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Previous issue date: 2015-01-29 / Estudo do tipo metodol?gico, com objetivo de validar o conte?do do diagn?stico de enfermagem Prote??o ineficaz em pacientes submetidos ? hemodi?lise. A pesquisa ocorreu em duas etapas, a saber: an?lise de conceito e de conte?do por especialistas. A primeira foi operacionalizada atrav?s da revis?o integrativa nas bases de dados LILACS, CINHL, PUBMED, SCOPUS e COCHRANE, com o cruzamento das palavras prote??o e hemodi?lise. Encontrou-se 32 artigos, nos quais foram identificados os atributos, antecedentes e consequentes. Na segunda etapa, elaborou-se um instrumento com os componentes do diagn?stico em estudo. Esse instrumento foi analisado por 22 especialistas em nefrologia e na terminologia da NANDA Internacional. O teste binomial foi utilizado para avaliar a propor??o de especialistas que classificaram cada item como adequado, considerando-se o n?vel de signific?ncia de 5%. Elaborou-se, assim, a seguinte proposta para o diagn?stico de enfermagem prote??o ineficaz em pacientes submetidos ? hemodi?lise: defini??o: a mesma apresentada na Taxonomia II da NANDA Internacional, localiza??o: dom?nio seguran?a/prote??o e classe les?o f?sica. Os fatores relacionados s?o: Aus?ncia das vacinas de rotina; N?o ades?o aos cuidados relacionados aos acessos vasculares; N?o ades?o ?s medidas de controle de infec??o; N?o ades?o ? dieta prescrita; N?o ades?o ? terapia medicamentosa; Presen?a de comorbidades; Abuso de drogas; Dist?rbios imunol?gicos; Extremos de idade; Perfis sangu?neos anormais; Medicamentos que reduzem a imunidade; e Efeitos colaterais e adversos relacionados ao tratamento. E caracter?sticas definidoras: Presen?a de invasores na corrente sangu?nea; Dist?rbios nutricionais; Aumento do n?mero de hospitaliza??es; Peso seco descontrolado; Acesso vascular infeccionado; Acesso vascular inadequado; Aumento da press?o arterial sist?mica; Febre; Altera??o da coagula??o; Defici?ncia da imunidade; Fadiga; Fraqueza; Prurido; e Resposta mal adaptada ao estresse. Conclui-se, assim, que a identifica??o dos atributos definidores, antecedentes e consequentes aumentou a riqueza do vocabul?rio, possibilitando a constru??o de defini??es te?ricas e emp?ricas para uma compreens?o mais ampliada do conceito prote??o. Outrossim, o estudo contribuiu para o enriquecimento do corpo de conhecimento espec?fico da enfermagem, assim como no direcionamento da assist?ncia do enfermeiro aos pacientes em hemodi?lise. / Methodological study, in order to validate the content of the nursing diagnosis
protection ineffective in patients undergoing hemodialysis. The research took place in
two stages, namely: concept
analysis
and content analysis
of the instrument
by
experts. T
he first step was operationalized through
an
integrative review
of the
databaes
LILACS, CINAHL, PubMed, Scopus and Cochrane, with the
key
words
protection and hemodialysis, in October and November 2013. The sample consisted
of 32
articles, which were analyz
ed by
a c
areful
reading to identify
the
sections that
correspond
ed
to the defining attributes
,
antecedents and consequences of protection
in patients undergoing hemodialysis.
T
he interpretation for
the
diagnosis
of
effective
protection
was made
by transpos
ing the components of
the
diagnosis (definition,
defining characteristics and related factors)
to the denial form
. In the second stage,
we elaborated an instrument with the components of the nursing diagnostic
s studied
and proceeded
to the analysis
conduct
ed in April 2014
by 22 specialists in
nephrology and in the terminology of the NANDA International, selected by
means of
th
e Lattes Platform
. We used the binomial
test
to assess the proportion of experts
who rated each item
as appropriate, considering a
si
gnificance level of 5%. The
project was approved by the Ethics Committee of the institution responsible for the
research, an opinion on num
b
er 387 837 and CAAE 18486413.0.0000.5537. The
results show that the proposal for the nursing diagnosis of ineffectiv
e protection in
patients undergoing hemodialysis is: definition
-
the same as that presented in the
NANDA International Taxonomy II, location
-
domain safety / protection and class
injury. Related factors are: Absence of routine vaccines; Non
-
adherence to
care
related to vascular access; Non
-
adherence to infection control measures; Non
-
adherence to prescribed diet; Non
-
adherence to drug therapy; Presence of
comorbidities; Drug abuse; Immune disorders; Extremes of age; Abnormal blood
profiles; Drugs that red
uce immunity; and side effects and adverse treatment
-
related.
The defining characteristics are: Presence of invading the bloodstream; Nutritional
disorders; Increase in the number of hospitalizations; Uncontrolled dry weight;
Infected vascular access; Vasc
ular inadequate access; Increased blood pressure;
fever; Bleeding disorder; Disability immunity; fatigue; weakness; itching; and
maladaptive response to stress. It follows that the identification of the defining
attributes, antecedents and consequences inc
reased the wealth of vocabulary,
allowing the construction of theoretical and empirical definitions for a broader
understanding of the concept protection. Furthermore, the study contributed to the
enrichment of nursing specific body of knowledge, as well a
s in the direction of
nursing care for patients undergoing hemodialysis.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19920 |
| Date | 29 January 2015 |
| Creators | Fraz?o, Cecilia Maria Farias de Queiroz |
| Contributors | 64194892372, http://lattes.cnpq.br/4545130167501174, Enders, Bertha Cruz, 25444816415, http://lattes.cnpq.br/7658846319631166, Lopes, Marcos Ven?cios de Oliveira, 67729410397, http://lattes.cnpq.br/9321075005010548, Silva, Richardson Augusto Rosendo da, 02508410454, http://lattes.cnpq.br/2184669241700299, Ramos, V?nia Pinheiro, 12717851453, http://lattes.cnpq.br/1188668343623047, Lira, Ana Luisa Brandao 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/doctoralThesis |
| 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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