Objective: To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables. Methods: Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group. Results: Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found. Conclusion: Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.
RESUMO Objetivo: analisar a correspondência entre os diagnósticos de Enfermagem da NANDA Internacional e áreas de cuidado e indicadores críticos do Sistema de Classificação de Pacientes de Perroca. Método: estudo descritivo de mapeamento cruzado realizado em unidades clínicas e cirúrgicas de um hospital universitário brasileiro em 2017. Amostra de 680 pacientes internados. Dados coletados em prontuário eletrônico e banco de dados do Sistema de Classificação de Pacientes de Perroca, analisados por mapeamento cruzado e estatística descritiva. Resultados: os registros demonstraram 58 diagnósticos de Enfermagem para pacientes classificados, na maioria (59,5%), como cuidados semi-intensivos pelo Sistema de Classificação de Pacientes de Perroca. Todos os diagnósticos de Enfermagem foram mapeados com correspondência pelo menos em uma área de cuidado. Conclusão: os diagnósticos de Enfermagem revelam a necessidades do paciente e também podem indicar o grau de complexidade do cuidado e dependência da equipe de Enfermagem, sendo guias importantes no gerenciamento do cuidado.
The objective was to analyze the diagnostic accuracy of Impaired physiological balance syndrome in potential brain-dead organ donors. It is a study of diagnostic accuracy. Data was retrospectively collected from 145 medical records through the filling out of an instrument containing 25 indicators of the nursing diagnosis (ND). Descriptive and inferential statistics were used. The prevalence of the ND was 77 (53.1%). The indicator with the best measures of accuracy was altered heart rate. Therefore, it has the best predictive capacity for determining the ND. It was identified that the absence of the indicators altered heart rate, hyperglycemia, and altered blood pressure is associated with the absence of the ND, while the presence of the indicators hyperthermia, hypothermia, and altered heart rhythm is associated with the presence of the ND. Accurate indicators will assist in diagnostic inference and the interventions and results will have greater chances of targeting and effectiveness.
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