Frequency of nursing diagnoses in a surgical clinic

Abstract

Objetivo: identificar a frequência dos Diagnósticos de Enfermagem em pacientes de uma clinica cirúrgica. Métodos: pesquisa transversal, realizada com 99 pacientes em pós-operatório de cirurgia geral. Os dados foram coletados através de um questionário validado segundo os domínios da NANDA Internacional, incluindo exame físico e laboratorial. Resultados: foram encontrados 17 diagnósticos de enfermagem, oito apresentaram frequência maior que 50,0% (Risco de infecção, Integridade tissular prejudicada, Risco de constipação, Ansiedade, Risco de sangramento, Dor aguda, Recuperação cirúrgica retardada, Motilidade gastrointestinal disfuncional). Observou-se em todos os pacientes os Diagnósticos de Enfermagem de: Risco de infecção, Integridade tissular prejudicada e risco de constipação. Conclusão: a frequência dos diagnósticos mais prevalentes encontra-se inseridos nos domínios segurança/proteção e nutrição, o que determina a necessidade de redirecionar os cuidados de enfermagem, priorizando a clínica do paciente. Descritores: Diagnóstico de Enfermagem; Período Perioperatório; Enfermagem.Objective: to identify the frequency of Nursing Diagnoses of patients in a surgical clinic. Methods: cross-sectional study, performed with 99 patients in the postoperative of general surgery. Data were collected through a questionnaire validated according to domains of NANDA International, including physical and laboratory examination. Results: 17 nursing diagnoses were found; eight had a frequency higher than 50.0% (infection risk, impaired tissue integrity, constipation risk, anxiety, bleeding risk, acute pain, delayed surgical recovery, dysfunctional gastrointestinal motility). It was observed in all patients the Nursing Diagnostics: risk of infection, impaired tissue integrity and risk of constipation. Conclusion: the frequency of the most prevalent diagnosis is inserted in the domains safety/protection and nutrition, which determines the need to redirect nursing care, prioritizing the patient's clinic. Descriptors: Nursing Diagnosis; Perioperative Period; Nursing.Objetivo: identificar la frecuencia de diagnósticos de enfermería en pacientes de una clínica quirúrgica. Métodos: estudio transversal, realizado con 99 pacientes en el postoperatorio de cirugía general. Datos recolectados a través de un cuestionario validado según los dominios de la NANDA Internacional, incluyendo examen físico y de laboratorio. Resultados: se encontraron 17 diagnósticos de enfermería, ocho tenían frecuencia superior a 50,0% (Riesgo de infección, Integridad del tejido perjudicado, Riesgo de estreñimiento, Ansiedad, Riesgo de sangrado, Dolor agudo, Recuperación quirúrgica demorada, Motilidad gastrointestinal disfuncional). Se observó en todos los pacientes de los Diagnósticos de Enfermería: Riesgo de infección, Integridad del tejido perjudicado y riesgo de estreñimiento. Conclusión: la frecuencia de los diagnósticos más frecuentes se introduce en los dominios de seguridad/protección y nutrición, lo que determina la necesidad de desviar la atención de enferm...

Nursing diagnoses in elderly people admitted in surgical unit / Diagnósticos de enfermagem em idosos internados em unidade cirúrgica

“…frequency of ND in a surgical clinic, the ND of risk of infection was present in 100% of the patients, highlighting theinvasive procedures as an important risk factor, corroborating the resultsof this study. 17 The high frequency of this diagnosis can be justified by the fact thathospitalization exposes the patient to invasive procedures and cross infections, as well as immobility favors the stasis of body fluids. Also, elderly patients usually have associated comorbidities, which leads to decreased immunity and, therefore, to infections.…”

Nursing outcome “airway permeability” in postoperative patients

“…One strategy that can be used to improve the effectiveness of care is the systematization of nursing care, which can be implemented through the application of the nursing process (6) . From among its stages, we highlight the identification of nursing diagnoses, which serves as a basis for directing nursing interventions and assessing the care implemented (7) .…”