RESUMO: Objetivou identificar as complicações em pacientes renais crônicos submetidos à hemodiálise e correlacioná-las aos fatores sociodemográficos e clínicos. Estudo transversal, com 200 pacientes em uma clínica de nefrologia no Nordeste do Brasil. Utilizou-se um formulário para a coleta de dados, que ocorreu durante março e abril de 2015. Na análise inferencial, foram aplicados testes de Qui-Quadrado e Exato de Fisher, e U de Mann-Whitney, na associação entre variáveis nominais e numéricas. As associações estatísticas foram: hipotensão com idade, sexo e ganho de peso interdialítico; calafrios com sexo e ganho de peso interdialítico; vômito com sexo, sítio de diálise e KT/V; cefaleia com sexo e idade; tontura com anos de estudo, religião e ganho de peso interdialítico; arritmia e idade; diarreia e tempo de hemodiálise; dor abdominal e ganho de peso interdialítico; sudorese e idade. Conclui-se que complicações durante a hemodiálise podem sofrer influência de fatores sociodemográficos e clínicos. DESCRITORES: Enfermagem; Diálise renal; Complicações; Insuficiência renal; Perfil de saúde. COMPLICAÇÕES EM PACIENTES RENAIS CRÔNICOS SUBMETIDOS COMPLICATIONS IN PATIENTS WITH CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS*ABSTRACT: The present study aimed to identify complications in patients with chronic renal failure undergoing hemodialysis and correlate them to socio-demographic and clinical factors. Cross-sectional study with 200 patients conducted in a nephrology clinic in the Northeast of Brazil. Data was collected in March and April 2015 through a structure questionnaire completed by the participants. Chi-square and Fisher's Exact tests were performed in inferential analysis, and Mann-Whitney U test was used to assess the relationship between categorical (nominal) and numerical variables. The statistically significant associations were hypotension with age, gender and interdialytic weight gain; chills with gender and interdialytic weight gain; vomiting with gender, dialysis site and Kt/V; headache with gender and age; dizziness with years of schooling, religious belief and interdialytic weight gain; arrhythmia and age; diarrhea and length of time on dialysis treatment; abdominal pain and interdialytic weight gain; sweating and age. It is concluded that complications during hemodialysis can be affected by socio-demographic and clinical factors.

Background:Pressure ulcers increase hospital stays and treatment costs due to their complications. Therefore, recognizing factors that contribute to pressure ulcer risk are important to patient safety.Objective:To evaluate the association between the scores of the Waterlow, Braden, and Norton scales and clinical and social characteristics in critically ill patients.Method:A cross-sectional study of 78 patients in an adult intensive care unit of a university hospital in Northeastern Brazil was conducted from July to December 2015. Data included social and clinical information and the risk factors of the Braden, Norton and Waterlow scales. Data were analysed by the descriptive and inferential statistics.Results:Most of the participants were female, adults and elderly people with brown skin colour, low education levels and insufficient income. Most of them showed a high risk for developing pressure ulcers using the three evaluated scales. Age, smoking status, diabetes and hypertension were associated with scores on the Waterlow, Braden and Norton scales.Conclusion: Age, use of the tobacco, diabetes and hypertension were associated with the risk of pressure ulcers in ICU patients.

Results: The clinical indicator of "fatigue" had high sensitivity (p = .999) and specificity (p = 1.000) for the identification of "ineffective protection." Additionally, "maladaptive response to stress" (p = .711) and "coagulation change" (p = .653) were sensitive indicators. The main indicators that showed high specificity were "fever" (p = .987), "increased number of hospitalisations" (p = .911), "weakness" (p = .937), "infected vascular access" (p = .962) and "vascular access dysfunction" (p = .722).Conclusion: A set of nine clinical indicators of "ineffective protection" were accurate and statistically significant for haemodialysis patients. Three clinical indicators showed sensitivity, and six indicators showed specificity.Relevance to clinical practice: Accurate measures for nursing diagnoses can help nurses confirm or rule out the probability of the occurrence of "ineffective protection" in patients undergoing haemodialysis.

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Aim: to analyze the association of nursing diagnoses of the Hydration class of NANDA International and its components in hospitalized patients undergoing hemodialysis. Method: This is a cross-sectional study involving 50 patients at a university hospital in a city in northeastern Brazil. The diagnoses inference was performed by specialist nurses. The analysis was made through the use of descriptive and inferential statistics.The study was approved by the Ethics Committee under Opinion 392,535. Results: of the six diagnoses obtained, two were associated with its components involving an excessive volume of liquid with the following features: pulmonary congestion, edema and adventitious breath sounds, and the willingness to improve the fluid balance with an expressed desire to increase it. Discussion: the identified associations are related to the volume of fluid, and are constantly changing in the investigated patients. Conclusion: The volume of excessive liquids and the willingness to improve the fluid balance showed a significant association with some of its components.

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Problema: A ausência de estímulos facilitadores no ambiente em que o adolescente convive é normalmente atribuída a ocorrência do atraso do desenvolvimento. Objetivo: Analisar a associação dos fatores relacionados com a proposta diagnóstica atraso no desenvolvimento em adolescentes no ambiente escolar. Método: Estudo transversal, realizado com 385 adolescentes em uma cidade no Nordeste do Brasil. Resultados: A prevalência da proposição diagnóstica atraso no desenvolvimento foi 18,26%. Os fatores relacionados que associação associação associados foram: marginalização social, dor crônica, não aceita às transformações corporais da puberdade e trauma psicológico. Discussão:Percebe-se a relação entre as variáveis estudadas e o desenvolvimento humano frente à literatura. Conclusão: O conhecimento dos fatores associados mais frequentes nessa população, facilita a inferência da proposição diagnóstica pelo enfermeiro. Outrossim, contribui na identificação de aspectos capazes de gerar prejuízos ao adolescente e, consequentemente, sequelas na fase adulta.