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接受人工耳蜗植入的儿童的护理诊断与干预措施。

Nursing diagnoses and interventions in children submitted to cochlear implantation.

作者信息

Pereira Patrícia Juliana Santos, Souza Natália Fernanda Higa de, Almeida Raissa Janine de, Menezes Daiane Cabrera, Bom Gesiane Cristina, Trettene Armando Dos Santos

机构信息

Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Residência Multiprofissional em Saúde, Síndromes e Anomalias Craniofaciais, Bauru, SP, Brazil.

Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Pós-Graduação em Ciências da Reabilitação, Bauru, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2017 Jun 12;51:e03238. doi: 10.1590/S1980-220X2016045203238.

DOI:10.1590/S1980-220X2016045203238
PMID:28614440
Abstract

OBJECTIVE

Identifying the main nursing diagnoses and interventions in children submitted to cochlear implant in the immediate postoperative period.

METHOD

A cross-sectional study conducted between February and April 2016, considering nursing history (anamnesis and physical examination) and nursing diagnoses (NANDA - International) with their respective interventions (Nursing Intervention Classification - NIC). Descriptive statistical analysis was used to construct the results.

RESULTS

A total of 19 children participated in this study. The main nursing diagnoses listed were: impaired verbal communication, impaired skin integrity, risk for infection, risk for falls, and risk for bleeding (n=19; 100%). Regarding the nursing interventions, the following prevailed: Improvement in communication: auditory deficit, Skin surveillance, Protection against infection, Prevention of falls and Precautions against bleeding (n=19; 100%).

CONCLUSION

Nursing diagnoses and interventions related to the cochlear implant postoperative period were related to communication, bleeding control, surgical wound care, infection prevention, comfort and well-being.

OBJETIVO

Identificar os principais diagnósticos e intervenções de enfermagem em crianças submetidas a implante coclear em pós-operatório imediato.

MÉTODO: Estudo transversal realizado entre fevereiro e abril de 2016. Foram considerados o histórico de enfermagem (anamnese e exame físico) e os diagnósticos de enfermagem (NANDA - Internacional) com suas respectivas intervenções (Nursing Intervention Classification - NIC). Para construção dos resultados utilizou-se da análise estatística descritiva.

RESULTADOS

Participaram do presente estudo 19 crianças. Os principais diagnósticos de enfermagem elencados foram: Comunicação verbal prejudicada, Integridade da pele prejudicada, Risco de infecção, Risco de queda e Risco de sangramento (n=19; 100%). Quanto às intervenções de enfermagem, prevaleceram: Melhora na comunicação: deficit auditivo, Supervisão da pele, Proteção contra infecção, Prevenção de quedas e Precauções contra sangramento (n=19; 100%).

CONCLUSÃO: Os diagnósticos e as intervenções de enfermagem referentes ao pós-operatório de implante coclear relacionaram-se com comunicação, controle de sangramento, cuidados com a ferida operatória, prevenção de infecção, conforto e bem-estar.

摘要

目的

确定接受人工耳蜗植入术的儿童在术后即刻的主要护理诊断和干预措施。

方法

于2016年2月至4月进行了一项横断面研究,考虑护理病史(问诊和体格检查)以及护理诊断(国际护理诊断协会)及其相应的干预措施(护理干预分类法)。采用描述性统计分析来构建结果。

结果

共有19名儿童参与了本研究。列出的主要护理诊断为:言语沟通障碍、皮肤完整性受损、感染风险、跌倒风险和出血风险(n = 19;100%)。关于护理干预措施,以下措施最为常见:沟通改善:听力缺陷、皮肤监测、预防感染、预防跌倒和预防出血(n = 19;100%)。

结论

与人工耳蜗植入术后阶段相关的护理诊断和干预措施与沟通、出血控制、手术伤口护理、感染预防、舒适度和幸福感有关。

目的

识别接受人工耳蜗植入术的儿童在术后即刻的主要护理诊断和干预措施。

方法

2016年2月至4月进行的横断面研究。考虑了护理病史(问诊和体格检查)以及护理诊断(国际护理诊断协会)及其相应的干预措施(护理干预分类法)。利用描述性统计分析来构建结果。

结果

19名儿童参与了本研究。列出的主要护理诊断为:言语沟通受损、皮肤完整性受损、感染风险、跌倒风险和出血风险(n = 19;100%)。关于护理干预措施,以下措施最为常见:沟通改善:听力缺陷、皮肤监测、预防感染、预防跌倒和预防出血(n = 19;

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