Objetivo: identificar os diagnósticos de enfermagem em um centro de referência de gestação de alto risco. Métodos: estudo descritivo e retrospectivo com coleta de informações em 200 prontuários de gestantes atendidas entre 2014 e 2015 em um centro de referência secundária. Foi aplicado um instrumento de coleta buscando dados demográficos, motivos de encaminhamento e diagnósticos de enfermagem. Resultados: os diagnósticos mais prevalentes foram: conforto prejudicado (60%), risco de infecção (36%) e manutenção ineficaz da saúde (29,5%). Ressalta-se o grande número de gestantes sem um companheiro (48,5%). As condições que mais motivaram encaminhamento foram o histórico e a apresentação atual das Síndromes Hipertensivas da Gestação (19%). Conclusão: estes dados podem direcionar a implementação da Sistematização de Assistência de Enfermagem, visando uma assistência de enfermagem mais eficiente e eficaz, interferindo de forma positiva no desfecho da gestação de alto risco.Descritores: Gravidez de Alto Risco; Cuidados de Enfermagem; Diagnóstico de Enfermagem.THE MOST PREVALENT NURSING DIAGNOSIS IN HIGH RISK PREGNANT WOMENObjective: to identify the nursing diagnoses in a high risk pregnancy reference center. Methodology: descriptive retrospective study with collecting information through 200 medical records of patients treated in the period between 2014 and 2015 in a high risk pregnancy reference center. A data collection instrument was used, seeking demographic information, referral reasons and nursing diagnoses. Results: The most prevalent diagnoses found are impaired comfort (60%), risk for infection (36%) and ineffective self-health management (29,5%). Note the large number of pregnant women without a partner (48,5%). The most referrals reasons were motivated by historical and current presentation of pregnancy hypertensive syndromes (19%). Conclusion: this data can direct the implementation of Nursing Care Systematization, for a more efficient and effective nursing care interfering positively in the outcome of the high risk pregnancy.Descriptors: High-Risk Pregnancy; Nursing Care; Nursing Diagnosis.DIAGNÓSTICOS DE ENFERMERÍA MÁS PREVALENTES EN GESTANTES DE ALTO RIESGOObjetivo: identificar los diagnósticos de enfermería en un centro de referencia de gestación de alto riesgo. Metodologia: estudio descriptivo y retrospectivo con recolección de informaciones en 200 prontuarios de gestantes atendidas entre 2014 y 2015 en un centro de referencia secundaria. Se aplicó un instrumento de recolección buscando datos demográficos, motivos de encaminamiento y diagnósticos de enfermería. Resultados: los diagnósticos más prevalentes fueron: comodidad perjudicada (60%), riesgo de infección (36%) y mantenimiento ineficaz de la salud (29,5%). Se resalta el gran número de gestantes sin un compañero (48,5%). Las condiciones que más motivaron encaminamiento fueron el histórico y la presentación actual de los Síndromes Hipertensivos de la Gestación (19%). Conclusión: estos datos pueden direccionar la implementación de la Sistematización de Asistencia de Enfermería, buscando una asistencia de enfermería más eficiente y eficaz, interfiriendo de forma positiva en el desenlace de la gestación de alto riesgo.Descriptores: Embarazo de Alto Riesgo; Atención de Enfermería; Diagnóstico de Enfermería.
Objetivo: identificar a conduta dos profissionais de saúde no manejo de mulheres com atipias noexame citopatológico, atendidas em Unidades de Atenção Primária à Saúde.Método: estudo documental, retrospectivo, com 175 mulheres que apresentaram examescitopatológicos com atipias, entre 2006 e 2014, num município do estado de São Paulo, comanálise descritiva dos dados.Resultados: 157 (90%) mulheres retornaram à unidade para verificar o resultado do exame. Entreas com atipias, 103 (86%) receberam manejo adequado, porém 85 (83%) repetiram o exame emtempo menor que o preconizado. Entre as que precisaram de colposcopia, 30 (79%) receberammanejo adequado.Conclusão: o manejo de mulheres com atipias foi adequado, porém o índice de positividade baixo,escassez de registros em prontuários e temporalidade inadequada para repetição do examecitopatológico demonstram um programa de rastreamento oportunístico, podendo ocasionarbaixa cobertura da população alvo, alto índice de detecção tardia, e super-rastreamento.
Objective: to understand the meaning of work activities for young women with breast cancer. Method: a qualitative study that used as a theoretical framework the Symbolic Interactionism and, as the methodological framework, the Discourse of the Collective Subject. It was developed in a mastology outpatient clinic and a mastectomized rehabilitation center whose data collection took place between February 2014 and January 2015. Twelve women between 18 and 40 years old with up to one year of diagnosis of breast cancer participated, being excluded those with metastasis; interviewed from the guiding question: how is it for you to be young with breast cancer, in relation to work? Thematic content analysis was applied. Results: the following theoretical categories emerged: young women’s feelings about having to stop working due to breast cancer and its treatments; quitting work meant annoyance and discouragement; change in income and collection by herself raised concern about the financial contribution; physical changes changing work activities, meaning limitation and impairment; work as an opportunity to live a better life, as a meaning of freedom; lack of collaboration of colleagues in the work environment whose significance was difficulties in the work environment; solidarity and positivity at work and family support that provided them with encouragement to cope with the disease. Conclusion: it was difficult to experience and accept changes in work activities. The support of family, friends and coworkers was paramount to cope with this process, which should also be taken into account by the health team, especially nursing.
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