Objective: To identify the most frequent nursing diagnoses in chronic renal failure patients on hemodialysis. Methods: A cross-sectional study including 178 patients, selected by convenience sample, consecutively recruited. For data collection, interview guides and physical examination were used. An individual process of clinical judgment for the nursing diagnoses was performed and, for better accuracy, the results obtained underwent a process of paired review among the authors. Results: Twenty-four nursing diagnoses were identified, of which the most frequent were: risk for infection (100%); excessive fluid volume (99.4%); and, hypothermia (61.8%). Conclusion: The most frequent diagnoses identified were included in the safety / protection and nutrition domains of NANDA-I. ResumoObjetivo: identificar os diagnósticos de enfermagem mais frequentes em pacientes renais crônicos em hemodiálise. Métodos: Estudo transversal com a inclusão de 178 pacientes, selecionados por amostragem de conveniência do tipo consecutiva. Para a coleta foram utilizados roteiros de entrevista e exame físico. Foi realizado um processo individual de julgamento clínico dos diagnósticos de enfermagem e os resultados obtidos passaram por processo de revisão de forma pareada entre os autores, para maior acurácia. Resultados: Identificaram-se 24 diagnósticos de enfermagem, sendo os mais frequentes: risco de infecção (100%); volume de líquidos excessivo (99,4%); e hipotermia (61,8%). Conclusão: Os diagnósticos mais frequentes identificados estão inseridos nos domínios segurança/proteção e nutrição.

This study aimed to synthesize the knowledge produced in articles about nursing care for chronic renal patients on hemodialysis. This is an integrative literature review conducted on the databases SCOPUS, CINAHL, PUBMED, LILACS and COCHRANE. The sample consisted of ten articles. Nursing care was categorized and grouped in areas according to NANDA International. The publications occurred between the years 2009 and 2012, prevailing descriptive studies with level VI of evidence. Given the findings, it was identified that nursing care to chronic renal patients is focused on infection prevention, promotion of self-care, guidance to the family and the patient, diet control and the promotion of a comfortable environment. Thus, knowing nursing care provides nurses with subsidies for the development of a specific care plan, targeted on the needs of each individual.

Objective: To identify the adaptive problems of the psychosocial mode of the Roy model in chronic kidney patients on hemodialysis. Methods: Cross-sectional study with 178 patients from a dialysis center in the northeast of Brazil. Results: Three adaptive problems were identified, two of the self-concept: sexual dysfunction and low self-esteem; and one of the paper performance mode: paper failure. CONCLUSIONS: Adaptive flaws in the role, sexual dysfunction and low self-esteem refer to the presence of a conical disease and an invasive treatment, since these conditions directly affect the individual's lifestyle

Aim:To identify the defining characteristics in patients receiving immediate post-operatory care after prostatectomy.Method: This is a quantitative, transversal and descriptive study performed on 50 patients during the immediate post-operatory care after prostatectomy in a College hospital of a city located in the northeast region of Brazil.Results: 50 defining characteristics were found related especially to the physiological and security needs of the patient, such as problems regarding ambulation, self-care, pain, sight, hearing, sleeping, understanding and intestinal patterns. Of the total, 15 characteristics were present in all patients. Discussion:The defining characteristics found in all patients were linked to ambulation and self-care. These elements emphasize the limitations of the patients to perform daily tasks independently. Conclusion:The defining characteristics found are important hints to help nursing diagnoses. Based on priority diagnosis, it is possible to plan and implement systematized nursing assistance.

A new proposal was developed for the diagnosis under study after the analysis of experts.

No abstract

RESUMOObjetivo: Verificar a capacidade de inferência diagnóstica de enfermeiros especialistas. Método: Estudo descritivo, realizado em julho de 2013, com cinco enfermeiros especialistas do grupo de pesquisa intitulado Práticas Assistenciais e Epidemiológicas em Saúde e Enfermagem. A capacidade de inferência diagnóstica foi avaliada por meio dos testes de eficiência, taxa de falso positivo, taxa de falso negativo e tendência. A pesquisa foi aprovada pelo comitê de ética em pesquisa da instituição responsável, por meio do protocolo Nº 148.428. Resultados: Dentre os especialistas avaliados quanto a sua capacidade de inferência diagnóstica, apenas dois atingiram as pontuações desejáveis dos quatro atributos avaliados. Conclusão: Conclui-se que poucos enfermeiros especialistas obtiveram resultado satisfatório. Assim, é necessário o desenvolvimento de estratégias de aprendizado desde a graduação e a realização de educação continuada para os profissionais da prática.Palavras chave: Enfermagem, diagnóstico de enfermagem, avaliação em enfermagem, estudos de avaliação. ABSTRACTObjective: To assess the capacity for diagnostic inference among specialist nurses. Method: Descriptive study, performed in July 2013, with five specialist nurses of the research group entitled Care and Epidemiology Prac-1 Artigo extraído da dissertação "Acurácia dos indicadores clínicos do diagnóstico de enfermagem volume de líquidos excessivo em pacientes submetidos à hemodiálise", 2014, Universidade Federal do Rio Grande do Norte, Brasil.