Diagnósticos de enfermagem em vítimas de trauma atendidas em um serviço pré- hospitalar avançado móvel

Cyrillo, Regilene Molina Zacareli; Dalrí, Maria Célia Barcellos; Canini, Sílvia Rita Marin da Silva; Carvalho, Emı́lia Campos de; Lourencini, Renata Roque

doi:10.5216/ree.v11i4.33235

Cited by 19 publications

(44 citation statements)

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“…This way, accidents and homicides were mostly responsible for this raise. [4,11] Average scores for QoL and its dimensions shown by WHO-QOL-bref, Table 4, allow us to find significant statistic difference on average scores for dimensions physical, psychological, social relations and environment, as well as on general QoL average score. Studies about QoL in intestinal ostomized patients point that ostomy implies not only using collector equipment, but a new body image that needs to be re-constructed.…”

Section: Discussionmentioning

confidence: 98%

“…The profile raised, along with Brazilian average life expectancy made the Brazilian Statistic and Geography Institute (IBGE) investigate further for details on the number of deaths for external causes, in order to determine the social impact caused by such events. [4,11] The predominant religions observed were the Catholicism 54% (n = 58), followed by Protestantism 25.4% (n = 27), which configures a reflex of Brazilian religious profile, as Brazil is seen as the biggest Catholic country in the world. Religious practice in face of disease may lead to the conception of a spiritual growth wish, as it reminds the human being about their fragility, and their closeness to human finitude.…”

Section: Discussionmentioning

confidence: 99%

“…[10] Some studies still show that the population age group affected by fire gun perforation or melee weapon wound is made by individuals aged between 20 and 40. [11] Among external causes for intestinal ostomies, car accidents due to traffic violence, as well as firegun perforation and melee weapons stabs stand out, as a consequence of greater exposure to urban violence. [4,12] Above all, urban violence is pointed as the most usual cause for the demand for medical emergency services, and it is seen as a factor for the growing number of people with intestinal ostomies.…”

Section: Discussionmentioning

confidence: 99%

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Life quality for ostomized patients: a perspective in the health and nursing care process

Kimura

Guilhem

Kamada

et al. 2016

JNEP

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Evidence shows that there is association between the quality of life (QoL) of ostomized patients and the results of WHOQOL-bref questionnaire. Mensurable knowledge regarding facets and dimension of the mentioned questionnaire is highly valuable for guidance involving the multidisciplinary crew for nursing care, taken into consideration that specialized care has major influence on the QoL scores. To better assess which of these facets are strongly correlated to tue questionnaire dimensions targeting its identification and the development of internal guidelines take advantage of such information aiming to improve QoL on the one hundred and six patients served by the Ambulatory Care Program for ostomy patients in the Federal District Health Secretariat, Brazil. The questionnaire scores where correlated to the several dimensions in order to pinpoint which of those has major contribution on patients QoL, by generating correlation coefficient (square r) and t-student tests. The facets of Physical Domains, Social Affairs and Environment are correlated with the mean score, resulting in statistically significant associations (p < .0001). The awareness about ostomy patients' reality may result in effective comprehensive health care of the person with ostomy, and the consequent improvement of their QoL, resulting in a process of care in health nursing, which may impact the patient's the ability to socialize and interact, reducing the impact of depression events and its consequences as well as improving the general well being of the patient in terms of self body image and self esteem as required by the Integral health care policy. Thus, the nursing care process becomes an active and continuous act demanding special actions and behaviors targeting the improvement of human potentials, focusing on enhancing the dignity of the ostomized person, for which the nursing care process is fundamental for recovering the QoL scores to better and higher levels.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Life quality for ostomized patients: a perspective in the health and nursing care process

Kimura

Guilhem

Kamada

et al. 2016

JNEP

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“…O consenso sobre a prevalência do diagnóstico Risco de quedas pode estar associado ao fato de que muitos pacientes no Serviço de Emergência estão agitados, confusos e agressivos, além de utilizarem medicamentos como benzodiazepínicos e sedativos ou hipnóticos (17) . Os nossos achados corroboram com os resultados de outro estudo realizado em um Serviço de Atenção Móvel de Urgência (SAMU), da Secretaria Municipal de Ribeirão Preto, estado de São Paulo, com pacientes vítimas de trauma, que identificou os seguintes diagnósticos de enfermagem nas subcategorias oxigenação/ respiração, integridade tecidual e integridade física, respectivamente: Desobstrução ineficaz de vias aéreas, Padrão respiratório ineficaz, Risco para aspiração e Risco para função respiratória alterada; Integridade da pele prejudicada e Integridade tissular prejudicada; e Risco de quedas e Risco de infecção (18) . Houve também semelhanças em estudo realizado em um hospital terciário de São Paulo, com o objetivo de identificar os diagnósticos de enfermagem associados à ocorrência de óbitos em pacientes de trauma, com problemas de enfermagem relacionados às vias aéreas, ao padrão respiratório e a perfusão de órgãos e sistemas responsáveis por fatores de risco para o óbito dos pacientes.…”

Section: Discussionunclassified

Diagnósticos De Enfermagem Mais Utilizados Em Serviço De Emergência

Okuno¹,

Costa²,

Lopes³

et al. 2015

Cogitare Enferm.

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Objetivou-se identificar os principais diagnósticos de enfermagem utilizados por expertsem área de emergência. Estudo descritivo realizado em Serviço de Emergência, período de junho a novembro de 2011. Utilizouse a Técnica Delphi para a obtenção do consenso entre sete profissionais de diferentes instituições brasileiras, sobre os diagnósticos de enfermagem prevalentes em Ser viços de Urgência e Emergência. Os diagnósticos de enfermagem que tiveram consenso foram: Troca de gases prejudicada, Padrão respiratório ineficaz, Ventilação espontânea prejudicada, Risco de infecção, Risco de integridade da pele prejudicada, Integridade tissular prejudicada e Risco de quedas. Conclui-se que a Técnica Delphi mostrou-se como grande facilitadora para a obtenção de consenso, sobre os diagnósticos de enfermagem prevalentes em Ser viços de Emergência, relacionados aos domínios da Nor th American Nursing Diagnosis Association de “segurança e proteção”, “atividade e repouso” e “eliminação e troca”.

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“…That study evaluated 23 victims aged 18 to 30 years. The most frequent NDs were infection risk (91%), trauma risk (82), acute pain (74%), impaired tissue integrity (65%), fluid volume deficit, (43%) and risk for fluid volume deficit (43%) (15) .…”

Section: Discussionmentioning

confidence: 99%

Diagnosticos de enfermagem em pacientes classificados nos niveis I e II de prioridade do Protocolo Manchester

Souza

Mata

Carvalho

et al. 2013

Rev. esc. enferm. USP

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RESUMENEl objetivo del estudio fue identificar los posibles diagnósticos de enfermería en pacientes clasificados en los niveles I y II de prioridad protocolo Manchester. Es un estudio retrospectivo descriptivo, cuya muestra de 40 expedientes de pacientes estratificados en los niveles I y II de prioridad. Para identificar los diagnósticos de enfermería, dos expertos analizan los signos y síntomas registrados en las historias clínicas de los pacientes con clasificación de riesgo. En el nivel de prioridad I diagnósticos de enfermería más frecuentes fueron: dolor agudo (65,0%), el ritmo respiratorio ineficaz (45,0%) y el deterioro del intercambio gaseoso (40,0%). En el nivel II de prioridad fueron: dolor agudo (80,0%), náuseas (10,0%) y el riesgo de desequilibrio electrolítico (10,0%). Se observó que el uso del protocolo Manchester favorece la identificación de características definitorias y factores relacionados /factores de riesgo que apoyan el desarrollo de los diagnósticos de enfermería en la clasificación del riesgo. DESCRIPTORES DESCRITORES Diagnóstico de enfermagem Serviços Médicos de Emergência Triagem Classificação ABSTRACTThe aim of this study was to identify possible nursing diagnoses in patients classified as priority level I and II according to the Manchester protocol. This descriptive retrospective study evaluated 40 medical charts classified as priority level I and II. To identify nursing diagnoses, two experts analyzed signs and symptoms registered in medical charts at the time of risk classification. For priority level I patients, the most frequent nursing diagnoses were acute pain (65.0%), respiratory insufficiency (45.0%), and impaired gas exchange (40.0%). For the priority level II patients, the most frequent nursing diagnoses were acute pain (80.0%), nausea (10.0%), and risk for electrolyte imbalance (10.0%). This study suggests that the use of the Manchester protocol enabled identification of defining characteristics and risk factors and supports the elaboration of nursing diagnoses in risk classification. DESCRIPTORS

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Diagnósticos de enfermagem em vítimas de trauma atendidas em um serviço pré- hospitalar avançado móvel

Cited by 19 publications

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Life quality for ostomized patients: a perspective in the health and nursing care process

Life quality for ostomized patients: a perspective in the health and nursing care process

Diagnósticos De Enfermagem Mais Utilizados Em Serviço De Emergência

Diagnosticos de enfermagem em pacientes classificados nos niveis I e II de prioridade do Protocolo Manchester

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