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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22430 |
| Date | 25 November 2016 |
| Creators | Ara?jo, Aryele Rayana Antunes de |
| Contributors | 70495742368, http://lattes.cnpq.br/8649283681727209, Enders, Bertha Cruz, 25444816415, http://lattes.cnpq.br/7658846319631166, Melo, Gabriela de Sousa Martins, 05671050405, http://lattes.cnpq.br/8320620928250775, Costa, Isabelle Katherinne Fernandes, 06605883403, http://lattes.cnpq.br/5903265312273525, Mota, Maria Lurdemiler Sab?ia, 36848930300, http://lattes.cnpq.br/9677625792244013, Feij?o, Alexsandra Rodrigues |
| 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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