Oliveira Mirna Fontenele de, Freitas Maria Célia de
Universidade Estadual do Ceará, Departamento de Enfermagem, Mestrado em Cuidados Clínicos, Fortaleza, CE, Brazil.
Rev Bras Enferm. 2009 May-Jun;62(3):343-8. doi: 10.1590/s0034-71672009000300002.
This study aimed at identifying the most frequent Nursing Diagnoses and propose interventions for women under critical care into a maternal intensive care unit in a public hospital in Fortaleza, CE, Brazil. Retrospective study conducted with women's hospital health records. Ten Nursing Diagnoses were elaborated, being four risk: risk of infection, risk of unbalance of liquids volume, risk of aspiration, risk of damaged skin integrity and six real: altered maternity, impaired physical mobility, anxiety and impaired verbal communication. For the referred Nursing Diagnoses, nursing interventions are proposed according to the link between NANDA, NIC and NOC. It was concluded that the use of ND is a necessary technology for the Nursing reality, as it makes possible the integral care.
本研究旨在确定巴西塞阿拉州福塔莱萨市一家公立医院的重症监护病房中，针对危重症产妇最常见的护理诊断，并提出干预措施。通过回顾性研究分析了这些女性的医院健康记录。确定了10项护理诊断，其中4项为风险诊断：感染风险、液体量失衡风险、误吸风险、皮肤完整性受损风险；6项为现存诊断：产妇状态改变、身体活动能力受损、焦虑、言语沟通障碍。针对上述护理诊断，根据北美护理诊断协会（NANDA）、护理干预分类（NIC）和护理结局分类（NOC）之间的关联，提出了护理干预措施。得出的结论是，护理诊断的应用是护理实践中的一项必要技术，因为它有助于提供全面护理。
