scholarly journals Nursing consultation applied to hypertensive clients: application of orem's self-care theory

2009 ◽  
Vol 17 (1) ◽  
pp. 113-119 ◽  
Author(s):  
Fernanda Cristina Manzini ◽  
Janete Pessuto Simonetti

The objective was to implant the Nursing Consultation for hypertensive patients, using Orem's Self-Care Theory and to systematize nursing care. Thirty-six patients were interviewed. Of these, 58.9% were women, 75.0% of them ranging from 50 to 80 years of age, 76.4% were married, 42.9% were housewives, 47.2% were retired, and 67.3% completed elementary education. Patients were interviewed with a structured instrument addressing the requirements for universal, developmental, and health deviations self-care. Data analysis made it possible to assess the altered self-care requirements. In patient care planning, support-education actions were our top priority. Orem's self-care theory permitted identifying important aspects, which need to be developed by the nurses.

2008 ◽  
Vol 21 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Francisca Aline Arrais Sampaio ◽  
Priscila de Souza Aquino ◽  
Thelma Leite de Araújo ◽  
Marli Teresinha Gimenez Galvão

OBJECTIVE: To apply the "Orem's Self-care Theory" in ostomy patient care. METHODS: This is a clinical study with an intestinal ostomy patient, whose illness is a consequence of the "Chagas disease". Data collection was performed during the home visits, using a form with questions referred to the Orem's presuppositions. The data were analyzed and presented according to the determining factors in self-care development. RESULTS: Some self-care requirements were modified, such as: "Balance between loneliness and social interaction" and "Self-care in health disorders". The home care delivered based on the supporteducation system allowed for the promotion of health and the patient's perception regarding the importance of self-care. CONCLUSION: The self-care theory allowed for appropriate care and therapeutic communication adjusted to the patient's situation.


2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Tayomara Ferreira Nascimento ◽  
Graziela Maria Ferraz de Almeida ◽  
Marielle Poyo Bello ◽  
Rosemary Pereira Lino da Silva ◽  
Cassiana Mendes Bertoncello Fontes

ABSTRACT Objective: to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory. Method: the active methodologies used were a literature search and seminar presentations, with an understanding of Orem's theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used. Results: for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes. Final considerations: theoretical-practical reflections of the academic context support nursing care planning.


2021 ◽  
Vol 7 (6) ◽  
pp. 56446-56461
Author(s):  
Gleice Kely Santos Da Silva ◽  
Andressa Camille Sampaio Peixoto ◽  
Katarina Soares Morais ◽  
Lívia de Souza e Souza ◽  
Laís Lopes Gonçalves ◽  
...  

2010 ◽  
Vol 4 (3) ◽  
pp. 1571
Author(s):  
Ana Lúcia Medeiros ◽  
Rogéria Moreira Abrantes ◽  
Sérgio Ribeiro Santos ◽  
Maria Miriam Nóbrega

ABSTRACTObjective: to develop a critical reflection on the systematization of nursing care in the work process of nursing. Method: systematic literature review, held in databases on line BDENF (Database of Nursing) and SciELO (Scientific Electronic Library Online), using the following descriptors: nursing care, nursing process, patient care planning and professional practice. We selected articles that met the following criteria: have been held in Brazil, the descriptor contains the title and analyzed. Results: the systematization of nursing care is a methodology used to build up assistance priorities, planning actions and creates records of interventions that should be implemented, focusing on the individual in its totality and for their particularities. It is understood that there is need for theoretical and practical operational viability in the hospital context and awareness of managers and nurses to the importance of the systematization for the individual, the hospital organization and the community. Conclusion: a good management associated with the educational process is the fundamental tool in the installation process in a sustainable way of the systematization of nursing care. Descriptors: nursing; nursing care; nursing process; patient care planning; professional practice.RESUMOObjetivo: desenvolver uma reflexão crítica acerca da sistematização da assistência de enfermagem como um processo de trabalho da enfermagem. Método: revisão sistemática da literatura, realizada nas bases de dados "on line" BDENF (Base de dados de Enfermagem) e SciELO (Scientific Electronic Library Online), utilizando os seguintes descritores: cuidados de enfermagem, processos de enfermagem, planejamento de assistência ao paciente e prática profissional. Foram selecionados artigos que preenchiam os seguintes critérios: ter sido realizado no Brasil, conter o descritor no título e ter sido publicado nos últimos 10 anos. Um total de 23 artigos foram selecionados e analisados. Resultados: a sistematização da assistência de enfermagem por ser uma metodologia utilizada para estabelecer as prioridades assistenciais, o planejamento das ações e criar registros de intervenções que devem ser implementadas, tendo como foco o indivíduo em sua totalidade e respeito às suas particularidades. Compreende-se que há necessidade de aprofundamento teórico e prático da viabilidade operacional no contexto hospitalar e sensibilização dos gestores e enfermeiros assistenciais diante da importância da sistematização para o indivíduo, a organização hospitalar e a comunidade. Conclusão: um bom gerenciamento associado ao processo educativo é a ferramenta fundamental no processo de instalação de forma sustentável da sistematização da assistência de enfermagem. Descritores: enfermagem; cuidados de enfermagem; processos de enfermagem; planejamento de assistência ao paciente; prática profissional.RESUMENObjetivo: desarrollar una reflexión crítica acerca de la sistematización de la asistencia en enfermería en el proceso de trabajo en enfermería. Método: revisión sistemática de la literatura, que se celebró en bases de datos en línea BDENF (Base de datos de Enfermería) y SciELO (Scientific Electronic Library Online), utilizando las siguientes descriptores: cuidados de enfermería, proceso de enfermería, planificación de la atención y el paciente la práctica profesional. Se seleccionaron los artículos que cumplieron con los siguientes criterios: se han celebrado en Brasil, el descriptor contiene el título y se han publicado en los últimos 10 años. Un total de 23 artículos fueron seleccionados y analizado. Resultados: la sistematización de la asistencia en enfermería es una metodología utilizada para establecer las prioridades asistenciales y la planificación de las acciones, Crea registros de intervenciones que deben ser implementadas, teniendo como foco al individuo en su totalidad, respetando sus particularidades. Se comprende que existe una necesidad de profundización teórica y práctica de la viabilidad operacional en el contexto hospitalario y sensibilización de los gestores y enfermeros asistenciales frente a la importancia de la sistematización para el individuo, la organización hospitalaria y la comunidad. Conclusión: un buen gerenciamiento asociado al proceso educativo es la herramienta fundamental en el proceso de instalación de manera sustentable de la sistematización de la asistencia en enfermería. Descriptores: enfermería; atención de enfermería; procesos de enfermería; planificación de atención al paciente; práctica profesional.     


2010 ◽  
Vol 13 (2) ◽  
pp. 87-97
Author(s):  
Herni Susanti

AbstrakDefisit perawatan diri pada klien skizofrenia tidak boleh dipandang remeh. Perawat yang terlibat dalam upaya rehabilitasi psikososial perlu memberikan pelayanan kepada klien skizofrenia dengan masalah defisit perawatan diri secara profesional. Salah satu caranya dengan memberikan asuhan keperawatan berdasarkan kerangka teori yang dikembangkan oleh ahli-ahli di bidang keperawatan. Teori self-care (perawatan diri) oleh Orem memiliki penjelasan yang lengkap tentang konsep perawatan diri, defisit perawatan diri, serta tindakan keperawatan untuk mengatasi masalah yang muncul. Dalam konteks rehabilitasi, teori Orem sangat sesuai dengan tujuan rehabilitasi yaitu membantu klien untuk memandirikan klien seoptimal mungkin. AbstractMental health nurses should professionally address the self-care deficit problem in schizophrenic patients, especially in the psychosocial rehabilitation phase. The nursing intervention of the self-care deficit patients can be delivered based on the nursing theoretical framework. The Orem’s self-care theory elucidates the concept of self-care, self-care deficit, and its nursing care. In the rehabilitation context, the Orem’s theory is relevant to the aim of rehabilitation – optimalizing the client’s own daily functional capacities.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jaqueline Almeida Guimaraes Barbosa ◽  
Lariza Emanuele Alcântara Ferreira ◽  
Ana Luísa De Castro ◽  
Miguir Terezinha Vieccelli Donoso

Objetivo: avaliar os perfis sociodemográfico e clínico de pacientes em terapia nutricional enteral em uma instituição de alta complexidade. Método: trata-se de um estudo quantitativo, descritivo, observacional e transversal. Analisaram-se dados de pacientes em terapia nutricional enteral ao longo de sete meses, considerando-se variáveis sociodemográficas e clínicas e a via de infusão da dieta. Realizaram-se análises estatísticas descritivas das frequências absoluta, relativa e média. Resultados: registrou-se que 614 pacientes usaram a terapêutica, sendo que 55,0% eram do sexo masculino e 39,9% tinham idade acima de 60 anos. Verifica-se que os diagnósticos clínicos mais prevalentes variaram de acordo com as faixas etárias, com destaque para o câncer (25,2%). Aponta-se que a via de infusão predominante foi a sonda nasoenteral (78,6%). Conclusão: entende-se que a terapia nutricional enteral se mostrou necessária em todas as faixas etárias e em vários diagnósticos clínicos, principalmente, para idosos e pessoas em tratamento oncológico. Avalia-se que os achados contribuem para o planejamento assistencial e o conhecimento em Enfermagem.Descritores: Terapia Nutricional; Nutrição Enteral; Cuidados de Enfermagem; Perfil de Saúde; Planejamento de Assistência ao Paciente; Serviço Hospitalar de Enfermagem Descriptors: Nutritional Therapy; Enteral Nutrition; Nursing Care; Health Profile; Patient Care Planning; Nursing Service Hospital.


2020 ◽  
Vol 41 ◽  
Author(s):  
Mariela Beatriz Andrade Santana ◽  
Denise Maria Guerreiro Vieira da Silva ◽  
Maria Elena Echevarría-Guanilo ◽  
Soraia Geraldo Rozza Lopes ◽  
Priscila Juceli Romanoski ◽  
...  

ABSTRACT Objective: To understand how self-care is carried out by people with chronic kidney disease on hemodialysis. Method: A qualitative approach was used. Data was collected through semi-structured interviews in 12 individuals on hemodialysis in Chile between September and December 2018. Dorothea Orem's self-care theory was used for directed content analysis. Results: Three categories emerged: self-care requirements, self-care deficit, and education and information management for self-care. People were aware of the importance of carrying out their self-care. They also stated not to carry out the care actions rigorously enough showing some limitations. Finally, people’s knowledge about their condition was usually acquired from the Internet and from their own experience rather than through consultations with a health team. Considerations: People are conscious about their role in their health in a flexible way. The health team should know how to recognize conditions interfering in people’s self-care and help to overcome them.


2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Saiful Nurhidayat

Abstract : Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously over a period. The dangers of hypertension can lead to damage to various organs including kidneys, brain, heart, eye, causing vascular resistance and stroke. Hypertension takes care of the old and continuously. One effective way to lower blood pressure is to obediently take medicine so that it takes the role of families in monitoring patients taking the medication. With the participation of the family are expected to hypertension sufferers can be controlled. This study aims to determine the family's role in monitoring the adherence of hypertensive patients. The study was conducted in rural communities Slahung Ponorogo, a representative sample of 53 respondents taken by purposive sampling. Quantitative design with cross sectional design of the study the family's role in monitoring the adherence of hypertensive patients. Instruments in this study using questionnaires and observation sheets. The results of 53 respondents obtained the majority of the 29 respondents (55%) has the role of both families and 24 respondents (45%) families have a bad role in monitoring medication adherence. Age and education contribute to determining the role family. Intermediate (41-60 years old) and college education contribute to determining the role well. Conversely > 61 years of elementary education and contribute in a bad role.Keywords : the role of the family, medication adherence, hypertension. Abstrak : Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri secara terus-menerus lebih dari suatu periode. Bahaya hipertensi dapat memicu rusaknya berbagai organ tubuh diantaranya: ginjal, otak, jantung, mata, menyebabkan resistensi pembuluh darah dan stroke. Penyakit hipertensi membutuhkan perawatan yang lama dan terus menerus. Salah satu cara yang efektif untuk menurunkan tekanan darah adalah dengan patuh minum obat sehingga dibutuhkan peran keluarga dalam memantau minum obat penderita. Dengan adanya peran serta keluarga diharapkan penyakit hipertensi penderita dapat terkontrol. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Penelitian dilakukan pada masyarakat desa Slahung Ponorogo,sampel representatif sejumlah 53 responden diambil secara Purposive Sampling. Desain kuantitatif dengan rancangan Cross sectional yang mempelajari peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Instrumen pada penelitian ini menggunakan kuesioner dan lembar observasi. Hasil penelitian dari 53 responden didapatkan sebagian besar 29 responden (55 %) keluarga mempunyai peran baik dan 24 responden (45 %) keluarga mempunyai peran buruk dalam memantau kepatuhan minum obat. Faktor usia dan pendidikan berkontribusi dalam menentukan peran keluarga. Usia madya (41-60 tahun) dan jenjang pendidikan perguruan tinggi berkontribusi dalam menentukan peran baik. Sebaliknya > 61 tahun dan jenjang pendidikan SD berkontribusi dalam peran buruk.Kata Kunci : peran keluarga, kepatuhan minum obat, penyakit hipertensi.


2019 ◽  
Vol 2 (1) ◽  
pp. 18-23
Author(s):  
Herri Novita Br Tarigan ◽  
Prista Hotmarina Purba

Hypertension is a disease that is not uncommon in the community, including the Bukit Lau Kersik village. People with hypertension often do not show long-term symptoms and can be life-threatening. However, one of the management of hypertension that can be used as non-pharmacological therapy is consuming starfruit juice and cucumber which is quite easy to find in the Bukit Lau Kersik village. This combination of juices contains potassium which can reduce blood pressure in patients with hypertension. This study used Equivalent Time Sample Design with 14 subjects with hypertension in the Bukit Lau Kersik Village, Gunung Sitember Subdistrict, Dairi District. The technique of this research sample used Non-Probability Sampling with Saturated Sampling. The instrument used was a sphygmomanometer and a stethoscope. Bivariate data analysis in this study was the Wilcoxon statistical test. Based on the data analysis performed, the value of p = 0.011 (p= < 0.05) was obtained, meaning that there was a significant relationship between giving star fruit juice and cucumber to hypertensive patients. Then it can be concluded that there is an influence between giving star fruit and cucumber juice to blood pressure reduction in hypertensive patients in Bukit Lau Kersik Village Gunung Sitember Subdistrict, Dairi District in 2019. Suggestion: The factors that affect blood pressure in hypertensive patients and checking blood pressure before drinking star fruit juice and cucumber.


Sign in / Sign up

Export Citation Format

Share Document