Galdeano Luzia Elaine, Rossi Lídia Aparecida, Nobre Luciane Facio, Ignácio Daniela Sarreta
Faculdade de Enfermagem do Hospital Israelita Albert Einstein.
Rev Lat Am Enfermagem. 2003 Mar-Apr;11(2):199-206.
The purpose of this study was to identify nursing diagnoses of patients in the intra-operative period of cardiac surgery. One instrument was elaborated and validated for data collection. Such instrument was organized according to The Theory of Basic Human Needs. Seventeen adult patients in the intra-operative period of cardiac surgery were evaluated, of whom 09 were males and 08 were females with the average of 58 years old. Following data collection, the nursing diagnoses were identified based on NANDA's Taxonomy I. The nursing diagnoses identified with a higher frequency than 50% were: Risk for infection (100%), Risk for fluid volume imbalance (100%), Impaired gas exchange (100%), Risk for aspiration (100%), Altered protection (100%), Impaired skin integrity (100%), Risk for peripheral neurovascular dysfunction (100%), Risk for perioperative positioning injury (100%) and Risk for altered body temperature (94.1%). It was identified a predominance of the diagnoses related to psychobiological needs.
本研究的目的是确定心脏手术术中患者的护理诊断。为此精心设计并验证了一种用于数据收集的工具。该工具是根据人类基本需求理论编制的。对17例心脏手术术中的成年患者进行了评估，其中男性9例，女性8例，平均年龄58岁。在收集数据之后，根据北美护理诊断协会（NANDA）的护理诊断分类法I确定护理诊断。出现频率高于50%的护理诊断有：感染风险（100%）、液体量失衡风险（100%）、气体交换受损（100%）、误吸风险（100%）、保护能力改变（100%）、皮肤完整性受损（100%）、外周神经血管功能障碍风险（100%）、围手术期体位性损伤风险（100%）以及体温改变风险（94.1%）。结果发现与心理生理需求相关的诊断占主导地位。
