Prevalence, Defining Characteristics, and Related Factors of the Nursing Diagnosis of Anxiety in Hospitalized Medical-Surgical Patients

2018 ◽  
Vol 50 (2) ◽  
pp. 181-190 ◽  
Author(s):  
Gianfranco Sanson ◽  
Annalisa Perrone ◽  
Adriana Fascì ◽  
Fabio D'Agostino
2020 ◽  
Vol 18 ◽  
pp. 205873922096054
Author(s):  
Faiz Ullah Khan ◽  
Yu Fang ◽  
Zakir Khan ◽  
Farman Ullah Khan ◽  
Zafar Iqbal Malik ◽  
...  

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.


2018 ◽  
pp. 121-126
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick

Venous thromboembolism is a common but largely preventable complication following surgery. However, fatal complications can occur as a result of pulmonary embolism following deep vein thrombosis. A structured risk assessment should be performed preoperatively in all surgical patients and thromboprophylaxis measures should be tailored according to patient- and procedure-related factors. These measures include anticoagulation with low molecular weight heparin and the use of mechanical compression devices.


2015 ◽  
Vol 11 (7S_Part_12) ◽  
pp. P561-P561
Author(s):  
Renata Eloah de Lucena Ferretti-Rebustini ◽  
Daniele Vieira da Silva ◽  
Juliana Nery Souza-Talarico ◽  
Daniela Souza Farias ◽  
Ricardo Caires Neves ◽  
...  

Author(s):  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
◽  
Bertha Cruz Enders ◽  
Alexsandro Silva Coura ◽  
Ana Luisa Brandão de Carvalho Lira ◽  
...  

2009 ◽  
Vol 3 (2) ◽  
pp. 292 ◽  
Author(s):  
Maria Clerya Alvino Leite ◽  
Maria Mirtes da Nobrega ◽  
Maria Miriam Lima da Nobrega

ABSTRACTObjective: to elaborate the profile of nursing diagnoses in pregnant women assisted in a Family’s Health Unit based on NANDA-I’s Taxonomy II. Method: this is about a retrospective study, analytic descriptive, regards to analysis from 20 pregnant women handbooks registered in the prenatal program from a family’s health unit. Data were collected in July 2008, with a form composed of three parts: partner-demographic data, obstetric data and referring data to defining characteristics and related factors (of risk) of the nursing diagnoses. Diagnoses were analyzed based on the descriptive statistics and discussed according to obstetrics references. Results: 13 nursing diagnoses were elaborated: risk for infection of the genital tract, ineffective maintenance of the health, risk for infection of the urinary tract, prejudiced urinary elimination, nauseas, sharp pain (head, pelvis and lumbar), fatigues, insomnia, sexual dysfunction, risk of paternity or prejudiced maternity, volume of excessive liquid, constipation, anxiety. Conclusion: the objective of the study was researched and we hope from the nursing diagnoses elaborated, some nursing interventions specific be addressed to the problems identified in the pregnant women during the prenatal consultations. Descriptors: nursing diagnosis; nursing assistance; assistance pré-natal; pregnancy.RESUMOObjetivo: elaborar o perfil de diagnósticos de enfermagem em gestantes atendidas em Unidade de Saúde da Família com base na Taxonomia II da NANDA-I. Método: trata-se de um estudo retrospectivo, analítico descritivo, com dados colhidos em prontuários das 20 gestantes cadastradas no programa de pré-natal de uma unidade de saúde da família. Os dados foram coletados no mês de julho de 2008 em formulário composto de três partes: dados sócio-demográficos, dados obstétricos e dados referentes a características definidoras e fatores relacionados (de risco) dos diagnósticos de enfermagem. Os diagnósticos foram analisados levando-se em consideração a estatística descritiva e discutidos à luz de referenciais da obstetrícia. Resultados: foram elaborados 13 diagnósticos de enfermagem: risco para infecção do trato genital, manutenção ineficaz da saúde, risco para infecção do trato urinário, eliminação urinária prejudicada, náusea, dor aguda (cabeça, pelve e lombar), fadiga, insônia, disfunção sexual, risco de paternidade ou maternidade prejudicada, volume de líquido excessivo, constipação, ansiedade. Conclusão: o objetivo do estudo foi atendido e espera-se que a partir dos diagnósticos de enfermagem elaborados, possam ser direcionadas intervenções de enfermagem específicas aos problemas detectados nas gestantes durante as consultas de pré-natal. Descritores: diagnóstico de enfermagem; assistência de enfermagem; assistência pré-natal; gestação. RESUMENObjetivo: elaborar el perfil de los diagnósticos de enfermería en las mujeres embarazadas ayudado en Unidad de Salud de la Familia con base en el Taxonomia II del NANDA-I. Método: trata-se del estudio retrospectivo, analítico descriptivo, con dados colectados en prontuarios de 20 mujeres embarazadas registró en el programa de prenatal de unidad de salud de la familia. Los datos eran reunidos no mes de julio de 2008 en formulario compuesta de tres partes: los datos compañero-demográficos, datos obstétricos y datos refiriéndose a los definidoras de las características y los factores relacionados (de riesgo) de los diagnósticos de enfermería. La colección de datos de los archivos era cumplida por el mes de julio de 2008. Los diagnósticos se analizaron ser alojado la consideración las estadísticas descriptivas y discutieron a la luz de referenciales de la obstetricia. Resultados: se elaboraron 13 diagnósticos de la enfermería: riesgo para la infección del tracto genital, mantenimiento ineficaz de la salud, el riesgo para la infección del tracto urinario, la eliminación urinario prejuiciada, la náusea, el dolor afilado (la cabeza, pelvis y lumbar), fatiga, insomnio, el trastorno sexual, el riesgo de paternidad o la maternidad prejuiciada, el volumen de líquido excesivo, el estreñimiento, la ansiedad. Conclusión: el objetivo del estudio forra alcanzado y ha esperado que de los diagnósticos de enfermería elaborada, puedan diseccionar intervenciones de enfermería específica a los problemas identificados en las mujeres embarazadas durante las consultaciones de prenatal. Descriptores: diagnósticos de enfermería. asistencia de enfermería. asistencia prenatal. gestación.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Cristina Maria Alves Marques-Vieira ◽  
Luís Manuel Mota de Sousa ◽  
Lisete Maria Ribeiro de Sousa ◽  
Sílvia Maria Alves Caldeira Berenger

ABSTRACT Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host (r) , SCOPUS and ISI, and using the search strategy walk* OR gait AND Nurs*. A sample of 36 studies was obtained. A total of 17 defined characteristics and 34 related factors were identified. Among all, nine defined characteristics and 20 related factors are not listed in the diagnosis of NANDA International. This research identified new defined characteristics and related factors not listed in NANDA International. This study is a contribution to the development of the taxonomy of NANDA International, which should represent nursing knowledge, and this highlights some implications for clinical practice, education and further research.


1997 ◽  
Vol 27 (3) ◽  
pp. 705
Author(s):  
Young Hee Choi ◽  
Hyang Yeon Lee ◽  
Hea Sook Kim ◽  
So Sun Kim ◽  
Kwang Ok Park ◽  
...  

2019 ◽  
Vol 72 (1) ◽  
pp. 221-230
Author(s):  
Patricia Rezende do Prado ◽  
Ana Rita de Cássia Bettencourt ◽  
Juliana de Lima Lopes

ABSTRACT Objective: To identify in the literature the defining characteristics and related factors of the nursing diagnosis "ineffective breathing pattern". Method: Integrative review with the steps: problem identification, literature search, evaluation and analysis of data and presentation of results. Results: Twenty articles and two dissertations were included. In children, the most prevalent related factor was bronchial secretion, followed by hyperventilation. The main defining characteristics were dyspnea, tachypnea, cough, use of accessory muscles to breathe, orthopnea and adventitious breath sounds. Bronchial secretion, cough and adventitious breath sounds are not included in the NANDA-International (NANDA-I). For adults and older adults, the related factors were fatigue, pain and obesity and the defining characteristics were dyspnea, orthopnea and tachypnea. Conclusion: This diagnosis manifests differently according to the patients’ age group. It was observed that some defining characteristics and related factors are not included in the NANDA-I. Their inclusion can improve this nursing diagnosis.


2017 ◽  
Vol 41 (S1) ◽  
pp. S407-S407
Author(s):  
C.M. Carvalho ◽  
T.V. Cardoso Vernaglia ◽  
D. de Assis Correa Soria ◽  
T.D.J. Espirito Santo da Silva ◽  
S.R. de Souza ◽  
...  

Anxiety in elderly can be diagnosed based on a detailed history and cognitive examination using various instruments. These instruments aim to obtain information that supports both the syndromic and etiological diagnosis and the planning and execution of therapeutic and rehabilitation measures to be used in each case. During the nursing consultation with elderly people in the Federal University of State of Rio de Janeiro (UNIRIO), many patients with cognitive impairment showed anxious behavior. The study objectives to describe the factors related to the nursing diagnose anxiety in elderly patients attended in the nursing consultation. The consultations are based in the application of the nursing process. After the symptoms analysis, the nursing diagnosis anxiety is complemented with the related factors. The principals are death threat (64%), stressors (19%) and not needs met (17%). The data found are associated with cognitive impairment. Cognitive impairment in the elderly can lead to anxiety, depression and hopelessness, according to many studies.ConclusionsWorking the cognitive needs, and reducing stressors are appropriate strategies to reduce the anxiety. The care with the health professionals is important to notice the related factors early and improve the strategies.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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