Objective: To identify the nursing diagnoses of NANDA international in children with kidney disease undergoing hemodialysis. Methods: Cross-sectional and descriptive study, carried out with 16 patients, at a pediatric renal therapy reference center in a city in northern Brazil. For data collection, the interview form was used together with data collection in the patients' medical records from January to March 2016. Results: 21 nursing diagnoses were identified, the most frequent of which were: risk of infection (100%); risk of vascular trauma (100%) and excessive volume (68.75%). Conclusion: The most frequent diagnoses are included in the domains security / protection and nutrition, referring to specific interventions and strengthening nursing practice in hemodialysis.
Objetivo: Identificar os problemas de adaptação, segundo o Modelo Teórico proposto por Sister Callista Roy, em crianças que realizam tratamento de hemodiálise. Metodologia: Estudo transversal e descritivo, realizado com 16 pacientes, em um centro de referência em terapia renal pediátrica de uma cidade do Norte do Brasil. Para a coleta foi utilizado um formulário de entrevista e levantamento de dados presentes em prontuários, nos meses de janeiro a março de 2016. Resultados: Em relação aos dados de hemodiálise, o tempo de realização da terapia variou de 12 a 96 meses, sendo a média de 31,68 meses, ou seja, média de 2 anos e 8 meses. O acesso vascular predominante foi o cateter (87,5%). Foram identificados 11 problemas adaptativos nos modos relacionados ao fisiológico, autoconceito, identidade e interdependência. Conclusão: a utilização do modelo de adaptação de Roy foi apropriada, pois permitiu entender as alterações relacionadas aos modos adaptativos e visualizar de forma concreta quais os focos para as intervenções de enfermagem.
OBJETIVE: Viruses are commonly associated with respiratory infections. Pandemics caused by respiratory viruses have affected humans considerably throughout history. We are currently facing a pandemic caused by SARS-CoV-2. Control measures the aimed to slow the virus spread may have interfered with the spread of other season respiratory viruses. Understanding the incidence of viral respiratory cases is necessary to corroborate this hypothesis. The aim of this study was to compare the incidences of the respiratory viruses that were reported in the weekly report of respiratory viruses between 2019 and 2020. METHODS: Epidemiological bulletins of 2019 and 2020 for cases of severe acute respiratory syndrome available at the Ministry of Health were consulted in order to determine the incidences of cases of viral respiratory infection, bulletins were considered for up to week 32. RESULTS: A substantial decrease was observed in cases of Severe Acute Respiratory Syndrome related to respiratory viruses other than SARS-CoV-2, suggesting that pandemic-related control in progress can affect the circulation of other respiratory viruses, since transmission of these viruses is very similar and protected measures such as social distance and an increase in the level of personal hygiene can be effective in reducing the spread of most of them. In addition, the closure of school units during the period of greatest incidence of respiratory viruses may have contributed to the decrease in cases among children. CONCLUSION: The measures adopted may have influenced considerably in the spread of other respiratory viruses.
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