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食管手术术前患者的护理诊断

Nursing diagnoses of patients in the preoperative period of esophageal surgery.

作者信息

Lopes Ana Elisa Ricci, Pompeo Daniele Acalá, Canini Silvia Rita Marin da Silva, Rossi Lídia Aparecida

机构信息

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem, Brazil.

出版信息

Rev Lat Am Enfermagem. 2009 Jan-Feb;17(1):66-73. doi: 10.1590/s0104-11692009000100011.

Abstract

This study aimed to identify and analyze the nursing diagnoses of patients in the preoperative period of esophageal surgeries. Data were collected by means of an instrument, based on Horta's Conceptual Model. The study group consisted of 20 patients hospitalized at the Ribeirão Preto Medical School Hospital das Clínicas, who would undergo esophageal surgery. The patients were submitted to an interview and a physical examination. The nursing diagnoses identified at frequencies of more than 50% were: impaired swallowing (100%); risk for infection (100%); knowledge deficit about disease and perioperative period (95%), and chronic pain (75%). These diagnoses were analyzed in view of the related factors, defining characteristics or risk factors, according to the type of diagnosis and the responses to the esophageal disease.

摘要

本研究旨在识别和分析食管癌手术术前患者的护理诊断。数据通过一种基于奥尔塔概念模型的工具收集。研究组由20名在里贝朗普雷图医学院临床医院住院且即将接受食管癌手术的患者组成。这些患者接受了访谈和体格检查。出现频率超过50%的护理诊断为:吞咽障碍(100%);感染风险(100%);对疾病和围手术期的知识缺乏(95%),以及慢性疼痛(75%)。根据诊断类型和对食管疾病的反应,针对相关因素、定义特征或风险因素对这些诊断进行了分析。

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