儿童腭裂修复术：与术后即刻相关的护理诊断和干预措施。
Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period.
机构信息
Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Residência Multiprofissional em Síndromes e Anomalias Craniofaciais, Departamento de Enfermagem, Bauru, SP, Brazil.
Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Departamento de Enfermagem, Bauru, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2022 Jan 5;56:e20210252. doi: 10.1590/1980-220X-REEUSP-2020-0252. eCollection 2022.
OBJECTIVE
To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty.
METHOD
Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis.
RESULTS
The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified.
CONCLUSION
The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.
目的
确定腭裂患儿术后即刻的主要护理诊断和干预措施。
方法
这是一项在巴西一家公立和三级医院进行的文献回顾性研究，于 2020 年 8 月至 9 月开展。纳入 2019 年 1 月至 12 月期间仅接受腭裂修复术、年龄在 10 至 24 个月之间的儿童。排除患有医学综合征和/或合并症的儿童。使用了基本人类需求理论框架以及 NANDA International 和护理干预分类法。对数据进行了描述性统计分析。
结果
样本包括 126 名儿童。以氧合、水合、营养、排泄、皮肤黏膜和身体完整性、疼痛和环境感知等心理生物学需求为主。在此基础上，确定了 9 个护理诊断，其中 4 个针对问题，5 个针对风险，以及 17 项干预措施。
结论
使用标准化语言来识别受影响的人类需求，并在此基础上确定诊断和干预措施，有利于构建和组织临床护理实践的临床推理。
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