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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22436 |
| Date | 30 November 2016 |
| Creators | Souza Neto, Vinicius Lino de |
| Contributors | 02508410454, http://lattes.cnpq.br/2184669241700299, Lima, Maria Alzete de, 91943540306, http://lattes.cnpq.br/8917202234995917, N?brega, Maria Miriam Lima da, 13212559420, http://lattes.cnpq.br/5234341422159267, Souza, Nilba Lima de, 42997186404, http://lattes.cnpq.br/3552543432083948, Silva, Richardson Augusto Rosendo da |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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