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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

Constru??o do diagn?stico de enfermagem atraso do crescimento no contexto do adolescente

Andriola, Isadora Costa 08 August 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-13T11:25:05Z No. of bitstreams: 1 IsadoraCostaAndriola_DISSERT.pdf: 1399307 bytes, checksum: 6e91128c1d756488d91078317b12f089 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-20T15:50:28Z (GMT) No. of bitstreams: 1 IsadoraCostaAndriola_DISSERT.pdf: 1399307 bytes, checksum: 6e91128c1d756488d91078317b12f089 (MD5) / Made available in DSpace on 2017-01-20T15:50:28Z (GMT). No. of bitstreams: 1 IsadoraCostaAndriola_DISSERT.pdf: 1399307 bytes, checksum: 6e91128c1d756488d91078317b12f089 (MD5) Previous issue date: 2016-08-08 / Estudo do tipo an?lise de conceito, cujo objetivo foi construir o diagn?stico de enfermagem Atraso do crescimento em adolescentes, a partir da literatura. A an?lise de conceito ocorreu segundo o modelo proposto por Walker e Avant, o qual se comp?e de oito etapas, a saber: sele??o do conceito; determina??o dos objetivos da an?lise conceitual; identifica??o dos poss?veis usos do conceito; determina??o dos atributos definidores; constru??o de um caso modelo; constru??o de casos adicionais; identifica??o dos antecedentes e consequentes; al?m dos referenciais emp?ricos. O conceito selecionado foi o atraso do crescimento em adolescentes e o objetivo da an?lise foi analisar o fen?meno atraso do crescimento em adolescentes, a fim de subsidiar a sua identifica??o na pr?tica cl?nica por parte do profissional enfermeiro. A fim de operacionalizar a an?lise, foi realizada uma revis?o integrativa da literatura, segundo Whittermore e Knafl. A revis?o ocorreu nas bases de dados: LILACS, PUBMED, CINAHL, SCOPUS, Web of Science, Science Direct, e no peri?dico Journal of Human Growth and Development. A partir da revis?o, obteve-se uma amostra final de 29 estudos para an?lise. Esses estudos foram analisados atrav?s de leitura minuciosa, com vistas ? identifica??o dos termos ou express?es que representassem a ess?ncia do conceito, seus atributos, antecedentes e consequentes. A proposta diagn?stica, a qual resultou da an?lise conceitual, apresentou a seguinte defini??o para o atraso do crescimento em adolescentes: crescimento abaixo do esperado para indiv?duos dos 10 aos 19 anos de mesmo sexo: estatura inferior ao 3? percentil ou d?ficit em estatura acima de 2 desvios-padr?o, que, associado ? velocidade de crescimento diminu?da, resulta na altura final inferior ao alvo gen?tico. Fatores relacionados: altera??es hormonais; desnutri??o cr?nica; doen?as cr?nicas; imunodefici?ncia/imunossupress?o; estresse f?sico prolongado; desordens do sistema nervoso central; e dist?rbios gen?ticos. Caracter?sticas definidoras: baixa estatura por idade; baixo peso por idade; matura??o sexual retardada; atraso no surto de crescimento puberal; velocidade de crescimento abaixo do esperado; estatura final inferior ao alvo gen?tico; e diminui??o da massa ?ssea. Constatou-se que, a partir da identifica??o dos atributos, antecedentes e consequentes, foi poss?vel uma melhor compreens?o do conceito atraso do crescimento em adolescentes. O entendimento desse fen?meno contribui para o avan?o no estado da arte da enfermagem, aperfei?oando a identifica??o do atraso do crescimento nessa clientela e contribuindo para o estabelecimento de planos terap?utico mais eficazes, com interven??es voltadas ?s necessidades prementes dessa clientela. / This study is typified as concept analysis, whose objective was to build the nursing diagnosis ?Growth delay? in adolescent context, based on literature. The concept analysis was performed in line with the model proposed by Walker and Avant, which is composed of eight steps, namely: concept analysis; determination of the objectives of the conceptual analysis; identification of possible uses of the concept; determination of the defining attributes; construction of a model case; construction of supplementary cases; identification of the backgrounds and consequences; besides the empirical benchmarks. The selected concept was the ?Growth delay? and the objective of the analysis was to analyze the phenomenon of growth delay in adolescent context, with the purpose of subsidizing its identification in clinical practice on the part of the nursing professional. In order to operationalize the analysis, we held an integrative literature review, according to Whittermore and Knafl. The review took place in the databases: LILACS, PUBMED, CINAHL, SCOPUS, Web of Science, Science Direct, as well as in the Journal of Human Growth and Development journal. From the review, we obtained a final sample of 29 studies to be analyzed. These studies were analyzed by means of thorough reading, with a view to identifying the terms or expressions that could represent the essence of the concept, its attributes, backgrounds and consequences. The diagnostic proposal, which resulted from the conceptual analysis, showed the following definition for the growth delay: below expected growth for individuals from 10 to 19 years of the same sex: height below the 3rd percentile or deficit in height above 2 standard deviations, which, associated with decreased growth velocity, results in the final height lower than the genetic target. The related factors were: hormonal changes; unfavorable environmental conditions; chronic malnutrition; chronic diseases; immunodeficiency/ immunosuppression; prolonged physical stress; central nervous system diseases; and genetic disorders. The defining characteristics were: low height for age; low weight for age; delayed pubertal growth spurt; below expected growth velocity; final height lower than the genetic target; and decreased bone mass. We found that, from the identification of attributes, backgrounds and consequences, it was possible to achieve a better understanding of the concept ?Growth delay? in adolescent context. The understanding of this phenomenon contributes to the advancement in the state of the art of nursing, thereby improving the identification of the delayed growth in these customers and contributing to the establishment of more effective therapeutic plans, with interventions aimed at their urgent needs.
12

An?lise dos fatores de risco do diagn?stico de enfermagem risco de infec??o em pacientes com c?ncer hospitalizados

Ara?jo, Aryele Rayana Antunes de 25 November 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T22:18:31Z No. of bitstreams: 1 AryeleRayanaAntunesDeAraujo_DISSERT.pdf: 1394872 bytes, checksum: c3c3c35a81f56d9245ca54c8db612ecf (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-23T20:05:29Z (GMT) No. of bitstreams: 1 AryeleRayanaAntunesDeAraujo_DISSERT.pdf: 1394872 bytes, checksum: c3c3c35a81f56d9245ca54c8db612ecf (MD5) / Made available in DSpace on 2017-03-23T20:05:29Z (GMT). No. of bitstreams: 1 AryeleRayanaAntunesDeAraujo_DISSERT.pdf: 1394872 bytes, checksum: c3c3c35a81f56d9245ca54c8db612ecf (MD5) Previous issue date: 2016-11-25 / As Infec??es Relacionadas ? Assist?ncia ? Sa?de representam uma grave problem?tica de sa?de mundial. Relativo especificamente aos pacientes com c?ncer hospitalizados, estes possuem fatores relacionados ? doen?a, ao tratamento e ? interna??o que favorecem o desenvolvimento desses eventos. Assim, objetivou-se identificar os fatores de risco do Diagn?stico de Enfermagem Risco de Infec??o em pacientes com c?ncer hospitalizados notificados com Infec??o Relacionada ? Assist?ncia de Sa?de e acordo com a NANDA-I. Trata-se de um estudo documental quantitativo desenvolvido em um hospital refer?ncia em oncologia para pacientes do Sistema ?nico de Sa?de no estado do Rio Grande do Norte. Foram analisados os prontu?rios de pacientes com idade igual ou superior a 18 anos, de ambos os sexos, entre os anos de 2013 e 2014, os quais apresentaram infec??o associada ? assist?ncia de sa?de durante o per?odo de interna??o. A amostra totalizou 105 prontu?rios. A coleta de dados se deu entre os meses de novembro de 2015 a abril de 2016 por meio de um instrumento composto por vari?veis sociodemogr?ficas e de sa?de e os fatores de risco para infec??o. Foram realizadas an?lises explorat?rias amostrais por meio de distribui??es de frequ?ncias e medidas descritivas. As diferen?as entre as propor??es foram verificadas mediante aplica??o dos Testes Qui-quadrado de Pearson e o Teste Exato de Fisher e a Regress?o M?ltipla foi avaliada por meio do teste T de Student, todos com n?vel de signific?ncia de 5% (p valor ? 0,05). O estudo foi aprovado nos Comit?s de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte e da Liga Norte-rio-grandense contra o C?ncer, n? do CAAE 48374815.3.3001.5293. Quanto ? caracteriza??o da amostra, verificou-se maioria de adultos (54,3%), com m?dia de idade de 58,9 (?14,7), do sexo feminino (57,1%), com companheiro (51,4%), trabalhavam (34,3%), provenientes do interior do estado do Rio Grande do Norte (59,0%). Em rela??o ?s caracter?sticas cl?nicas, 64,8% dos pacientes estavam internados por uma cl?nica cir?rgica. As manifesta??es cl?nicas mais relatadas nos prontu?rios foram febre (43,8%), dor (33,3%) e constipa??o (26,7%). Os s?tios de infec??o mais presentes foram infec??o do s?tio cir?rgico (50,5%), infec??o do trato urin?rio (21,0%), e infec??o de corrente sangu?nea (19,0%). Referente aos fatores de risco do diagn?stico de enfermagem risco de infec??o, os mais prevalentes foram, respectivamente, procedimento invasivo (100,0%), pele rompida (93,3%) e peristaltismo inadequado (63,8%). Observou-se uma associa??o estatisticamente significante entre os fatores de risco pele rompida caracter?stica cir?rgica do paciente; e hemoglobinemia aos pacientes de condi??o n?o-cir?rgica com p-valor ? 0,05. Al?m disso, foi significativa a rela??o entre o tempo de interna??o e pertencentes a uma cl?nica n?o-cir?rgica e que realizaram cirurgia pr?via. / The infections regarding health care represents a serious problematic of global health. Especially when it involves patients with cancer that are hospitalized, they have factors pertaining the disease, treatment and hospitalization that boosts the development of these events. Therefore, the purpose was to analyze the risk factors of the Nursing?s infection risk diagnostic on patients with cancer that are hospitalized and with an infection related to health care and according to the North American Nursing Diagnosis-International. It is about a documentary and quantitative study developed inside a hospital that is reference on the field of oncology for patients of the Single Health System (SUS) in the state of Rio Grande do Norte. The handbooks of patients with age equal or above 18 years, of both gender, between the years of 2013 and 2014, which had showed infection associated with the health care during their hospitalization period were analyzed. Sample was composed with 105 handbooks. The data gathering happened between November of 2015, to April of 2016, using an instrument composed by sociodemographic and health variables and the risk factors for infection. Sample exploratory analysis were made using frequency distributions and descriptive measures. The differences between the proportions were verified upon the applications of the Chi ? Square test and Fisher?s Exact test and the Multiple regression was evaluated using Student?s T test, all of them with significance level of 5% (p value ? 0,05). The study was approved on the committees of Ethics in Research of Universidade Federal do Rio Grande do Norte and the Norte Riograndense League against cancer, n? of CAAE 48374815.3.3001.5293. Regarding the sample?s characterization, it was verified a majority of adults (54.3%), with average age of 58.9 (?14.7), female (57.1%), with a companion (51.4%), that used to work (34.3%), coming from the state?s countryside (59.0%). Regarding clinical characterization, 64.8% of the patients were hospitalized by a surgical clinic. The most reported clinical manifestations on the handbooks were fever (43.8%), pain (33.3%) and constipation (26.7%). Referring the risk factors of the Nursing?s infection risk diagnostic, the most prevailing were, respectively, invasive procedure (100.0%), disrupted skin (93.3%) and inadequate peristalsis (63.8%). One observes a statistically significant association between risk factors, disrupted skin, a patient?s surgical characteristic, and the presence of free hemoglobin on the blood on patients with a non ? surgical condition, with p-value ? 0.05. Furthermore, the hospitalization?s time evaluation and the patient being a woman was significant, belonging to a non ? surgical clinic and that made a previous surgery.
13

Diagn?sticos, resultados e interven??es da CIPE para pessoas vivendo com Aids / Diagnostics, results and ICNP? nursing intervention for people living with Aids

Souza Neto, Vinicius Lino de 30 November 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T22:18:32Z No. of bitstreams: 1 ViniciusLinoDeSouzaNeto_DISSERT.pdf: 2625253 bytes, checksum: 51f4dae3b5763e1c40034327d9cec4d2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-23T22:25:00Z (GMT) No. of bitstreams: 1 ViniciusLinoDeSouzaNeto_DISSERT.pdf: 2625253 bytes, checksum: 51f4dae3b5763e1c40034327d9cec4d2 (MD5) / Made available in DSpace on 2017-03-23T22:25:00Z (GMT). No. of bitstreams: 1 ViniciusLinoDeSouzaNeto_DISSERT.pdf: 2625253 bytes, checksum: 51f4dae3b5763e1c40034327d9cec4d2 (MD5) Previous issue date: 2016-11-30 / A S?ndrome da Imunodefici?ncia Adquirida perfaz um dos grandes desafios ? pesquisa, tratamento e interven??o cl?nica e social. Diante disto, o enfermeiro, enquanto membro da equipe de sa?de pode fazer uso de novas tecnologias e realinhar sua pr?tica, para que possa implementar a??es e interven??es seguras e de qualidade ?s pessoas vivendo com essa doen?a. Desse modo, a Sistematiza??o da Assist?ncia de Enfermagem, por meio de uma linguagem profissional unificada, contribui para a organiza??o do cuidado, direcionando as necessidades priorit?rias das pessoas vivendo com Aids, e respeitando o sistema de valores e cren?as morais do conhecimento t?cnico cientifico. Nesse sentido, o estudo teve como objetivos: identificar os fen?menos da Pr?tica de Enfermagem na avalia??o ? sa?de de pessoas vivendo com Aids; elaborar os Diagn?sticos, Resultados e Interven??es de Enfermagem com base na CIPE? vers?o 2013, direcionado pelos fen?menos da pr?tica; e validar diagn?sticos, resultados e interven??es de Enfermagem da CIPE?, por enfermeiros especialistas. Trata-se de um estudo transversal com abordagem quantitativa, desenvolvido em tr?s etapas: 1?: identifica??o dos fen?menos da pr?tica de enfermagem para pessoas vivendo com Aids; 2?: elabora??o dos diagn?sticos, resultados e interven??es de enfermagem; 3?: valida??o e an?lise estat?stica das afirmativas. O projeto foi submetido ao Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, obtendo-se aprova??o com o Certificado de Apresenta??o para Aprecia??o ?tica (CAAE) 47380915.2.0000.5537. Os dados foram analisados por meio da estat?stica descritiva e inferencial Para analisar o grau de concord?ncia dos enfermeiros especialistas adotou-se o ?ndice de Concord?ncia (IC> 0.80), ?ndice de Valida??o de Concord?ncia (IVC> 0.80) e o Teste Binominal (p<0,005). Como resultados, foram identificados 146 fen?menos da pr?tica de enfermagem para pessoas vivendo com Aids, elaborando-se 96 diagn?sticos e resultados, sem sinon?mia e 210 com grau de repeti??o. As afirmativas foram categorizadas conforme as necessidades humanas b?sicas, sendo 73 estavam ao eixo das necessidades psicobiol?gicas, por?m 35 foram validados IC> 0.80 (68,75%), IVC > 0.80 (55,42%), p<0,005(51,66%). No ?mbito das necessidades psicossociais elaborou-se 20 afirmativas e espirituais apenas tr?s, por?m 11 foram validadas IC> 0.80 (61,33%), IVC > 0.80 (59,37%), p<0,005(64,17%). Em rela??o ?s interven??es de enfermagem foram elaboradas 230 interven??es dos quais 191 obtiveram a valida??o pelos especialistas IC> 0.80 (50,17%), IVC > 0.80 (60,38%), p<0,005(49,35%). Conclui-se que a partir dos fen?menos da pr?tica foi poss?vel elaborar os diagn?sticos, resultados e interven??es de enfermagem da CIPE?. Assim, acredita-se que tais enunciados de diagn?sticos poder? contribuir para o cuidado as pessoas vivendo com Aids, possibilitando a utiliza??o de uma linguagem especial de enfermagem para essa clientela. / The Acquired Immunodeficiency Syndrome represents one of the great challenges to research, treatment and clinical and social intervention. In view of this, the nurse, as a member of the health team can make use of new technologies and realign their practice, so that it can implement actions and interventions safe and of quality to the people living with this disease. Thus, the Systematization of Nursing Care, through a unified professional language, contributes to the organization of care, directing the priority needs of people living with AIDS, and respecting the system of values and moral beliefs of scientific technical knowledge. In this sense, the study had as objectives: to identify the phenomena of Nursing Practice in the evaluation of the health of people living with AIDS; To elaborate the Nursing Diagnoses, Results and Interventions based on the CIPE? version 2013, guided by the phenomena of the practice; And to validate CIPE? Nursing diagnoses, results and interventions, by specialist nurses. This is a cross-sectional study with a quantitative approach, developed in three stages: 1?: identification of the phenomena of nursing practice for people living with AIDS; 2nd: elaboration of nursing diagnoses, results and interventions; 3?: validation and statistical analysis of the statements. The project was submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte, obtaining approval with the Certificate of Presentation for Ethical Appraisal (CAAE) 47380915.2.0000.5537. Data were analyzed through descriptive and inferential statistics. The concordance index (CI> 0.80), the concordance validation index (IVC> 0.80) and the binomial test were used to analyze the degree of agreement among the specialist nurses (p < 0.005). As a result, 146 phenomena of nursing practice for people living with AIDS were identified, drawing 96 diagnoses and results, with no synonymy and 210 with repetition degree. The assumptions were categorized according to basic human needs, with 73 being at the heart of the psychobiological needs, but 35 were validated CI> 0.80 (68.75%), IVC> 0.80 (55.42%), p <0.005 (51.66 %). In terms of psychosocial needs, 20 affirmations and only three spiritual statements were elaborated, but 11 were validated CI> 0.80 (61.33%), IVC> 0.80 (59.37%), p <0.005 (64.17%). In relation to nursing interventions, 230 interventions were elaborated, of which 191 obtained validation by specialists IC> 0.80 (50.17%), IVC> 0.80 (60.38%), p <0.005 (49.35%). It is concluded that from the practical phenomena it was possible to elaborate the nursing diagnoses, results and interventions of CIPE?. Thus, it is believed that such statements of diagnosis may contribute to the care of people living with AIDS, making possible the use of a special nursing language for this clientele.
14

Simula??o real?stica no processo de ensino-aprendizagem do racioc?nio diagn?stico de enfermagem

Rodrigues, Iellen Dantas Campos Verdes 24 March 2017 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-05-31T20:40:57Z No. of bitstreams: 1 IellenDantasCamposVerdesRodrigues_TESE.pdf: 1827378 bytes, checksum: 25fae1f5d938088d0c3ea5a5316c2c6f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-06-01T19:58:51Z (GMT) No. of bitstreams: 1 IellenDantasCamposVerdesRodrigues_TESE.pdf: 1827378 bytes, checksum: 25fae1f5d938088d0c3ea5a5316c2c6f (MD5) / Made available in DSpace on 2017-06-01T19:58:51Z (GMT). No. of bitstreams: 1 IellenDantasCamposVerdesRodrigues_TESE.pdf: 1827378 bytes, checksum: 25fae1f5d938088d0c3ea5a5316c2c6f (MD5) Previous issue date: 2017-03-24 / O estudo objetivou avaliar a efic?cia da simula??o real?stica no processo de ensino-aprendizagem do racioc?nio diagn?stico de enfermagem. ? um estudo experimental, do tipo ensaio cl?nico controlado e randomizado (ECCR). Foi realizado no Departamento de Enfermagem da Universidade Federal do Rio Grande do Norte (UFRN), Campus Natal. A popula??o do estudo foi composta por enfermeiros na condi??o de especialistas para valida??o dos casos cl?nicos e diagn?sticos de enfermagem (DE) e graduandos de enfermagem da UFRN, que cursam o 9? per?odo do curso. A sele??o dos ju?zes foi realizada por meio de processo de amostragem proposital, em bola de neve e sequencial, dentre os membros do grupo de estudos do Centro CIPE? e de outros grupos de estudos de Universidades Federais que trabalham com a CIPE, sendo inclu?dos todos os especialistas que aceitaram participar do estudo, totalizando uma amostra de 6 especialistas. A amostra de estudantes foi composta por 24 discentes, alocados em dois grupos (controle e interven??o) pareados de forma aleat?ria conforme as vari?veis de controle: idade, sexo, experi?ncia cl?nica, ocupa??o, perfil do aluno e IRA. Os dados foram coletados no per?odo de mar?o de 2017. Ap?s valida??o dos casos cl?nicos e DE houve a realiza??o do curso ?Julgamento Cl?nico e Pensamento Cr?tico-Reflexivo: compet?ncias para o aprendizado do racioc?nio diagn?stico?, que foi desenvolvido em 5 etapas: aula te?rica expositiva-dialogada, cen?rio de simula??o 1, 2 e 3 e avalia??o do curso. A efic?cia da estrat?gia de simula??o foi avaliada mediante os o ?ndice de acerto dos DE priorit?rios elaborados nos dois grupos ap?s o pr? e p?s-testes, comparando-os com os diagn?sticos validados pelos especialistas. Os dados foram organizados em tabelas e analisados com base em frequ?ncias absolutas, em medidas de tend?ncia central e dispers?o, e testes de concord?ncia por meio do ?ndice de Validade de Conte?do (IVC) e Kappa. Para avaliar a independ?ncia das vari?veis do estudo foi utilizado o teste exato de Fisher. A pesquisa obteve anu?ncia do Comit? de ?tica em Pesquisa (CEP) da UFRN com CAAE: 64881617.5.0000.5537 Foram validados cinco diagn?sticos priorit?rios para o caso cl?nico 4 utilizado no pr? e p?s-teste: Processo do sistema imunol?gico prejudicado; Risco de D?ficit Nutricional; Atitude em rela??o ? condi??o de sa?de Prejudicada; Atitude em rela??o ao manejo da medica??o conflituosa; Continuidade do cuidado prejudicada. Al?m dos diagn?sticos priorit?rios 33 outros diagn?sticos foram validados como diagn?sticos de enfermagem n?o priorit?rios para o caso cl?nico apresentado. Quanto ? avalia??o da estrat?gia de simula??o para o ensino dos DE observou-se que n?o houve diferen?a estat?stica significativa na elabora??o dos DE no pr? e p?s-teste do grupo controle, o mesmo n?o obteve ?xito na elabora??o dos DE priorit?rios. No entanto, o grupo interven??o apresentou um resultado significativo na elabora??o dos diagn?sticos priorit?rios ap?s o p?s-teste e sobressaiu-se na elabora??o de outros DE tido como v?lidos para a situa??o cl?nica apresentada. Na avalia??o quanto ao grau de aproveitamento e benef?cios da estrat?gia, o tempo de dura??o dos cen?rios de simula??o foi apontado como insuficiente, embora tenha seguido o preconizado pelo referencial adotado no estudo, os demais itens avaliados foram considerados adequados com elevado ?ndice de concord?ncia. Desse modo, tem-se a simula??o como uma estrat?gia eficaz para o ensino-aprendizagem do racioc?nio diagn?stico de enfermagem. / The study aimed to evaluate the efficacy of realistic simulation in the teaching-learning process of the nursing diagnosis rationale. It is an experimental, randomized controlled trial (RCT). It was carried out at the Nursing Department of the Federal University of Rio Grande do Norte (UFRN), Campus Natal. The study population consisted of nurses as specialists for the validation of clinical cases and nursing diagnoses (DE) and undergraduate nursing students from the UFRN, who attend the 9 th period of the course. The selection of the judges was carried out by means of a purposive, snowball and sequential sampling process among the members of the CIPE? Study Group and other study groups from Federal Universities working with the CIPE, all of which were included The specialists who accepted to participate in the study, totaling a sample of 6 specialists. The sample of students was composed of 24 students, randomly matched in two groups (control and intervention) according to control variables: age, sex, clinical experience, occupation, student profile and ARI. The data were collected in the period of March 2017. After validation of the clinical cases and ED, the course "Clinical Judgment and Critical-Reflexive Thinking: competences for the learning of the diagnostic reasoning" was carried out, which was developed in 5 stages: theoretical lecture Expository-dialog, simulation scenario 1, 2 and 3 and course evaluation. The efficacy of the simulation strategy was evaluated by the correctness index of the priority SDs elaborated in the two groups after the pre and post-tests, comparing them with the diagnoses validated by the specialists. Data were organized into tables and analyzed based on absolute frequencies, measures of central tendency and dispersion, and concordance tests using the Content Validity Index (IVC) and Kappa. Fisher's exact test was used to assess the independence of the study variables. The research was approved by the Research Ethics Committee (CEP) of UFRN with CAAE: 64881617.5.0000.5537 Five priority diagnoses were validated for the clinical case 4 used in the pre- and post-test: Immune system process impaired; Risk of Nutritional Deficit; Attitude towards health condition Impaired; Attitude regarding the management of conflicting medication; Continuity of impaired care. In addition to the priority diagnoses 33 other diagnoses were validated as non-priority nursing diagnoses for the clinical case presented. Regarding the evaluation of the simulation strategy for the teaching of ED, it was observed that there was no significant statistical difference in the preparation of the DE in the pre- and post-test of the control group, it was not successful in the elaboration of the priority SDs. However, the intervention group presented a significant result in the elaboration of the priority diagnoses after the post-test and excelled in the elaboration of other EDs considered as valid for the presented clinical situation. In the evaluation of the degree of utilization and benefits of the strategy, the duration of the simulation scenarios was indicated as insufficient, although it was followed by the reference adopted in the study, the other items evaluated were considered adequate with a high agreement rate. Thus, we have simulation as an effective strategy for the teaching-learning of nursing diagnostic reasoning.
15

Diagn?sticos de enfermagem em pacientes submetidos ? hemodi?lise: semelhan?as entre o modelo de adapta??o e a NANDA internacional

Fraz?o, Cec?lia Maria Farias de Queiroz 26 October 2012 (has links)
Made available in DSpace on 2014-12-17T14:46:56Z (GMT). No. of bitstreams: 1 CeciliaMFQF_DISSERT.pdf: 2879854 bytes, checksum: 0d04910a9d93fa3ece3250ea9028e1c6 (MD5) Previous issue date: 2012-10-26 / The nurses in the hemodialysis has an important role in the nursing process implementation, in the context of a theoretical referential. Among the nursing theories, highlights the Roy?s adaptations model, who considers a person as an holistic adaptive system that aims to adapt customers to different living conditions. Thus, it is believed that the Roy?s nursing process will guide nursing care to patients on dialysis. Therefore, the study aimed to analyze the nursing diagnosis present in patients with chronic kidney disease on hemodialysis based on the theoretical model of Roy and NANDA-International. Descriptive and cros-sectional study, performed at a dialysis center in a city in northeastern Brazil. Sample of 178 patients and consecutive sampling by convenience. Data collection ocurred from October/2011 until February/2012, through interview and physical examination forms. Data analysis was initiated by clinical reasoning, diagnosis judgment and similarity relation. Then, the data were entered into SPSS program, 16.0 version, generating descriptive statistics. The project was approved by the Ethics Research Committee (protocol n? 115/11) with a Presentation Certificate for Ethics Appreciation (in 0139.0.051.000-111) and was funded by the Universal edict MCT / CNPq 14/2010. The results revealed that most patients were male (52.2%), married (62.9%) and residents in the Natal?s metropolitan region (54.5%). The mean age was 46.6 years and the years of study, 8,5. Regarding nursing diagnosis obtained an average of 6.6, especially: Risk of Infection (100%), excessive fluid volume (99.4%) and hypothermia (61.8%). On the other hand the adaptive problems average was 6.4, and the most common: intracellular fluid retention (99.4%); Hyperkalemia (64.6%); Hypothermia (61.8%) and edema (53.9%). Were established 20 similarity relations between the NANDA-International nursing diagnosis and adaptive problems of Roy, namely: risk of falls / injury risk and potential for injury, impaired physical mobility and walking mobility and / or restricted coordination, dressing self-care deficit and loss of self-care ability; hypothermia and hypothermia; impaired skin integrity and impaired skin integrity; excessive fluid volume and intracellular fluid retention / Hyperkalemia / Hypocalcemia / edema; imbalanced nutrition: less than body requirements and Nutrition less than the body's needs; constipation and constipation, acute pain and acute pain, chronic pain and chronic pain, sensorial perception disturbed: visual, tactile and auditory disabilities and a primary sense: sight, hearing and tactile; sleep deprivation and insomnia, fatigue and intolerance to activities; ineffective self health and fails in the role; sexual dysfunction and sexual dysfunction; situational low self-esteem and low self-esteem, and diarrhea and diarrhea. We conclude that there is similarity between the typologies and was required a model?s analysis, because they present different ways to establish the nursing diagnosis. Moreover, the nursing process use, under the context of a theory and a classification system, subsidizes the care and contributes to the strengthening of nursing science / O enfermeiro atuante no setor de hemodi?lise tem um importante papel na implementa??o do processo de enfermagem, sob a ?tica de uma teoria. Dentre as teorias da enfermagem, destaca-se o modelo de adapta??o de Roy, que considera a pessoa um sistema hol?stico adaptativo, tendo como meta a adapta??o dos clientes ?s diversas condi??es de vida. Destarte, acredita-se que o processo de enfermagem de Roy guiar? os cuidados de enfermagem aos pacientes em hemodi?lise. Assim, objetivou-se analisar os diagn?sticos de enfermagem presentes em pacientes com doen?a renal cr?nica em tratamento hemodial?tico, tendo como base o modelo te?rico de Roy e a NANDA Internacional. Estudo descritivo e transversal, realizado em um centro de di?lise de uma cidade do Nordeste do Brasil. Amostra foi de 178 pacientes, e a amostragem por conveni?ncia consecutiva. A coleta ocorreu durante outubro/2011 a fevereiro/2012, atrav?s de um formul?rio de entrevista e exame f?sico. A an?lise dos dados iniciou-se pelo racioc?nio cl?nico, o julgamento diagn?stico e a rela??o de semelhan?a. Em seguida, os dados foram inseridos no programa SPSS vers?o 16.0, gerando estat?sticas descritivas. O projeto foi aprovado pelo Comit? de ?tica em Pesquisa (Protocolo n? 115/11) com Certificado de Apresenta??o para Aprecia??o ?tica (no 0139.0.051.000-111) e teve financiamento do Edital Universal MCT/CNPq 14/2010. Os resultados revelaram que a maioria dos pacientes era do sexo masculino (52,2%), casada (62,9%) e residente na regi?o metropolitana de Natal (54,5%). A m?dia da idade foi 46,6 anos, e a dos anos de estudos, de 8,5 anos. Em rela??o aos diagn?sticos de enfermagem obteve-se uma m?dia de 6,6, com destaque para: Risco de Infec??o (100%); Volume de l?quidos excessivo (99,4%) e Hipotermia (61,8%). Por outro lado, a m?dia dos problemas adaptativos foi de 6,4, sendo os mais frequentes: Reten??o de l?quido intracelular (99,4%); Hipercalemia (64,6%); Hipotermia (61,8%) e Edema (53,9%). Foram estabelecidas 20 rela??es de semelhan?a entre os diagn?sticos da NANDA Internacional e os problemas adaptativos de Roy: risco de quedas/risco de les?o e potencial para les?o; mobilidade f?sica prejudicada e mobilidade andar e/ou coordena??o restritos; d?ficit no autocuidado para vestir-se e perda de habilidade ao autocuidado; hipotermia e hipotermia; integridade da pele prejudicada e integridade da pele prejudicada; volume de l?quidos excessivo e reten??o de l?quido intracelular/hipercalemia/hipocalcemia/edema; nutri??o desequilibrada: menos do que as necessidades corporais e nutri??o menor que as necessidades do organismo; constipa??o e constipa??o; dor aguda e dor aguda; dor cr?nica e dor cr?nica; percep??o sensorial perturbada: visual, auditiva e t?til e defici?ncia de um sentido prim?rio: vis?o, audi??o e t?til; ins?nia e priva??o do sono; fadiga e intoler?ncia ? atividade; autocontrole ineficaz da sa?de e falha no papel; disfun??o sexual e disfun??o sexual; baixa autoestima situacional e baixa autoestima; e diarreia e diarreia. Conclui-se que h? semelhan?a entre as tipologias e que foi necess?ria uma an?lise do modelo, j? que apresentam formas diferentes de estabelecer os diagn?sticos. Outrossim, o uso do processo de enfermagem, sob o contexto de uma teoria e de um sistema de classifica??o, subsidia a assist?ncia e contribui para o fortalecimento cient?fico da ?rea
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Acur?cia dos indicadores cl?nicos do diagn?stico de enfermagem falta de ades?o em pessoas vivendo com AIDS / Accuracy of windows clinical nursing diagnosis lack of membership in people living with AIDS

Costa, Mayara Mirna do Nascimento 29 January 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-25T22:06:09Z No. of bitstreams: 1 MayaraMirnaDoNascimentoCosta_DISSERT.pdf: 1039364 bytes, checksum: 1afc397838112ac2d72f466cfe22c8b5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-03T21:41:34Z (GMT) No. of bitstreams: 1 MayaraMirnaDoNascimentoCosta_DISSERT.pdf: 1039364 bytes, checksum: 1afc397838112ac2d72f466cfe22c8b5 (MD5) / Made available in DSpace on 2016-08-03T21:41:34Z (GMT). No. of bitstreams: 1 MayaraMirnaDoNascimentoCosta_DISSERT.pdf: 1039364 bytes, checksum: 1afc397838112ac2d72f466cfe22c8b5 (MD5) Previous issue date: 2016-01-29 / No in?cio da d?cada de 1990, um marco importante no tratamento da S?ndrome da Imunodefici?ncia Adquirida foi o desenvolvimento da terapia antirretroviral combinada de alta pot?ncia. O grande benef?cio gerado pelo uso dessa terap?utica foi o prolongamento da sobrevida das pessoas que adquiriram essa doen?a, uma vez que esta deixou de ser considerada fatal, tornando-se uma condi??o cr?nica. Apesar das melhorias geradas por esta terap?utica, restam ainda muitas dificuldades a serem superadas. Uma delas ? a ades?o do paciente ao seu tratamento, trazendo desafios aos servi?os e aos profissionais de sa?de. Da? adv?m ? necessidade de se identificar precocemente o diagn?stico de enfermagem Falta de Ades?o para que solu??es sejam buscadas pelo enfermeiro junto ao paciente e sua fam?lia. Com essa problem?tica, soma-se a dificuldade do enfermeiro assistencial em inferir esse diagn?stico, especialmente na identifica??o de suas caracter?sticas definidoras. Nesse contexto, objetivou-se avaliar a acur?cia dos indicadores cl?nicos do diagn?stico de enfermagem Falta de ades?o ao tratamento antirretroviral em pessoas vivendo com a S?ndrome de imunodefici?ncia adquirida. A pesquisa ocorreu em duas etapas. A primeira composta pela avalia??o dos indicadores do diagn?stico em estudo; e a segunda, pela infer?ncia diagn?stica realizada por enfermeiros especialistas. A primeira etapa ocorreu em um Hospital de refer?ncia no tratamento de doen?as infectocontagiosas do Nordeste do Brasil, e os dados foram obtidos por meio de um instrumento para realiza??o de anamnese e exame f?sico e analisado quanto ? presen?a ou aus?ncia dos indicadores do diagn?stico. Na segunda etapa, os dados foram encaminhados a especialistas, que julgaram a presen?a ou aus?ncia do diagn?stico na clientela estudada. O projeto foi submetido ao Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, obtendo-se aprova??o com o Certificado de Apresenta??o para Aprecia??o ?tica (CAAE) n? 46206215.3.0000.5537. Os dados foram analisados por meio da estat?stica descritiva e inferencial. Utilizou-se o teste exato de Fisher, Teste qui-quadrado de Pearson e regress?o log?stica. J? a acur?cia dos indicadores cl?nicos foi mensurada por meio da especificidade, sensibilidade, valores preditivos, raz?es de verossimilhan?a. Como resultados, identificou-se a presen?a do diagn?stico Falta de ades?o em 69% (n=78) dos pacientes do estudo. As caracter?sticas definidoras que apresentaram signific?ncia estat?stica na associa??o com o diagn?stico estudado foram: comportamento de falta de ades?o, complica??o relativa ao desenvolvimento, falta a compromissos agendados, falha em alcan?ar os resultados, e exacerba??o de sintomas. A caracter?stica com maior sensibilidade foi comportamento de falta de ades?o e a de maior especificidade foi exacerba??o dos sintomas. A Regress?o Log?stica demonstrou como fatores preditores para o diagn?stico faltam de ades?o: comportamento de falta de ades?o, falta a compromissos agendados, falha em alcan?ar os resultados, e exacerba??o de sintomas. Foi poss?vel concluir que a identifica??o de indicadores cl?nicos de forma acurada permitiu uma boa predi??o do diagn?stico de enfermagem Falta de ades?o em pessoas vivendo com a S?ndrome de imunodefici?ncia adquirida, contribuindo para que o enfermeiro desenvolva de forma precoce estrat?gias para a promo??o da ades?o ao uso dos antirretrovirais. / In the early 1990s, a major milestone in the treatment of Acquired Immune Deficiency Syndrome was the development of highly active combination antiretroviral therapy. The great benefit generated by the use of this therapy was prolonging the survival of the people who got this disease, since it is no longer considered fatal, becoming a chronic condition. Despite improvements generated by this therapy, there are still many difficulties to be overcome. One is the patient adherence to their treatment, bringing challenges to services and health professionals. Hence the need for early identification of nursing diagnosis Lack of Accession so that solutions are sought by the nurse with the patient and his family. With this problem, adds to the difficulty of hospital nurses in inferring that diagnosis, especially in identifying their defining characteristics. In this context, the objective was to evaluate the accuracy of clinical indicators of nursing diagnosis Lack of Adherence to antiretroviral treatment for people living with the Acquired Immunodeficiency Syndrome. The research took place in two stages. The first consists of the evaluation of the diagnostic indicators in the study; and second, the diagnostic inference performed by specialist nurses. The first step took place in a referral hospital in the treatment of infectious diseases in the Northeast of Brazil, and data were collected through an instrument for carrying out history and physical examination and analyzed for the presence or absence of the diagnostic indicators. In the second stage, the data were sent to experts, who judged the presence or absence of the diagnosis in the studied clientele. The project was submitted to the Ethics Committee of the Federal University of Rio Grande do Norte, obtaining approval with the General Certificate for Ethics Assessment (CAAE) No 46206215.3.0000.5537. Data were analyzed using descriptive and inferential statistics. Test were used Fisher's exact, chi-square test of Pearson and logistic regression. Since the accuracy of clinical indicators was measured by sensitivity, specificity, predictive values, likelihood ratios. As a result, we identified the presence of diagnosis Lack of Accession on 69% (n = 78) of the study patients. The defining characteristics that showed statistically significant association with the diagnosis studied were: lack of adherence behavior, complications related to development, missing scheduled appointments, failure to achieve results, and exacerbation of symptoms. The characteristic with greater sensitivity was missing scheduled appointments and the highest specificity behavior of noncompliance. The logistic regression showed as predictors for the diagnosis Lack of Accession: lack of adherence behavior, missing scheduled appointments, failure to achieve results, and exacerbation of symptoms. It was concluded that the identification of clinical indicators accurately enabled a good prediction of the nursing diagnosis Lack of Accession on people living with the Acquired Immune Deficiency Syndrome, helping nurses develop early on strategies for promoting adherence to the use of antiretrovirals.
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Banco de termos da linguagem especial de enfermagem para pacientes com les?o por press?o / Bank of terms of the special nursing language for patients with pressure injury

Duarte, Fernando Hiago da Silva 18 December 2017 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-04-02T14:01:59Z No. of bitstreams: 1 FernandoHiagoDaSilvaDuarte_DISSERT.pdf: 1579770 bytes, checksum: 4bdbf99e4d88319fa3b83e83ac96e609 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-04-05T11:53:40Z (GMT) No. of bitstreams: 1 FernandoHiagoDaSilvaDuarte_DISSERT.pdf: 1579770 bytes, checksum: 4bdbf99e4d88319fa3b83e83ac96e609 (MD5) / Made available in DSpace on 2018-04-05T11:53:40Z (GMT). No. of bitstreams: 1 FernandoHiagoDaSilvaDuarte_DISSERT.pdf: 1579770 bytes, checksum: 4bdbf99e4d88319fa3b83e83ac96e609 (MD5) Previous issue date: 2017-12-18 / A les?o por press?o ? o resultado da press?o prolongada sobre uma ?rea do corpo do paciente diminuindo a circula??o sangu?nea minimizando a distribui??o de sangue, nutrientes e oxig?nio nesta ?rea desencadeando destrui??o e morte tecidual, pois o tecido mole ? comprimido entre uma proemin?ncia ?ssea e uma superf?cie r?gida durante um per?odo de tempo prolongado. O banco de termos da linguagem especial de enfermagem identifica conceitos que contribuem com a constru??o de diagn?sticos, resultados e interven??es de enfermagem. A utiliza??o desse banco direcionada a pacientes com les?o por press?o permite desenvolver de forma piramidal a identifica??o de um vocabul?rio pr?prio direcionado ao cuidado de enfermagem. O estudo teve por objetivo construir um banco de termos da linguagem especial da enfermagem para pacientes com les?o por press?o utilizando a CIPE? vers?o 2017, com base na Teoria das Necessidades Humanas B?sicas. Trata-se de um estudo terminol?gico em um hospital privado na capital do nordeste do Brasil desenvolvida em seis etapas: 1) Identifica??o e coleta dos termos relevantes ? pr?tica da Enfermagem relacionada ? les?o por press?o; 2) Extra??o dos termos dos prontu?rios e elimina??o das repeti??es; 3) Normaliza??o dos termos; 4) Mapeamento cruzado entre termos extra?dos e os termos constantes na CIPE? vers?o 2017; 5) Refinamento dos termos; 6) Valida??o das afirmativas do banco de termos. Obteve-se aprova??o do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, sob parecer n? 2.356.736 e Certificado de Apresenta??o para Aprecia??o ?tica n? 76777017.20000.5537. Identificaram-se 391 termos que foram submetidos ao processo de mapeamento cruzado e valida??o de especialistas que resultou em 370 termos, sendo 225 termos constantes e 145 termos n?o constantes na Classifica??o Internacional para a Pr?tica de Enfermagem, vers?o 2017. O estudo permitiu explorar e conhecer os termos utilizados pelos enfermeiros na assist?ncia prestada ao paciente com les?o por press?o, possibilitando o desenvolvimento futuro dos enunciados de diagn?sticos / resultados e interven??es de enfermagem e tamb?m a unifica??o da linguagem profissional do enfermeiro. / Pressure injury is the result of prolonged pressure on an area of the patient's body by decreasing blood circulation, minimizing the distribution of blood, nutrients, and oxygen in this area, triggering destruction and tissue death, as the soft tissue is compressed between a bone prominence and a hard surface for an extended period of time. The terms bank of the special nursing language identifies concepts that contribute to the construction of nursing diagnoses, results and interventions. The use of this bank aimed at patients with pressure lesions allows the development of a pyramidal identification of an own vocabulary directed to nursing care. The aim of the study was to construct a bank of terms of the special nursing language for patients with pressure injury, using the International Classification for Nursing Practice version 2017. This is a terminological study in a private hospital in the northeast capital of the Brazil developed in six steps: 1) Identification and collection of terms relevant to the practice of Nursing related to pressure injury; 2) Extraction of the terms of the medical records and elimination of repetitions; 3) Standardization of terms; 4) Cross-mapping between extracted terms and the terms in CIPE? version 2017; 5) Refinement of terms; 6) Validation of the terms bank statements. Approval was obtained from the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion no. 2.356.736 and Certificate of Presentation for Ethical Appreciation n? 76777017.20000.5537. It was identified 391 terms that were submitted to the process of cross-mapping and validation of specialists that resulted in 370 terms, being 225 constant terms and 145 terms not included in the International Classification for Nursing Practice, version 2017. The study allowed to explore and to know the terms used by nurses in the care provided to the patient with pressure injury, allowing the development of statements of diagnosis/results and nursing interventions and also the unification of nurses' professional language.
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Valida??o do diagn?stico de enfermagem: risco de ?lcera por press?o / Validation of the nursing diagnosis of pressure ulcer risk

Medeiros, Ana Beatriz de Almeida 08 August 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-27T13:30:49Z No. of bitstreams: 1 AnaBeatrizDeAlmeidaMedeiros_TESE.pdf: 2411384 bytes, checksum: 92c650f6680920b2f593c10ef84b8ed7 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-31T13:24:12Z (GMT) No. of bitstreams: 1 AnaBeatrizDeAlmeidaMedeiros_TESE.pdf: 2411384 bytes, checksum: 92c650f6680920b2f593c10ef84b8ed7 (MD5) / Made available in DSpace on 2017-01-31T13:24:12Z (GMT). No. of bitstreams: 1 AnaBeatrizDeAlmeidaMedeiros_TESE.pdf: 2411384 bytes, checksum: 92c650f6680920b2f593c10ef84b8ed7 (MD5) Previous issue date: 2016-08-08 / Este estudo objetivou validar o diagn?stico de enfermagem Risco de ?lcera por press?o em pacientes internados na unidade de terapia intensiva. Diante da gravidade, complexidade e grau de depend?ncia dos pacientes cr?ticos, surge a necessidade da enfermagem avaliar a presen?a desse diagn?stico para atuar na preven??o dos fatores de risco e na manuten??o da qualidade nos servi?os ofertados. Tratou-se de um estudo metodol?gico, desenvolvido em tr?s etapas: an?lise de conceito, an?lise do conte?do por especialistas e valida??o cl?nica. A primeira etapa foi baseada no modelo de Walker e Avant e operacionalizada atrav?s de revis?o da literatura, que aconteceu nos meses de fevereiro e mar?o de 2015. Utilizaram-se as bases de dados: Scopus, Literatura Latino-Americana e do Caribe em Ci?ncias da Sa?de, Cumulative Index to Nursing and Allied Health Literature, National Library of Medicine and Nattional Institutes of Health e Web of Science, e os descritores: ?lcera por press?o, fatores de risco e unidades de terapia intensiva e suas respectivas sinon?mias em ingl?s. Obteve-se uma amostra de 22 artigos. Ap?s a an?lise do conceito, identificaram-se 42 antecedentes e os seguintes atributos essenciais: Press?o; Press?o em combina??o com cisalhamento; e Isquemia tecidual. Na segunda etapa, foram solicitadas as opini?es dos especialistas com rela??o ? an?lise de conceito e de conte?do, por meio de grupo focal, composto por sete enfermeiras, em quatro encontros, durante os meses de maio a julho de 2015. Ap?s a discuss?o no grupo focal, resultou-se um total de 29 antecedentes e na seguinte defini??o conceitual para o diagn?stico estudado: Vulnerabilidade de rompimento da integridade da pele como resultado da isquemia tecidual ocasionada por press?o ou press?o em combina??o com cisalhamento. Na terceira etapa, foi realizado um estudo de caso-controle, com intuito de avaliar, na pr?tica cl?nica, a precis?o dos fatores de risco do diagn?stico de enfermagem identificados e validados nas etapas anteriores. Esta etapa ocorreu na unidade de terapia intensiva do Hospital Universit?rio Onofre Lopes, atrav?s de um formul?rio. A amostra consistiu de 180 participantes, sendo 90 no grupo caso e 90 no grupo controle. O projeto de pesquisa foi submetido e aprovado pelo Comit? de ?tica em Pesquisa do referido hospital, sob n?mero de protocolo 848.997 e Certificado de Apresenta??o para Aprecia??o ?tica 36883714.5.0000.5292. Os resultados mostram que, atrav?s da aplica??o do modelo de regress?o log?stica hier?rquica, um conjunto de cinco fatores de risco e um aspecto cl?nico deve ser visto como um forte indicativo do aumento do risco para ?lcera por press?o. Os fatores de risco foram: Hist?ria de ?lcera por press?o, Tempo prolongado de perman?ncia na UTI; Fric??o, Desidrata??o e Temperatura elevada da pele em torno de 1 a 2 ?C. E o aspecto cl?nico foi: Tratamento das comorbidades. Conclui-se que o diagn?stico de enfermagem Risco de ?lcera por press?o p?de ser validado em seus aspectos de conceito, de conte?do e cl?nicos e que existe um conjunto de vari?veis que aumentam a chance da ocorr?ncia do diagn?stico de enfermagem Risco de ?lcera por press?o em pacientes internados em unidade de terapia intensiva. Assim, acredita-se que o estudo contribuiu para o aperfei?oamento da linguagem diagn?stica, com vistas a ado??o de medidas preventivas, aplica??o de interven??es mais eficazes, alcance de resultados positivos e melhoria da qualidade do cuidado prestado pelo enfermeiro. / The objective of this study was to validate the nursing diagnosis ?Pressure ulcer risk? in patients admitted to the intensive care unit. Faced with the severity, complexity and degree of dependence of the critical patients, nursing needs to assess the presence of this diagnosis to act in the prevention of risk factors and maintenance of quality in the services offered. This was a methodological study, conducted in three steps: concept analysis, content analysis by experts and clinical validation. The first step was based on the model of Walker and Avant and performed through literature review, which occurred in the months of February and March 2015. We used the databases: Scopus, Latin American and Caribbean Health Sciences Literature, Cumulative Index to Nursing and Allied Health Literature, National Library of Medicine and National Institutes of Health, and Web of Science, and the descriptors: pressure ulcer, risk factors and intensive care units, and their respective synonyms in the English language. We obtained a sample of 22 papers. After completing the concept and content analysis, we identified 42 backgrounds and the following essential attributes: Pressure; Pressure combined with shearing; and Tissue ischemia. In the second step, we asked the experts to give opinions about the concept analysis, by means of a focus group, composed of seven nurses, in four meetings, which were held from May to July 2015. After finishing the discussion in the focus group, we had a total of 29 backgrounds, besides the following conceptual definition for the diagnosis under study: Vulnerability of rupture of the skin integrity as a result of the tissue ischemia provoked by pressure or pressure combined with shearing. In the third step, we conducted a case-control study with the aim of assessing, in clinical practice, the accuracy of the risk factors of the nursing diagnosis identified and validated in the preceding steps. This step took place in the intensive care unit of the Onofre Lopes University Hospital, through a form. The sample was composed of 180 participants, with 90 in the case group and 90 in the control group. The research project was submitted and approved by the Research Ethics Committee of the aforementioned hospital, under Protocol number 848.997 and Presentation Certificate for Ethics Assessment number 36883714.5.0000.5292. The results show that, through the application of the hierarchical logistic regression model, a set of five risk factors and one clinical aspect must be regarded as a strong indicator of the increased risk for pressure ulcer. The risk factors were: History of pressure ulcer; Extended period of stay in the ICU; Friction, Dehydration and High skin temperature around 1 to 2 ? C. As for the clinical aspect, it was: Treatment of comorbidities. We conclude that the nursing diagnosis of pressure ulcer risk could be validated in aspects of concept, content and clinical and that there is a set of variables that increase the chance of occurrence of the nursing diagnosis ?Pressure ulcer risk? in patients admitted to the intensive care unit. Accordingly, we believe that this study has contributed to the improvement of the diagnostic parlance, with regard to adopting preventive measures, applying more effective interventions, achieving positive results and improving the quality of the health care provided by the nursing professional.
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Diagn?stico de enfermagem risco de olho seco e ressecamento ocular em pacientes adultos internados em unidade de terapia intensiva / Nursing diagnosis risk of dry eye and ocular dryness in hospitalized adult patients in Intensive care unit

Ara?jo, J?ssica Naiara de Medeiros 04 October 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-20T23:42:57Z No. of bitstreams: 1 JessicaNaiaraDeMedeirosAraujo_DISSERT.pdf: 1314685 bytes, checksum: 5277073c7a6b748dee41a1e611c029c5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-02T21:24:47Z (GMT) No. of bitstreams: 1 JessicaNaiaraDeMedeirosAraujo_DISSERT.pdf: 1314685 bytes, checksum: 5277073c7a6b748dee41a1e611c029c5 (MD5) / Made available in DSpace on 2017-03-02T21:24:47Z (GMT). No. of bitstreams: 1 JessicaNaiaraDeMedeirosAraujo_DISSERT.pdf: 1314685 bytes, checksum: 5277073c7a6b748dee41a1e611c029c5 (MD5) Previous issue date: 2016-10-04 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) / Objetivou-se avaliar o Diagn?stico de Enfermagem (DE) Risco de olho seco da NANDA-Internacional em pacientes internados em Unidade de Terapia Intensiva (UTI). Trata-se de um estudo transversal realizado na UTI de adultos do Hospital Universit?rio Onofre Lopes. A amostra final foi constitu?da de 206 pacientes. Para coleta de dados utilizou-se um instrumento composto por vari?veis pertinentes aos dados sociodemogr?ficos, cl?nicos e fatores de risco do DE em estudo. A infer?ncia quanto ? presen?a do diagn?stico nos pacientes avaliados foi realizada por um par de enfermeiros diagnosticadores com experi?ncia em julgamento diagn?stico e em assist?ncia de enfermagem em UTI. Todos os dados coletados foram organizados e armazenados em um banco de dados constru?do no programa Statistical Package for Social Science (SPSS) vers?o 22.0 para teste. Para a an?lise descritiva, foram consideradas as frequ?ncias, medidas do centro da distribui??o e suas variabilidades. Para comparar m?dias, aplicou-se o teste t de Student para amostras independentes. Em caso de assimetria, o teste de Mann-Whitney foi utilizado. Para medidas associativas, utilizou-se o teste Qui-quadrado de Pearson e quando as frequ?ncias esperadas foram menores que cinco, foi aplicado o teste de Fisher. A magnitude da associa??o foi verificada por meio da raz?o de preval?ncia. Este estudo obteve parecer favor?vel do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte e ? financiado pelo Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq, processo n? 444290/2014-1. Dos 206 pacientes, 52,4% eram do sexo masculino, idade m?dia de 58,41 anos e 57,6% residiam no interior do Rio Grande do Norte. Em rela??o ? escolaridade, a maioria (40,3%) tinha ensino fundamental incompleto e 43,3% eram aposentados. De acordo com o tipo de interna??o, 49% foram cl?nicas, 29,1% cirurgias de urg?ncia/emerg?ncia e 21,8% cirurgias eletivas. Das comorbidades, 59,7% apresentavam hipertens?o arterial sist?mica e 31,6% diabetes mellitus. 47,6% dos pacientes apresentaram o DE em estudo. Desta forma, 52,4% j? apresentaram o diagn?stico cl?nico de ressecamento ocular. Na an?lise por olho, 56,8% apresentaram o DE, j? o ressecamento ocular esteve presente em 43,2% dos olhos. Os fatores de risco mais prevalentes foram: fatores ambientais e regime de tratamento (100%), terapia com ventila??o mec?nica (52,4%), envelhecimento (51%), les?es neurol?gicas com perda sensorial reflexo motora (50%), sexo feminino (47,6%) e estilo de vida (36,4%). Apresentaram associa??o estatisticamente significante com a presen?a do DE estudado no olho direito (OD) a aus?ncia das seguintes caracter?sticas cl?nicas: motivo de interna??o por dist?rbio gastrointestinal, lagoftalmia no OD, lagoftalmia no olho esquerdo (OE), hiperemia do OE, secre??o mucosa OD, edema palpebral OD, proptose OD e uso de anti-inflamat?rio. A presen?a da hiperemia no OD foi significativa para aus?ncia do DE no OD. A diferen?a de m?dias do schirmer no OD e OE entre a presen?a e aus?ncia do DE no OD tamb?m apresentaram signific?ncia. Em rela??o ao OE, existiu associa??o estatisticamente significante entre o reflexo c?rneo-palpebral do OD e DE risco de olho seco do OD com a presen?a do DE no OE. Al?m disso, as aus?ncias de outras caracter?sticas cl?nicas apresentaram-se significativas com a presen?a do DE no OE: hiperemia OD e OE, edema palpebral OD e OE, secre??o mucosa OE, uso de bloqueadores neuromusculares e ressecamento ocular no OD e OE. Ainda, o schirmer do OD e OE apresentaram diferen?as de m?dias significativas entre a presen?a e aus?ncia do DE no OE. Em rela??o ? an?lise do ressecamento ocular no OD,a aus?ncia de determinadas caracter?sticas cl?nicas foram estatisticamente significantes para a aus?ncia do ressecamento no OD, a saber: motivo de interna??o por dist?rbio gastrointestinal, lagoftalmia no OD e OE e ressecamento ocular no OE. A presen?a de hiperemia no OD apresentou signific?ncia com a presen?a no ressecamento no OD. Contudo, a aus?ncia da hiperemia no OE mostrou associa??o com a aus?ncia do ressecamento ocular no OD, assim como a secre??o mucosa no OD, edema palpebral OD, proptose OD e uso de anti-inflamat?rio. A presen?a do DE no OD e OE demonstraram associa??o com a aus?ncia do ressecamento ocular no OD. A diferen?a de m?dias do schirmer do OD apresentou rela??o significativa entre a presen?a e aus?ncia do ressecamento ocular no OD, assim como a diferen?a de m?dias dos postos do schirmer do OE. No que concerne ao ressecamento ocular no OE, a presen?a do reflexo c?rneo-palpebral no OD e DE no OD e OE apresentaram rela??o estatisticamente significativa com a aus?ncia do ressecamento ocular no OE. A hiperemia ocular presente no OD e o ressecamento do OE tamb?m demonstraram associa??o. No entanto, a aus?ncia de hiperemia ocular no OE, secre??o mucosa no OE, edema palpebral no OD e OE e o n?o uso de bloqueadores neuromusculares associaram-se significativamente com a aus?ncia do ressecamento ocular no OE. Al?m do mais, como nos demais desfechos existiram diferen?as de m?dias significativas do schirmer OD e OE entre quem apresenta ou n?o ressecamento ocular no OE. Destarte, o conhecimento obtido apresenta estimada relev?ncia no sentido de garantir uma a??o direcionada para a preven??o do ressecamento ocular em pacientes internados em UTI. / This study aimed to identify the Nursing Diagnosis (ND) Dry Eye Risk NANDA-International and ocular dryness in adult patients admitted into the Intensive Care Unit (ICU). This is a cross-sectional study done into the adult ICU of the University Hospital Onofre Lopes. The final sample consisted of 206 patients. An instrument composed of related variables to the sociodemographic data, clinical and risk factors in the study was used for data collection. Inference for the presence of the diagnosis in the patients was performed by nurse diagnosticians. All data collected were organized and stored in a database built by the Statistical Package for Social Sciences (SPSS) version 22.0 for testing. For the discriptive analysis, frequency, measures of the destribution center and it?s variabilities were considered. To compare means, the Student t test was applied for independent samples. In the case of asymmetry, the Mann-Whitney test was used. For associative measurements, Pearson's chi-squared test was used, and when the expected frequencies were lower than five, Fisher's test was applied. The magnitude of the association was verified by the prevalence ratio. This study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte and is funded by the National Scientific and Technological Development Council - CNPq, process n ? 444290 / 2014-1. Of the 206 patients, 52.4% were male, the mean age was 58.41 years and 57.6% lived in the countryside of Rio Grande do Norte. According to the type of hospitalization, 50.5% were surgical (27.7% emergency surgery / emergency and elective surgery 22.8%) and 49.5% were clinics. About comorbidities, 59.7% had hypertension and 31.6% diabetes mellitus. Of the total sample, 47.6% of patients showed the ND in the study. Thus, 52.4% have had a clinical diagnosis of ocular dryness. In the analysis by eye, 56.8% had the ND, while ocular dryness was present in 43.2% of the eyes. The most prevalent risk factors were: environmental factors and treatment regimen (100%), mechanical ventilation therapy (52.4%), aging (51.0%), neurological lesions with sensory motor reflex loss (50.0%), female gender (47.6%) and lifestyle (36.4%). The absence of the following clinical features showed statistically significant association with the presence of ND studied in the right eye (RE): gastrointestinal disorder as the main reason for the hospitalization, lagophthalmos in the RE, lagophthalmos in the left eye (LE), LE hyperemia, RE mucous secretion, RE eyelid edema, RE proptosis and use of anti-inflammatory. The presence of hyperemia in the RE was significant for the absence of ND in the RE. Regarding the LE, there was a statistically significant association between corneal-palpebral reflex RE with the ND's presence in the LE. Moreover, the absence of other clinical characteristics was significant to the ND's presence in the LE: LE hyperemia, RE and LE eyelid edema, LE mucous secretion and use of neuromuscular blockers. Still, there was a significant relationship between the presence of hyperemia in the RE, and the absence of ND in the LE. Regarding the analysis of ocular dryness in the RE, the absence of certain clinical characteristics was statistically significant for the absence of dryness in the RE like gastrointestinal disorder as the reason for the hospitalization, lagophthalmos in the RE and LE, hyperemia in LE, mucous secretion in RE, RE eyelid edema, RE proptosis and use of anti-inflammatory. However, the presence of hyperemia in the RE showed meaning to the presence in the dryness of the RE. Concerning ocular dryness in the LE, the presence of corneal-palpebral reflex in RE showed a statistically significant relationship with the absence of ocular dryness in LE. Ocular hyperemia present in RE and dryness in the LE also showed association. Nevertheless, the absence of ocular hyperemia in LE, mucous secretion in the LE, eyelid edema in RE and LE and the non use of neuromuscular blockers were significantly associated with the absence of ocular dryness in LE. The difference among Schirmers posts? means in the RE and LE showed significant relation between the presence and the ausence of the ND and ocular dryness in the RE and LE. The magnitude of the association demonstrates that the presence of ND in the RE is almost four times greater for the presence of ND in the LE. Thus, the knowledge gained has valued relevance when it comes to ensure an action directed to the prevention of ocular dryness in ICU patients.
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Valida??o do diagn?stico de enfermagem risco de olho seco em pacientes adultos internados em unidade de terapia intensiva / Validation of diagnostic nursing Risk of dry eye in adult patients hospitalizes in the Intensive Care Unit

Botareli, Fabiane Rocha 12 December 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-17T23:08:15Z No. of bitstreams: 1 FabianeRochaBotareli_TESE.pdf: 2442381 bytes, checksum: 41d6068d7d112e405810a025b8ac5066 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-20T21:10:14Z (GMT) No. of bitstreams: 1 FabianeRochaBotareli_TESE.pdf: 2442381 bytes, checksum: 41d6068d7d112e405810a025b8ac5066 (MD5) / Made available in DSpace on 2017-04-20T21:10:14Z (GMT). No. of bitstreams: 1 FabianeRochaBotareli_TESE.pdf: 2442381 bytes, checksum: 41d6068d7d112e405810a025b8ac5066 (MD5) Previous issue date: 2016-12-12 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) / Objetivou-se validar o diagn?stico de enfermagem Risco de olho seco em pacientes internados em Unidade de Terapia Intensiva. Trata de um e 1) Constru??o das defini??es conceituais e operacionais dos fatores de risco do olho seco; 2) Valida??o cl?nica do diagn?stico de enfermagem Risco de olho seco. A primeira etapa foi operacionalizada por meio de revis?o integrativa para constru??o das defini??es conceituais e operacionais dos fatores de risco para o olho seco e subsidiou a etapa de valida??o cl?nica. Esta foi operacionalizada por meio de um estudo de coorte prospectivo Definiu-se a amostra de 69 pacientes com tempo de coleta de 7 meses. Crit?rios de inclus?o: pacientes sem olho seco na admiss?o, idade maior ou igual de 18 anos e tempo de interna??o maior que 24 horas. Crit?rios de exclus?o: diagn?stico pr?vio de doen?as da superf?cie ocular, cirurgias faciais e uso de qualquer tipo de medicamento ocular t?pico. A avalia??o aconteceu diariamente e com tempo de seguimento de at? cinco dias. O desfecho de olho seco foi estabelecido por crit?rios cl?nicos e teste de Schirmer. Os dados descritivos foram analisados por meio de frequ?ncias simples, m?dia, mediana, desvio padr?o e coeficiente de varia??o. As medidas de associa??o entre as vari?veis de desfecho e preditoras foram calculadas pelo teste qui-quadrado e teste exato de Fisher. O n?vel de signific?ncia adotado foi de 5%. A medida de associa??o entre exposi??o e desfecho utilizada foi o Risco Relativo. Esta pesquisa foi submetida e aprovada pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte. 75,36% dos pacientes tiveram olho seco e 24,64% o diagn?stico de enfermagem Risco de olho seco. A etapa 1 do estudo permitiu o refinamento dos fatores de risco para os pacientes internados em UTI e construiu as defini??es constitutivas e operacionais para padroniza??o da valida??o cl?nica. Os fatores de risco validados na etapa 2 foram: lagoftalmia (p <0,041; RR=3,51); ventila??o mec?nica invasiva (p<0,002; RR=2,18), quemose (<0,06; RR=4,94), aus?ncia ou redu??o do reflexo espont?neo de piscar (p<0,037; RR=0,60); analg?sicos opi?ides (p< 0,001; RR=17,50); sedativos (p<0,001; RR=10,83); antibi?ticos (p< 0,029; RR=7,69); vasodilatadores (p< 0,019; RR=0,19). Os resultados possibilitaram a revis?o do diagn?stico de enfermagem e sugeriu a mudan?a do termo olho seco para ressecamento ocular. Al?m disso, baseados nas evid?ncias apresentadas dos crit?rios definidos para o desfecho de ressecamento ocular (hiperemia conjuntival: RR=18,37; secre??o mucosa: RR=12; teste de Schirmer: RR=0,35; todos com p <0,001) foi proposto um novo diagn?stico de enfermagem Ressecamento ocular. Portanto, acredita-se que este estudo ? inovador para o avan?o do conhecimento sobre a tem?tica e para o aperfei?oamento e valida??o do uso da taxonomia da NANDA-I por enfermeiros que atuam neste cen?rio, com vistas a proporcionar subs?dio para avalia??o ocular precisa, acur?cia na infer?ncia do diagn?stico em quest?o, predi??o de risco como ado??o de medidas de preven??o e monitoramento de complica??es. / The objective of this study was to validate the nursing diagnosis of dry eye risk in patients admitted to the Intensive Care Unit. It is a methodological study developed in two stages of validation of nursing diagnoses: 1) Construction of the conceptual and operational definitions of dry eye risk factors; 2) Clinical validation of the nursing diagnosis Dry eye risk. The first step was operationalized through an integrative review to construct the conceptual and operational definitions of risk factors for dry eye and subsidized the clinical validation stage. This was performed using a prospective cohort study. A sample of 69 patients with a collection time of 7 months was defined. Inclusion criteria: patients without dry eye at admission, age greater than or equal to 18 years and length of hospital stay longer than 24 hours. Exclusion criteria: prior diagnosis of ocular surface diseases, facial surgeries and use of any topical ocular medication. The evaluation took place daily and with a follow-up time of up to five days. The dry eye outcome was established by clinical criteria and Schirmer's test. Descriptive data were analyzed using simple frequencies, mean, median, standard deviation and coefficient of variation. The measures of association between the outcome variables and predictors were calculated using the chi-square test and Fisher's exact test. The level of significance was 5%. The measure of association between exposure and outcome used was Relative Risk. This research was submitted and approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte. 75.36% of the patients had dry eye and 24.64% the nursing diagnosis Dry eye risk. Stage 1 of the study allowed the refinement of risk factors for ICU patients and constructed the constitutive and operational definitions for the standardization of clinical validation. The risk factors validated in stage 2 were: lagoftalmia (p <0.041; RR = 3.51); (P <0.001, RR = 0.60), absence or reduction of the spontaneous flashing reflex (p <0.037, RR = 0.60); Opioid analgesics (p <0.001, RR = 17.50); Sedatives (p <0.001, RR = 10.83); Antibiotics (p <0.029, RR = 7.69); Vasodilators (p <0.019, RR = 0.19). The results allowed the revision of the nursing diagnosis and suggested the change of dry eye term for ocular dryness. In addition, based on the evidence presented from the criteria defined for the outcome with p <0.001 for ocular dryness (conjunctival hyperemia: RR = 18.37; mucus secretion: RR = 12; Schirmer test: RR = 0.35) was possible propose a new nursing diagnosis Eye dryness. Therefore, it is believed that this study is innovative for the advancement of knowledge on the subject and for the improvement and validation of the use of NANDA-I taxonomy by nurses working in this scenario, in order to provide support for precise ocular evaluation, accuracy In the inference of the diagnosis in question, prediction of risk as adoption of measures of prevention and monitoring of complications.

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