scholarly journals Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Leonel Alves do Nascimento ◽  
Aline Korki Arrabal Garcia ◽  
Marilia Ferrari Conchon ◽  
Marcos Venícios de Oliveira Lopes ◽  
Lígia Fahl Fonseca

ABSTRACT Objectives: to analyze the perioperative thirst concept for the development of a new diagnostic structure according to NANDA International. Methods: a concept analysis study based on the framework proposed by Walker and Avant, instrumentalized through an integrative literature review based on SCOPUS, CINAHL, PUBMED, LILACS, and WOS. The elaboration of the diagnostic structure followed NANDA International guidelines. Results: 41 studies were analyzed revealing that perioperative thirst is prevalent and intense, having visceral and behavioral attributes as the core of the concept. Antecedents indicate that surgical patients are vulnerable to thirst; and consequents 16 signs and symptoms were organized and model cases were developed. A diagnostic structure has been developed for perioperative thirst. Final Considerations: concept analysis allowed language standardization that describes thirsty patients, helping the identification, planning of actions and communication of perioperative nursing care.

2019 ◽  
Vol 8 (4) ◽  
pp. 162-169
Author(s):  
Seçil Melikoğlu ◽  
◽  
Yeliz Çulha ◽  
Hatice Kaya ◽  
Necmettin Tanrıöver ◽  
...  

Pituitary tumors are the most common tumors of benign brain tumors, accounting for about one-fifth of all intra cranial tumors. Pituitary tumors include; nonfunctional adenomas and prolactinomas are followed by tumors that secrete growth hormone or acromegaly. Physical changes and systemic complications caused by acromegaly have negative effects on the bio-physiological, psychological and social dimensions of individuals. Diagnosis, treatment, care and follow-up of the disease; It requires a approach to multidisciplinary from endocrine to neurosurgery. The nurse should know the signs and symptoms of the disease, treatment, side effects that may be caused by the treatment, complications and the care interventions to solve the problems that arise and should plan the individualized care to improve the psychological health and quality of life by increasing the individual’s biophysiological functions. The use of the nursing process for the scientific and systematic realization of the care, as well as the use of the nursing process to get her with a model/theory, guide the nurse in the provision of individualized care. In this context, individualized care of the patient who is planned to be operated due to acromegaly, a rare disease, is discussed by integrating with the Model of Nursing. (JNNN 2019;8(4):162–169) Key Words: acromegaly, nursing care, nursing diagnosis


2018 ◽  
Vol 12 (1) ◽  
pp. 247 ◽  
Author(s):  
Renata Soares Passinho ◽  
Cândida Caniçali Primo ◽  
Walckiria Garcia Romero Sipolatti ◽  
Mirian Fioresi

RESUMOObjetivo: analisar as produções científicas a respeito da frequência dos sinais, sintomas e complicações do infarto agudo do miocárdio. Método: revisão integrativa, com busca publicações entre 2010 a 2014 nas bases de dados LILACS, MEDLINE e CINAHL. O processo de análise dos 122 artigos selecionados deu-se por meio da leitura exploratória e crítica dos títulos, resumos e dos resultados das pesquisas, onde se buscaram os fenômenos relacionados ao IAM (sinais, sintomas e complicações). Resultados: A dor no peito (N = 75), a insuficiência cardíaca (N = 52), a dispneia (N= 24) e a arritmia (N= 20) foram os sinais e sintomas mais encontrados. Conclusão: a dor no peito é o sintoma mais frequente da doença. O reconhecimento precoce desses fenômenos irá contribuir para a melhoria do prognóstico da pessoa acometida. Descritores: Cuidados de Enfermagem; Diagnóstico de Enfermagem; Infarto Agudo do Miocárdio; Classificação; Enfermeiras e Enfermeiros; Cardiologia.ABSTRACTObjective: to analyze the scientific productions regarding the frequency of signs, symptoms and complications of acute myocardial infarction. Method: integrative review, with search publications between 2010 to 2014, in the databases LILACS, MEDLINE and CINAHL. The process of analysis of the 122 articles selected was based on the exploratory and critical reading of the titles, abstracts and results of the research, in which the AMI-related phenomena (signs, symptoms and complications) were searched. Results: chest pain (N = 75), heart failure (N = 52), dyspnea (N = 24) and arrhythmia (N = 20) were the most common signs and symptoms. Conclusion: chest pain is the most frequent symptom of the disease. The early recognition of these phenomena will contribute to the improvement of the prognosis of the affected person. Descriptors: Nursing Care; Nursing diagnosis; Acute Myocardial Infarction; Classification; Nurses and Nurses; Cardiology.RESUMENObjetivo: analizar las producciones científicas acerca de la frecuencia de los signos, síntomas y complicaciones del infarto agudo de miocardio. Método: revisión integrativa, con búsqueda publicaciones entre 2010 a 2014, en las bases de datos LILACS, MEDLINE y CINAHL. El proceso de análisis de los 122 artículos seleccionados se dio por medio de la lectura exploratoria y crítica de los títulos, resúmenes y de los resultados de las investigaciones, donde se buscaron los fenómenos relacionados al IAM (signos, síntomas y complicaciones). Resultados: el dolor en el pecho (N = 75), la insuficiencia cardiaca (N = 52), la disnea (N = 24) y la arritmia (N = 20) fueron los signos y síntomas más encontrados. Conclusión: el dolor en el pecho es el síntoma más frecuente de la enfermedad. El reconocimiento precoz de estos fenómenos contribuirá a la mejora del pronóstico de la persona acometida. Descriptores: Cuidados de Enfermería; Diagnóstico de Enfermería; Infarto Agudo de Miocardio; Clasificación; Enfermeras y Enfermeras; Cardiología.


2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.


2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza de Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.


2013 ◽  
Vol 27 (2) ◽  
pp. 95-114 ◽  
Author(s):  
Irene Oliveira

Reference to the concept of comfort measures is growing in the nursing and medical literature; however, the concept of comfort measures is rarely defined. For the comfort work of nurses to be recognized, nurses must be able to identify and delineate the key attributes of comfort measures.A concept analysis using Rodgers’ evolutionary method (2000) was undertaken with the goal of identifying the core attributes of comfort measures and thereby clarifying this concept. Health care literature was accessed from the CINAHL and PubMed databases. No restrictions were placed on publication dates.Four main themes of attributes for comfort measures were identified during the analysis. Comfort measures involve an active, strategic process including elements of “stepping in” and “stepping back,” are both simple and complex, move from a physical to a holistic perspective and are a part of supportive care. The antecedents to comfort measures are comfort needs and the most common consequence of comfort measures is enhanced comfort.Although the concept of comfort measures is often associated with end-of-life care, this analysis suggests that comfort measures are appropriate for nursing care in all settings and should be increasingly considered in the clinical management of patients who are living with multiple, chronic comorbidities.


2018 ◽  
Vol 6 ◽  
pp. 205031211881830 ◽  
Author(s):  
Amalia Sillero Sillero ◽  
Adelaida Zabalegui

Objective: Although numerous studies have assessed patient satisfaction in diverse settings, in the realm of nursing surgical care, standardization of measurement for patient experience and satisfaction is lacking. Therefore, the aim of this study was to assess the satisfaction of surgical patients with perioperative nursing care. Method: A descriptive cross-sectional survey was conducted. Sociodemographic characteristics and clinical data were recorded. Patient satisfaction was measured with a modified version of the La Monica–Oberst Patient Satisfaction Scale (LOPSS-12). Results: 150 patients (73 women, 49% and 77 men; 51%) completed the survey. The mean age was 63 years (standard deviation, 16 years). The mean overall satisfaction score on the La Monica–Oberst Patient Satisfaction Scale was 3.17 (standard deviation, 0.21). The scale showed adequate content validity (Lawshe’s Content Validity Index was 0.76) and moderate reliability (Cronbach’s alpha = 0.70). Two variables—patient sex and the presence of comorbidities—were significantly associated with overall satisfaction: men and patients with comorbidities were more satisfied with the care received. Patients with university studies were significantly more likely than patients with less education to consider nurses “impatient,” but also considered the nurses’ advice to be “useful.” Patients with hospital-acquired complications were more likely to perceive nurses to be “more interested in completing tasks than in listening,” although they also felt that nurses worked “conscientiously.” Conclusion: Overall, patient satisfaction with perioperative nursing care was good. This study identified several areas of nursing care in need of improvement, particularly the need to spend more time with patients and to keep them better informed about the perioperative process. The modified La Monica–Oberst Patient Satisfaction Scale is suitable for measuring surgical patient satisfaction with perioperative nursing care. The findings presented here may be of value to nursing administrators, educators, and nursing care providers to improve patient satisfaction and to develop strategies to prevent patient dissatisfaction.


2014 ◽  
Vol 27 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Rosimere Ferreira Santana ◽  
Dayana Medeiros do Amaral ◽  
Shimmenes Kamacael Pereira ◽  
Tallita Mello Delphino ◽  
Keila Mara Cassiano

OBJECTIVE: To compare the occurrence of the nursing diagnosis of delayed surgical recovery among the adult and elderly population.METHODS: This was an observational, cross-sectional study conducted with 72 patients followed after the fifth postoperative day. For data collection, a form with conceptual and operational definitions of the defining characteristics and related factors of the nursing diagnosis was used.RESULTS: The rate of the diagnosis of delayed surgical recovery was slightly higher in the elderly, which was 77.1%, compared to adults, which was 75.7%, but there was no significant difference (0.421). Different defining characteristics prevailed: "difficulty moving about" (0.045), "perception that more time is needed to recover," and "requires help to complete self-care" (0.000).CONCLUSION: To differentiate adult and elder care favors the specialization of perioperative nursing care and surgical recovery in the time desired.


2019 ◽  
Vol 13 ◽  
Author(s):  
Leonice Nascimento de Castro Santos ◽  
Raisa Gonçalves Aquino ◽  
Priscilla Alfradique de Souza ◽  
Natália Chantal Magalhães da Silva ◽  
Aline Affonso Luna

Objetivo: verificar os diagnósticos de enfermagem em pacientes em pós-operatório de neurocirurgia. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura, com a busca nas bases de dados LILACS, CINAHL e na Biblioteca Virtual SciELO. Apresentaram-se os resultados em forma de figuras. Resultados: encontraram-se, no total, 256 artigos. Incluíram-se, ao final, três, com níveis de evidência B2 e B3. Caracterizaram-se, quanto ao tipo de delineamento, dois estudos como transversal prospectivo e o terceiro, retrospectivo. Apresentaram-se os dez DE encontrados predominantemente relacionados aos domínios “atividade/repouso” (domínio 4) e “segurança/proteção” (domínio 11), com quatro DE em cada. Conclusão: identificaram-se, embora ainda sejam escassas as publicações, DE propostos especificamente para o cuidado ao paciente em pós-operatório de neurocirurgia. Torna-se imprescindível, dentre as ações do enfermeiro no momento perioperatório, a identificação dos diagnósticos e o planejamento, de forma apropriada, do cuidado de Enfermagem para, assim, atender às necessidades de cada paciente de forma holística. Descritores: Cuidados de Enfermagem; Enfermagem Perioperatória; Diagnóstico de Enfermagem; Período Perioperatório; Terminologia Padronizada em Enfermagem; Neurocirurgia.ABSTRACTObjective: to verify nursing diagnoses in patients in the postoperative period of neurosurgery. Method: this is a bibliographic, descriptive, integrative literature review study, searching the LILACS, CINAHL databases and the SciELO Virtual Library. The results were presented as figures. Results: a total of 256 articles were found. At the end, three were included, with levels of evidence B2 and B3. Regarding the type of design, two prospective cross-sectional studies and the third retrospective study were characterized. The ten ND found predominantly related to the domains “activity / rest” (domain 4) and “safety / protection” (domain 11), with four NDs in each. Conclusion: we identified, although the publications are still scarce, specifically proposed for the care of patients in the postoperative period of neurosurgery. It is essential, among the actions of nurses in the perioperative period, the identification of diagnoses and the appropriate planning of nursing care to thus meet the needs of each patient holistically. Descriptors: Nursing Care; Perioperative Nursing; Nursing Diagnosis; Perioperative Period; Standardized Nursing Terminology; Neurosurgery.RESUMENObjetivo: verificar los diagnósticos de enfermería en pacientes en el postoperatorio de neurocirugía. Método: este es un estudio de revisión bibliográfica, descriptivo, integrador de la literatura, que busca en las bases de datos LILACS, CINAHL y la Biblioteca Virtual SciELO. Los resultados se presentaron en forma de figuras. Resultados: se encontraron un total de 256 artículos. Al final, se incluyeron tres, con niveles de evidencia B2 y B3. En cuanto al tipo de diseño, se caracterizaron dos estudios transversales prospectivos y el tercer estudio retrospectivo. Los diez ND se encuentran predominantemente relacionados con los dominios "actividad / descanso" (dominio 4) y "seguridad / protección" (dominio 11), con cuatro ND en cada uno. Conclusión: identificamos, aunque las publicaciones aún son escasas, propuestas específicamente para la atención de pacientes en el postoperatorio de neurocirugía. Es esencial, entre las acciones de los enfermeros en el período perioperatorio, la identificación de diagnósticos y la planificación adecuada de la atención de Enfermería para satisfacer las necesidades de cada paciente de manera integral. Descriptores: Atención de Enfermería; Enfermería Perioperatória; Diagnóstico de Enfermería; Periodo Perioperatorio; Terminología Normalizada de Enfermería; Neurocirugia.


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