Objective. To identify the profile of nursing diagnoses in people with hypertension and diabetes in primary health care. Methods. A cross-sectional study involving 175 individuals followed up in eight primary health units of Minas Gerais, Brazil. Data collection was made through interview and physical examination, and diagnostic inference was made according with NANDA-I Taxonomy II. Results. The average age of the users was 62.1 years and the female gender predominated (66.9%). A total of 26 diagnoses were identified, an average of 16 per client (standard deviation=3.9). The most frequent problem-focused diagnosis were: Ineffective Health Management (98.9%), Ineffective Peripheral Tissue Perfusion (78.3%), Sedentary lifestyle (74.3%), Obesity (54.3%) and Insomnia (51.4%). With respect to the defining characteristics and related factors, the average per person was 24 and 28, respectively. Conclusion. In this group of clients, the most frequent diagnoses were in the domain activity/rest. These diagnoses are the basis for planning nursing interventions and provide improved quality of life for these clients.
Construção e avaliação de bundle frente ao extravasamento de antineoplásicos: estudo metodológico Bundle construction and assessment before antineoplastic extravasation: a methodological study Construcción y evaluación de bundle ante la extravasación de antineoplásicos: estudio metodológico
Objective: to collectively construct a fully implanted central venous catheter care protocol with nurses from a highly complex oncology center. Method: a convergent care research, conducted at a hospital qualified as a highly complex oncology care unit in Minas Gerais, Brazil, from September 2017 to January 2018. The construction of the protocol was guided by Evidence Based Practice. Initially, data was collected from client records. After that, five workshops were held with the nurses, aiming to verify the material and human resources available, besides the viable care to compose the protocol. The analysis involved processes of apprehension, synthesis, theorization and transference. Results: most of the 219 medical records evaluated from clients with fully implanted venous catheters were female (77.1%), with a mean age 49.6 years old, breast cancer, and average catheter stay of 502 days. The nurses participating in the research were female, with a mean age 30.2 years old, time since graduation of 5.2 years and experience in oncology of 4.8 years on average. During the workshops, the participants reflected on the daily routine of the service, with a theoretical and scientific basis, which allowed, considering the professionals' opinion, to verify the care evidences and the practicability of the practices in the study scenario for the construction of a protocol. Care emerged related to puncture, manipulation, salinization and catheter clearance. Conclusion: the protocol construction process involved the participation of all oncology nurses, and all the mentioned care has scientific evidence for its use.
Objectives: to elaborate and validate a data collection tool for nursing consultation with men in the context of Primary Health Care. Method: a methodological study developed in four stages. The first one consisted in tool elaboration, using databases and the Dorothea Orem’s theoretical model. In the second and third stages, content validation and tool appearance by 23 nurse judges took place. The Concordance Index was used for assessment. In the fourth stage, a pilot test was carried out with 20 men using Primary Health Care. Results: of the 145 indicators prepared, organized and submitted to validation process, items with the Concordance Index <0.80 were excluded. The final tool consisted of 156 items. An overall 0.88 Concordance Index calculation was obtained. Conclusions: the final tool presented content validity for data collection with men in Primary Health Care.
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