução nº 7, de 24 de fevereiro de 2010. Dispõe sobre os requisitos mínimos para funcionamento de Unidades de Terapia Intensiva e dá outras providências. Brasília (DF): Ministério da Saúde; 2010 [acceso: 31/08/2015]. Disponible em: http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2010/res0007_24_02_2010.html

  2. Oliveira DST, Ramalho JM, Barros MAA, Bezerra LM, Costa TF, Fernandes MGM. Demand for personal care and sizing of nursing in the intensive care unit. J Nurs UFPE on line. 2013 [acceso: 31/08/2015];7(7):4597-604. Disponible em: http://www.revista.ufpe.br/revistaenfermagem/index.php/revista/article/viewArticle/4656

  3. Roque KE, Tonini T, Melo ECP. Eventos adversos na unidade de terapia intensiva: impacto na mortalidade e no tempo de internação em um estudo prospectivo. Cad. Saúde Pública. 2016 [acceso: 31/07/2017];32(10):e00081815. Disponible en: http://www.scielosp.org/scielo.php?script = sci_arttext&pid = S0102-311X2016001105001&lng = en

  4. Novaretti MCZ, Santos E de V, Quitério LM, Daud-Gallotti RM, Novaretti MCZ, Santos E de V, et al. Nursing workload and occurrence of incidents and adverse events in ICU patients. Rev Bras Enferm. 2014 [acceso: 31/08/2015];67(5):692-9. Disponible en: http://www.scielo.br/scielo.php?script = sci_abstract&pid = S0034-

  5. Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Analysis of risk factors for adverse drug events in critically ill patients. Crit Care Med. 2012 [acceso: 31/08/2015];40(3):823-8. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid = 3581340&tool = pmcentrez&rendertype = abstract

  6. Lima KP, Barbosa IV, Martins FLM, Alencar SRM, Cestari VRF. Fatores contribuintes para ocorrência de eventos adversos em unidade de terapia intensiva: perspectiva do enfermeiro. Rev enferm UFPE on line. 2017 [acceso: 31/07/2017];11(3):1234-43. Disponible en: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/13499/16230

  7. Chianca TCM, Lima APS, Salgado PO.Nursing diagnoses identified in inpatients of an adult Intensive Care Unit. Rev Esc Enferm USP. 2012 [acceso: 31/08/2015];46(5):1102-08. Disponible en: http://www.scielo.br/scielo.php?pid = S0080-62342012000500010&script = sci_arttext&tlng = en

  8. Ramos GS, Santana LC, Ferreira PHC, Chianca TCM, Guedes HM. Nursing diagnosis documented in patients' records in the intensive care unit. R. Enferm. Cent. O. Min. 2013 [acceso: 31/08/2015];3(2):679-86. Disponible en: http://www.seer.ufsj.edu.br/index.php/recom/article/view/382/431

  9. Rea L, Parker R. Metodologia de pesquisa: do planejamento à execução. 1. ed. São Paulo: Pioneira Thompson Learning; 2002.

  10. Hedman TH, Kamitsuru S. Diagnóstico de Enfermagem da NANDA: definições e classificações 2015-2017/ [NANDA Internacional]. Porto Alegre: Artmed; 2015.

  11. Drewry AM, Fuller BM, Bailey TC, Hotchkiss RS. Padrões de temperatura do corpo como um preditor de sepsis nosocomial em pacientes de unidade de terapia intensiva adulto afebril: um estudo de caso­controle. Critical Care. 2013 [acceso: 31/08/2015];17:R200. Disponible en: http://ccforum­com.ez18.periodicos.capes.gov.br/content/17/5/R200

  12. Krokoscz DVC, Moreno GGB, Furtado IS, Júnior JM, Laborda L, Corradi MD. Early diagnosis and treatment of severe sepsis in adults. 2014 [acceso: 15/02/2016]. Disponible en: https://www.hospitalsiriolibanes.org.br/institucional/gestao-da-qualidade/Documents/protocolo-sepse-0314.pdf

  13. Chen Q, Wang J, Tian J, Tang X, Yu C, Marshall RJ, et al. Association between Ambient Temperature and Blood Pressure and Blood Pressure Regulators: 1831 Hypertensive Patients Followed Up for Three Years. PLoS ONE. 2013 [acceso: 15/02/2016];8(12):62-7. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877276/

  14. Waalen J, Buxbaum JN. Is Older Colder or Colder Older? The Association of Age With Body Temperature in 18,630 Individuals. J Gerontol A Biol Sci Med Sci. 2011 [acceso: 11/02/2016];66A(5):487-92. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3107024/

  15. Sessler DI. Perioperative thermoregulation and heat balance. Lancet. 2016 [acceso: 27/07/2017];387(10038):2655-64. Disponible en: https://www.alnsf.no/images/artikler/sentralt/2017/fagartikler/risiko_ved_anestesi_og_pasientsikkerhet/Sessler_2016._Perioperaive_thermoregulation_and_heat_balance.pdf

  16. Souza TM, Carvalho R, Paldino CM. Nursing diagnoses, prognostics and interventions in the post-anesthesia care unit. Rev SOBECC. 2012 [acceso: 15/02/2015];17(4):33-47. Disponible en: http://itarget.com.br/newclients/sobecc.org.br/2012/pdf/2.pdf

  17. Isac S. Contrast-induced nephropathy: nursing implications. Crit Care Nurse. 2012 [acceso: 15/02/2015];32(3):41-8. Disponible en: http://ccn.aacnjournals.org/content/32/3/41.full

  18. Nogueira LS, Sousa RMC, Padilha KG, Koike KM. Clinical characteristics and severity of patients admitted to public and private icus. Texto Contexto Enferm. 2012 [acceso: 10/09/2015];21(1):59-67. Disponible en: http://www.scielo.br/pdf/tce/v21n1/en_a07v21n1.pdf




2020     |     www.medigraphic.com