Objetivou-se identificar os fatores determinantes da remoção não eletiva do cateter central de inserção periférica em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal. Estudo transversal, realizado em uma maternidade referência no atendimento materno-infantil de alto risco situada no Nordeste do Brasil. A coleta foi realizada com 108 neonatos e ocorreu no período de fevereiro a novembro de 2016. Observou-se a prevalência de neonatos do sexo masculino (60,19%), nascidos de parto cesárea (74,07%) e baixo peso ao nascer (29,62%). A remoção não eletiva ocorreu em 41,66% neonatos por infiltração (12,03%), tração acidental (11,11%), ruptura externa (9,25%), oclusão (5,55%), mau posicionamento (1,85%) e suspeita de infecção (1,85%). A prevalência e os fatores de remoção não eletiva indicam a necessidade de estratégias por parte da Enfermagem na prevenção de complicações evitáveis relacionadas ao cateter, destacando-se a capacitação e aprimoramento de habilidades quanto à inserção, manutenção, retirada e observação desse dispositivo.
Objective: To summarize the knowledge produced in the scientific literature of the main clinical complications during hemodialysis and describe nursing interventions according to the NIC. Method: an integrative literature review. For selection of four databases SCOPUS, CINAHL, PUBMED and LILACS were consulted, which included five articles. Studies fitted in the level 3 of scientific evidence, being an observational type. Results: the main clinical complications during hemodialysis sessions were: nausea, vomiting, cramps, itching, hypotension, hypertension and hypothermia. Nursing interventions were hydroelectrolytic monitoring, checking vital signs, administering medications and instructing the patient. Conclusion: the clinical complications are related to the rapid removal of fluid and accelerated electrolyte exchange during the hemodialysis session. Interventions raised showed the variety of possible behaviors before these complications
Objective: To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. Method: Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearson's Chi-Square Test and Fisher's Exact Test. Results: The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. Conclusion: The diagnoses presented significant associations with sociodemographic and clinical aspects.
Objective: to identify the predictive factors for the nursing diagnoses in people living
with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data
were collected using an interview script and physical examination. Logistic
regression was used for the data analysis, considering a level of significance of
10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge
deficit-inadequate following of instructions and verbalization of the problem; for
the nursing diagnosis of failure to adhere - years of study, behavior indicative
of failure to adhere, participation in the treatment and forgetfulness; for the
nursing diagnosis of sexual dysfunction - family income, reduced frequency of
sexual practice, perceived deficit in sexual desire, perceived limitations imposed
by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and
clinical characteristics, defining characteristics, and related factors, which
must be taken into consideration during the assistance provided by the nurse.
Objetivo:Sintetizar o conhecimento produzido na literatura científica acerca dos diagnósticos de enfermagem mais frequentes em pessoas com Síndrome da Imunodeficiência Adquirida. Método: Trata-se de uma revisão integrativa da literatura realizada nas bases de dados SCOPUS, PUBMED, LILACS e BDENF. Resultados: Foram identificados sete diagnósticos de enfermagem dos quais 04 foram citados em 66% dos artigos: déficit de conhecimento, medo, nutrição desequilibrada: menos do que as necessidades corporais e risco de infecção. Os DE ansiedade, controle ineficaz do regime terapêutico e diarreia foram citados em 50% dos artigos. Conclusão: Há lacunas nos estudos analisados, pois os enfermeiros não descrevem em alguns diagnósticos elaborados quais as características definidoras e os fatores relacionados dos DE por eles estabelecidos.
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