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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21716 |
| Date | 08 August 2016 |
| Creators | Andriola, Isadora Costa |
| Contributors | 64194892372, Lopes, Marcos Ven?cios de Oliveira, 67729410397, Santos, Paula Fernanda Brand?o Batista dos, 80211054372, Lira, Ana Luisa Brand?o de Carvalho |
| 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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