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Previous issue date: 2014-12-17 / O estudo objetivou analisar os diagn?sticos de enfermagem do dom?nio
seguran?a/prote??o da Nanda Internacional presentes nos pacientes internados em
Unidade de Terapia Intensiva. Trata-se de um estudo transversal, realizado no complexo
de terapia intensiva de um hospital universit?rio no Nordeste do Brasil. A pesquisa
ocorreu em duas etapas. A primeira etapa consistiu na coleta de dados, por meio de um
formul?rio de entrevista e de exame f?sico, com 86 pacientes internados na referida
unidade, durante os meses de dezembro de 2013 a maio de 2014. As planilhas foram
constru?das no Software Microsoft Office Excel 2010, nas quais foram assinaladas, pela
pesquisadora deste estudo, a presen?a ou aus?ncia das caracter?sticas definidoras,
fatores relacionados e fatores de risco dos 31 diagn?sticos estudados. Na segunda etapa,
realizada entre julho e agosto de 2014, as planilhas foram enviadas a tr?s
diagnosticadores, previamente treinados, para a realiza??o da infer?ncia diagn?stica. Os
dados foram analisados por meio de estat?stica descritiva e inferencial para os
diagn?sticos que apresentaram frequ?ncias maiores que 50%, com aux?lio do IBM SPSS
Statistic vers?o 20.0 for Windows.O projeto recebeu parecer favor?vel no
440/414 e
Certificado de Apresenta??o para Aprecia??o ?tica no
22955113.2.0000.5292. Os
resultados apontaram a presen?a de 29 diagn?sticos de enfermagem do dom?nio
seguran?a/prote??o na clientela internada em Unidade de Terapia Intensiva, dentre os
quais cinco estiveram presentes em 100% dos pacientes, a saber: Risco de
contamina??o, Risco de les?o, Risco de quedas, Risco de resposta al?rgica e Risco de
trauma. Os diagn?sticos que apresentaram frequ?ncia superior a 50% foram: Risco de
infec??o, Risco de olho seco, Risco de envenenamento, Risco de trauma vascular,
Integridade da pele prejudicada, Denti??o prejudicada, Risco de sangramento, Risco de
desequil?brio na temperatura corporal, Risco de les?o por posicionamento
perioperat?rio, Integridade tissular prejudicada, Risco de disfun??o neurovascular
perif?rica, Risco de resposta adversa ao meio de contraste com iodo, Risco de choque e
Risco de aspira??o. Para esses diagn?sticos, foram identificados 35 fatores de risco, 11
caracter?sticas definidoras e tr?s fatores relacionados que apresentaram associa??o
estat?stica significativa com os diagn?sticos estudados. Para os diagn?sticos: Risco de
contamina??o, Risco de les?o, Risco de quedas, Risco de resposta al?rgica, Risco de
7
trauma, Risco de infec??o, Risco de olho seco e Risco de envenenamento n?o houve
associa??o com nenhuma de seus fatores de risco. Conclui-se que a maioria dos
diagn?sticos de enfermagem do dom?nio seguran?a/prote??o apresentam-se prevalentes
nos pacientes cr?ticos, com aten??o especial para os diagn?sticos de risco. Ocorreu
associa??o significativa entre esses diagn?sticos e seus componentes. Destaca-se, assim,
que o levantamento desse perfil contribui com pistas relevantes para a infer?ncia dos
diagn?sticos de enfermagem priorit?rios do dom?nio seguran?a/prote??o na popula??o
estudada, auxiliando a pr?xis da enfermagem e estimulando o conhecimento a respeito
do assunto. / The study aimed to analyze the field of nursing diagnoses safety / protection of
NANDA International present in patients in the Intensive Care Unit. This is a crosssectional
study in intensive care complex of a university hospital in northeastern Brazil.
The research took place in two stages. The first step was to collect data through an
interview form and physical examination, with 86 patients admitted to the unit, during
the months of December 2013 to May 2014. Spreadsheets were built in Microsoft
Office Excel 2010 Software in which were marked by the researcher of this study, the
presence or absence of defining characteristics, related factors and risk factors of the 31
studied diagnoses. In the second stage, held between July and August 2014, the sheets
were sent to three diagnosticians, previously trained to perform the diagnostic inference.
Data were analyzed using descriptive and inferential statistics for the diagnoses that
showed higher frequencies than 50%, using IBM SPSS version 20.0 for Statistic
Windows.O project was approved by the 440/414 and Presentation Certificate for Ethics
Assessment number 22955113 .2.0000.5292. The results indicated the presence of 29
field of nursing diagnoses safety / protection in hospital clientele in the Intensive Care
Unit, of which five were present in 100% of patients, namely: Risk of contamination,
injury risk, falls risk,risk of allergic response and risk of trauma. Diagnoses that
presented more frequently than 50% were: Risk of infection, dry eye risk, poisoning
risk, vascular trauma risk, impaired skin integrity, impaired dentition, bleeding risk, risk
imbalance in body temperature, Risk perioperative positioning injury, impaired tissue
integrity, peripheral neurovascular dysfunction Risk, Risk adverse response to contrast
media with iodine, shock Hazard and Risk of aspiration. For these analyzes, we
identified 35 risk factors, 11 defining characteristics and three related factors showed
statistically significant association with the studied diagnoses. For diagnostics: Risk of
contamination, injury risk, falls risk, allergic response risk, trauma Risk, Risk of
infection, dry eye risk and risk poisoning there was no association with any of their risk
factors. We conclude that most of the area of nursing diagnoses safety / protection
feature is prevalent in critically ill patients, with special attention to the risk diagnoses.
There was a significant association between these diagnoses and its components. It is
noteworthy, therefore, that the lifting of this profile contributes relevant clues to the
inference of the priority nursing diagnoses domain safety / protection in the study
population, supporting the practice of nursing and stimulating knowledge on the subject.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19960 |
| Date | 17 December 2014 |
| Creators | Dantas, Anna L?via de Medeiros |
| Contributors | 64194892372, http://lattes.cnpq.br/4545130167501174, Andrade, Ana Cristina Ara?jo de, 67214274434, http://lattes.cnpq.br/9269137789041857, Moreira, Rafaella Pessoa, 96708859300, http://lattes.cnpq.br/2222635833202747, Lira, Ana Luisa Brand?o de Carvalho |
| Publisher | Universidade Federal do Rio Grande do Norte, 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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