Objetivou-se identificar os fatores determinantes da remoção não eletiva do cateter central de inserção periférica em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal. Estudo transversal, realizado em uma maternidade referência no atendimento materno-infantil de alto risco situada no Nordeste do Brasil. A coleta foi realizada com 108 neonatos e ocorreu no período de fevereiro a novembro de 2016. Observou-se a prevalência de neonatos do sexo masculino (60,19%), nascidos de parto cesárea (74,07%) e baixo peso ao nascer (29,62%). A remoção não eletiva ocorreu em 41,66% neonatos por infiltração (12,03%), tração acidental (11,11%), ruptura externa (9,25%), oclusão (5,55%), mau posicionamento (1,85%) e suspeita de infecção (1,85%). A prevalência e os fatores de remoção não eletiva indicam a necessidade de estratégias por parte da Enfermagem na prevenção de complicações evitáveis relacionadas ao cateter, destacando-se a capacitação e aprimoramento de habilidades quanto à inserção, manutenção, retirada e observação desse dispositivo.
Objective: Raise the nursing diagnosis by NANDA, identify the nursing interventions by NIC, raise the expected by NOC. Methods: Study of quantiitative approach, kind case report. Results: Study was raised from the evaluation of a patient that found in post operative of intermediate cardiac surgery ICU admission of a university hospital. Found eight nursing diagnosis and as such, the strokes as intervention NIC and expected results by NOC. Discussion: Diagnosis patient profile, prepared based on your needs, provides a rationale for determination of nursing interventions. Conclusion: Identification of nursing diagnosis is intended to assist in planning based nursing care and adequate to the needs of each patient effective actions resulting in solving problems.Descriptors: Nursing, Thoracic surgery, Nursing care.RESUMOObjetivo: Levantar os diagnósticos de enfermagem, segundo a NANDA; identificar as intervenções de enfermagem, segundo a NIC; levantar os resultados esperados segundo a NOC. Métodos: Estudo de abordagem quantitativa tipo relato de caso. Resultados: O estudo foi levantado a partir da avaliação de um paciente que se encontrava em pós-operatório mediato de cirurgia cardíaca internado na UTI de um hospital universitário. Foram encontrados oito diagnósticos de enfermagem e a partir destes, traçados as intervenções segundo o NIC e os resultados esperados segundo o NOC. Discussão: O perfil diagnóstico do paciente, elaborado com base em suas necessidades, oferece uma fundamentação para determinação das intervenções de enfermagem. Conclusão: A identificação dos diagnósticos de enfermagem tem o propósito de auxiliar no planejamento dos cuidados de enfermagem fundamentados e adequadas às necessidades de cada paciente, resultando em ações eficazes para a resolução dos problemas. Descritores: Enfermagem, Cirurgia torácica, Cuidados de enfermagem.RESUMENObjetivo: Aumentar el diagnóstico de enfermería por la NANDA; identificar las intervenciones de enfermería de NIC; levantar los esperados por NOC. Métodos: Estudio con abordaje cuantitativo, informe caso. Resultados: El estudio fue levantado de la evaluación de un paciente que se encuentra en post-operatorio de intermedio cirugía cardiaca ingreso en la uci de un hospital universitario. Encontraron ocho diagnóstico de enfermería y, como tal, los golpes al NIC intervención y resultados esperados por NOC. Discusión: El diagnóstico del paciente perfil, preparado en base a sus necesidades, proporciona una base para determinación de las intervenciones de enfermería. Conclusión: Identificación de diagnóstico de enfermería es para ayudar en cuidados de enfermería basada en la planificación y adecuado a las necesidades de cada paciente que resulten acciones efectivas en solución de problemas. Descriptores: Enfermería, Cirugía torácica, La atención de enfermería.
Objective: to identify the predictive factors for the nursing diagnoses in people living with Acquired Immune Deficiency Syndrome. Method: a cross-sectional study, undertaken with 113 people living with AIDS. The data were collected using an interview script and physical examination. Logistic regression was used for the data analysis, considering a level of significance of 10%. Results: the predictive factors identified were: for the nursing diagnosis of knowledge deficit-inadequate following of instructions and verbalization of the problem; for the nursing diagnosis of failure to adhere - years of study, behavior indicative of failure to adhere, participation in the treatment and forgetfulness; for the nursing diagnosis of sexual dysfunction - family income, reduced frequency of sexual practice, perceived deficit in sexual desire, perceived limitations imposed by the disease and altered body function. Conclusion: the predictive factors for these nursing diagnoses involved sociodemographic and clinical characteristics, defining characteristics, and related factors, which must be taken into consideration during the assistance provided by the nurse.
Objetivo: identificar as necessidades humanas básicas alteradas nos neonatos com cateter central de inserção periférica em Unidade de Terapia Intensiva Neonatal, à luz da Teoria das Necessidades Humanas Básicas. Método: estudo transversal de abordagem quantitativa, realizado com 108 recém-nascidos em uma maternidade do Nordeste brasileiro entre os meses de fevereiro e dezembro de 2017. O instrumento de coleta de dados utilizado foi um roteiro de anamnese e exame físico. Os resultados foram analisados por meio da Teoria de Wanda Horta. Resultados: foram identificadas dez necessidades alteradas, com destaque para as mais prevalentes: integridade cutâneo-mucosa, ambiente, nutrição, hidratação, oxigenação e atenção. Conclusão: a identificação das necessidades humanas básicas alteradas nos neonatos com cateter central de inserção periférica pode subsidiar a elaboração de um plano de cuidados baseado em evidências e direcionado para essa população.
This study aimed to identify the impacts of vertical transmission of sexually transmitted infections in newborns through an integrative review. The methodology was performed from the intersection of the Descriptors in Health Sciences Neonatal Nursing; Sexually transmitted diseases; Infectious Disease Vertical Transmission in the Cumulative Index to Nursing & Allied Health Literature (CINAHL), Scopus, Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (Scielo). At the end of the searches, 29 articles were obtained where 14 of these studies (48.2%) had HIV / AIDS as their central theme. It was found that the need for interruption of breastfeeding, preterm and low birth weight births, neonatal or stillbirth deaths are the main impacts of transmission. It was also identified that infected women should suspend breastfeeding as this may be a source of vertical transmission. In contrast, public policies related to child nutrition prove to be ineffective. Other problems concern the higher prevalence of severe comorbidities, such as pulmonary tuberculosis, bacteremia and diarrheal diseases. From the point of view of the organization of practices related to vertical transmission, comprehensiveness indicates the need for definition by the public power which has competence in the organization of care and therapeutic guidelines. It is concluded that this work opens perspectives for further studies on the aforementioned theme, since effective measures of vertical transmission control are necessary in order to interrupt this cycle that impacts the human development indices of the country.
Objective: The objective of the present study was to evaluate adherence to antiretroviral treatment for AIDS patients. Method: This is a quantitative study, field, and descriptive, at Reference Center for infectious diseases in Natal/RN, from August 2010 to July 2011. Data were collected through medical records, interviews and the pharmacy dispensing records. Results: Participated in the study 402 patients, among whom (70.2%) were male, the mean age was 35 years, and 90.0 had been diagnosed of HIV infection between 1 to 5 years. It was observed that 30% of the patients adhered to treatment. Conclusion: The Adherence in the present study are lower than those recommended in the literature, to increase adherence to ART is essential to carry out strategies to increase awareness and user engagement. Descriptors
Introduction: Microvascular free-flap surgery has become the gold standard in Head and Neck oncology reconstruction with published success rates of ≥95%. Evidence suggests that poor blood flow to the flap remains the primary cause of failure and this might be linked to the type of vasoconstrictor used during anaesthesia. Aims: The objectives of this analysis were (1) an assessment of the success rate of microsurgical free-flaps placed by the Oral and Maxillo-Facial surgeons at the Royal Derby Hospital, (2) whether the intraoperative administration of vasoactive agents had a negative effect on this success, (3) to investigate whether type and/or method of administration of vasoactive agents influences flap success rates. Methods: A sample of 123 consecutive patients undergoing surgery in an eight-year period were analysed retrospectively. Data collected included the type of free-flap used, the success of the procedure, the type of vasoconstrictor used and the drug administration method. Results: There were 119 successful flaps and 4 failures giving a success rate of 97% in the study period. Two vasoconstrictors (noradrenaline and metaraminol) were used intraoperatively, either alone or in combination. These agents were administered by differing methods depending on anaesthetic choice. No association was found between the use of vasoconstrictors and flap failure. Nor was there an association between the method of vasoconstrictor administration and flap failure. Conclusions: This analysis of a limited number of patients indicates that administration of a vasoconstrictor appears to have no detrimental effect on the success rate of microvascular free-flap surgery. Further, the type of vasoconstrictor and mode of administration does not appear to influence these success rates.
Objetivo: Identificar los factores asociados con la aparición de eventos adversos en el catéter de inserción central periférica en recién nacidos.Métodos: Un estudio transversal con un enfoque cuantitativo realizado en una Unidad de Cuidados Intensivos Neonatales de un hospital de maternidad de referencia en atención materna e infantil de alto riesgo en el noreste de Brasil. Muestra de 108 neonatos recolectados de febrero a noviembre de 2016.Resultados: La prevalencia de eventos adversos en los recién nacidos fue del 53,70%, asociada a las siguientes variables: sexo masculino (p = 0,033), peso inferior a 2500 gramos (p = 0,003), inserción después de 48 horas (p = 0,027), más de tres intentos de punción (p = 0,024), dificultad de progresión del catéter (p = 0,040), presencia de intercurrencias durante la inserción del catéter (p = 0,027), sobre dos cambios de apósito = 0.009) y ubicación no central del dispositivo (p = 0.042).Conclusión: Los resultados indican la necesidad de estrategias para la prevención de eventos adversos, con énfasis en la educación continua y el mejoramiento de habilidades en la gestión de este dispositivo. Objective: To identify the factors associated with the occurrence of adverse events by a peripherally inserted central catheter in newborns. Methods: A quantitative, cross-sectional study carried out in the Neonatal Intensive Care Unit of a reference maternity hospital in high-risk maternal and child care in Northeast Brazil. The sample of 108 neonates was collected from February to November 2016. Results: The prevalence of adverse events in newborns was 53.70%, associated with the following variables: male gender (p=0.033), weight below 2500 grams (p=0.003), insertion performed after 48 hours of life (p=0.027), more than three puncture attempts (p=0.024), difficulty in inserting the catheter (p=0.040), intercurrence during catheter insertion (p=0.027), over two dressing changes (p=0.009), and non-central position of the device (p=0.042). Conclusion: The results indicate the need for strategies to prevent adverse events, with emphasis on continuing education and on the improvement of skills regarding the use of this device.
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