RESUMO. Diante do envelhecimento populacional, a Doença de Alzheimer (DA) surge como um problema de grande impacto para a família, provocando sobrecarga ao familiar cuidador. O objetivo do estudo foi compreender as dificuldades e as necessidades do familiar cuidador. Utilizou-se uma abordagem qualitativa para entrevistar 4 familiares. As informações foram analisadas pela Análise Temática que revelou cinco categorias:-Ainda não sei o que está acontecendo, que identificou o desconhecimento sobre a DA;-Assumindo tudo, que identificou elementos do cotidiano que representam sobrecarga de demandas para o familiar cuidador;-Onde estão os outros?, que identificou a dificuldade de dividir os compromissos com outras pessoas;-O amparo da espiritualidade, que identificou a necessidade de apoio suprida pela fé;-O herói valorizado, que identificou a necessidade de reconhecimento e de valorização do familiar cuidador. O estudo mostrou a realidade do cotidiano enfrentado pela família do idoso com DA.
OBJECTIVE Identify the risk factors that contribute to a NANDA-I nursing diagnosis of risk for frail elderly system. METHOD Cross-sectional study with 395 elderly subjects, conducted from November 2010 to January 2013, in a university hospital in South of Brazil. Sociodemographic data were collected and levels of frailty were identified according to the Edmonton Frail Scale. RESULTS A total of 177 (44.81%) participants were classified as frail. There was a significant association between frailty and being female (p=0.031), nonwhite (p=0.008), having no romantic partner (p=0.014), no schooling (p=0.001), a monthly income lower than the minimum wage (p=0.034), and preexisting morbidities for respiratory diseases (p=0.003) as well as infectious and parasitic diseases (p=0.040). Diseases of the tracts genitourinary (p=0.035), respiratory (p=0.001) and blood (p=0.035) were the primary reasons for hospitalization. CONCLUSIÓN Los resultados contribuyen para el desarrollo e implementación del diagnóstico de enfermería en estudio en el ambiente hospitalario.
As alterações próprias do avançar dos anos sobre o organismo humano, ou seja, as modificações fisiológicas são diversas e atingem vários órgãos e funções. Este estudo teve como objetivo identificar diagnósticos e intervenções de enfermagem, relacionados com as alterações de pele do idoso próprias do processo de envelhecimento. Utilizou-se o método da Revisão Integrativa (RI). A busca de artigos científicos foi realizada nas bases de dados CINAHL, LILACS, MEDLINE e SCIELO a partir dos descritores (Decs) diagnósticos de enfermagem, idoso e pele. Selecionaram-se 16 artigos, nos quais foram identificados 22 diagnósticos de enfermagem, 36 intervenções e 15 alterações da pele relacionadas ao envelhecimento cutâneo. Os diagnósticos prevalentes nos achados da RI foram: mobilidade física prejudicada (62,50%); integridade tissular prejudicada (50%); nutrição desequilibrada: menos do que as necessidades corporais (43,75%) e risco de infecção (43,75%). Foram identificadas intervenções de enfermagem como: promover/estimular a mobilização (37,5%); inspecionar a pele (31,25%) e observar sinais de infecção (25%). As alterações de pele prevalentes identificadas foram: pele rompida (50%), diminuição da perfusão tissular periférica (25%) e pele ressecada (37,50%). A formulação de diagnósticos de enfermagem, seguida pela proposição de intervenções relacionadas com alterações cutâneas foi verificada em 50% dos artigos selecionados. Nos demais artigos (50%), não se observou a determinação desses passos do processo de enfermagem. Os resultados da RI permitiram considerar que as alterações fisiológicas da pele do idoso devem ser observadas na formulação de diagnósticos e intervenções de enfermagem e que o processo de enfermagem deve ser utilizado como ferramenta na avaliação de saúde do idoso, pois possibilita o adequado planejamento do cuidado. palavras-chave Pele. Idoso. Diagnóstico de Enfermagem. Intervenção de Enfermagem. abstract Alterations pertaining to the aging process of the human organism, that is, physiological changes, are diverse and act upon several organs and functions. This paper aims to identify nursing diagnoses and interventions related to the elderly skin pertaining to the aging process. We used the Integrated Revision (RI) method. The research to find relevant scientific papers was made in the CINAH, LILACS, MEDLINE and SCIELO databases, using the descriptors (Decs) nursing diagnoses, elder and skin. We selected 16 papers, in which 22 nursing diagnoses, 36 interventions and 15 skin alterations related to cutaneous aging were identified. Prevalent diagnoses in the researched papers were: impaired physical mobility (62.5%); impaired tissue integrity (50%); imbalanced nutrition: less than body requirements (43.75%) and risk of infection (43.75%). Nursing interventions were identified, such as: promoting/stimulating mobility (37.5%); inspecting the skin (31.25%) and observing for signs of infection (25%). Prevailing skin alterations identified were: broken skin (50%), decrease in peripheral tissue infusion (25%) and dry skin (37.5%). Formulation of nursing diagnoses, followed by the proposal of interventions related to skin changes were found in 50% of the selected papers. In the others (50%), we did not find these steps of the nursing process. The results of the RI allowed us to consider that physiological alterations of the elder's skin must be taken into account when making nursing diagnoses and interventions and that the nursing process must be used as a tool when evaluating the elder's health, as long as it makes possible the adequate planning of care. keywords Skin. Elderly. Nursing Diagnose. Nursing Intervention.
EditorialRev Gaúcha Enferm. 2014 set;35(3):12-13.Nursing is a social and humanistic discipline, where the development of care technologies focuses on changes in society resulting social, political, economic and historic determinants. These conditions defi ne priorities and establish guidelines for the production of knowledge aimed at the health needs of diff erent population groups and specifi c contexts.This editorial aims to analyze the alignment of scientifi c production published in the Revista Gaúcha de Enfermagem (RGE), volume 35, numbers 1, 2 and 3 of 2014, with research priorities in nursing discussed and proposed in the National Nursing Research Seminar held in 2013 (1) . The goal of this brief analysis is to illicit refl ection on the trends and gaps in the production of nursing knowledge, considering the National Agenda of Priorities in Health Research (ANPPS) defi ned as a Ministry of Health management instrument (2) . The objectives of the ANPPS (2) include: identifying the primary national and regional health research needs with a view to formulating social policies; guiding promotional initiatives through the population's health needs; guiding researchers and funders to produce studies related to national requirements and measure the impact of national research on health.The ANPPS defi ned 24 sub-agendas that address priority research topics in diff erent disciplines of knowledge (2)(3) . Based on these sub-agendas, and considering state of the art nursing research, Oliveira (4) proposes guiding themes to defi ne research priorities in nursing, as follows: nursing care and its subjects; cross-cutting national problems; professional skills; and research objects strengthened by induction to establish nursing research priorities. These guiding themes go beyond morbid processes and clinical problems, since they focus on the health-disease process as a whole. Of these, eleven topics have characterized the development of research in the area (4) . The present study considered 54 original articles in the RGE that were classifi ed according to these topics. Analysis of the articles identifi ed alignment with the following topics: 4 (7.41%) with Topic 1 Health, the Environment, Work and Biosecurity in Nursing; 8 (14.81%) with Topic 2 Evaluation of Nursing Technology and Health Economy; 2 (3.70 %) with Topic 3 Clinical Investigation in Nursing; 5 (9.26%) with Topic 4 Health Education and Work Management; 3 (5.55%) with Topic 5 Health Policies and Systems; 2 (3.70%) with Topic 6 Nursing Care in Elderly Health; 5 (9.26%) with Topic 7 Nursing Care in Women's Health; 7 (12.96%) with Topic 8 Nursing Care in Child and Adolescent Health; 4 (7.41%) with Topic 9 Nursing Care in Mental Health; 2 (3.70%) with Topic 10 Nursing Care in Communicable Diseases and 7 (12.96%) with Topic 11 Nursing Care in Non-Communicable Diseases. Among the articles analyzed, 5 (9.26%) were related to professional training and therefore did not fall under any topic. Scientifi c production of the Revista Gaúcha de Enfermagem and research p...
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