Galdeano Luzia Elaine, Rossi Lídia Aparecida, Pezzuto Termutes Michelin
Faculdade de Enfermagem do Hospital Israelita Albert Einstein.
Rev Esc Enferm USP. 2004 Sep;38(3):307-16. doi: 10.1590/s0080-62342004000300009.
The purpose of this study was to identify nursing diagnosis of patients in the preoperative period of cardiac surgery. One instrument was elaborated and validated for data collection. Such instrument was organized according to Horta's Conceptual Model. Seventeen adult patients in the preoperative period of cardiac surgery were evaluated, of whom 09 were males and 08 were females with the average of 58 years old. After data collection, the nursing diagnoses were identified based on NANDA's Taxonomy I. The nursing diagnoses identified with a higher frequency than 50% were: Activity Intolerance (88.2%), Infection risk (76.5%), Risk for peripheral neurovascular dysfunction (76.5%), Knowledge deficit (on the disease, surgery and anesthesia) (76.%), Altered cardiopulmonary tissue perfusion (70.6%), Ineffective airway pattern (70.6%); Pain (70.6%), Altered Sexual Patterns (58.8%) and Sleep Pattern Disturbance (52.9%). It was observed a predominance of diagnoses related to physiological needs.
本研究的目的是确定心脏手术术前患者的护理诊断。为此精心设计并验证了一种用于数据收集的工具。该工具是根据霍尔塔概念模型编制的。对17例心脏手术术前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。数据收集后，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：活动无耐力（88.2%）、感染风险（76.5%）、外周神经血管功能障碍风险（76.5%）、知识缺乏（关于疾病、手术和麻醉）（76%）、心肺组织灌注改变（70.6%）、无效气道模式（70.6%）、疼痛（70.6%）、性模式改变（58.8%）和睡眠模式紊乱（52.9%）。观察发现与生理需求相关的诊断占主导地位。
