Diagnósticos, resultados e intervenções de enfermagem em pacientes com lesão renal aguda

Grassi, Mariana de Freitas; Dell’Acqua, Magda Cristina Queiroz; Jensen, Rodrigo; Fontes, Cassiana Mendes Bertoncello; Guimarães, Heloísa Cristina Quatrini Carvalho Passos

doi:10.1590/1982-0194201700078

Cited by 13 publications

(25 citation statements)

References 17 publications

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“…The duration of treatment was similar to that found in a study on the accuracy of the DC of the ND Fluid Volume Excess (00026) in patients undergoing hemodialysis, in which the median duration of dialysis treatment was 28 months for most of the evaluated patients (14) . Regarding the prevalence of ND Fluid Volume Excess (00026), most of the patients evaluated in this study had a human response, similar to other studies with the same population (12)(13)(14) , reinforcing the relationship between the renal patient and the accumulation of fluid.…”

Section: Discussionsupporting

confidence: 81%

“…The same indicators were present in the results of studies on the prevalence of the elements in the ND Fluid Volume Excess (00026) in patients undergoing hemodialysis (13,27) . The RF "Excessive sodium intake" showed a prevalence of 100% in the studied population (27) and the DC "Intake exceeds output" showed a prevalence above 50% in both studies (13,27) . Both were considered relevant indicators for this diagnosis, which corroborates the current findings.…”

Section: Discussionsupporting

confidence: 62%

“…The inability to remove excess water and blood residues favors the accumulation of fluid, a phenomenon classified by NANDA-I as the ND Fluid Volume Excess (00026), defined as "surplus intake and/or retention of fluid" (1) . This diagnosis has been frequently attributed to kidney patients by professionals who provide care (12)(13)(14) . A study identified the most frequent ND in CKD patients undergoing hemodialysis and the concept investigated was present in 100% of the patients studied (12) .…”

Section: Introductionmentioning

confidence: 99%

“…In addition to the prevalence of this ND, understanding which clinical indicators have been validated in specific populations can help nurses understand the human response, its determinants, and defining characteristics. Therefore, it can support nursing care planning (12)(13)(14)(15) .…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, a history of excessive sodium and fluid intake and defining characteristics such as alterations in blood pressure, in mental status and in respiratory pattern, azotemia, electrolyte imbalance, dyspnea, edema, decrease in hematocrit and in hemoglobin, oliguria, adventitious breath sounds, among others, are observed in clinical practice and can cause severe damage to the patient's life (1,13) . Thus, the recurrence of the condition in these patients can lead to numerous complications, which include acute pulmonary edema, fluid overload and, consequently, circulatory overload, which can reduce the efficiency of the heart pump, resulting in congestive heart failure and systemic arterial hypertension, as well as coronary disease and cerebrovascular conditions (11)(12) .…”

Section: Introductionmentioning

confidence: 99%

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Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Botelho

Correia

Manzoli

et al. 2021

Rev. esc. enferm. USP

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Objective: To generate a Classification Tree for the correct inference of the Nursing Diagnosis Fluid Volume Excess (00026) in chronic renal patients on hemodialysis. Method: Methodological, cross-sectional study with patients undergoing renal treatment. The data were collected through interviews and physical evaluation, using an instrument with socio-demographic variables, related factors, associated conditions and defining characteristics of the studied diagnosis. The classification trees were generated by the Chi-Square Automation Interaction Detection method, which was based on the Chi-square test. Results: A total of 127 patients participated, of which 79.5% (101) presented the diagnosis studied. The trees included the elements “Excessive sodium intake” and “Input exceeds output”, which were significant for the occurrence of the event, as the probability of occurrence of the diagnosis in the presence of these was 0.87 and 0.94, respectively. The prediction accuracy of the trees was 63% and 74%, respectively. Conclusion: The construction of the trees allowed to quantify the probability of the occurrence of Fluid Volume Excess (00026) in the studied population and the elements “Excessive sodium intake” and “Input exceeds output” were considered predictors of this diagnosis in the sample.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Botelho

Correia

Manzoli

et al. 2021

Rev. esc. enferm. USP

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Conhecimento do enfermeiro nefrologista para atuar com o paciente em terapia renal substitutiva: hemodiálise

Pereira¹,

Vieira²,

Andrade³

et al. 2021

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A hemodiálise é o método mais utilizado atualmente pelos portadores da doença renal crônica. As medidas tomadas para o tratamento são sempre rigorosas e com graus de assimilação e adesão ao tratamento diversificado. Desta forma, este estudo teve como objetivo identificar o nível de conhecimento da equipe de enfermagem em relação a pacientes submetidos ao tratamento da hemodialise. Estudo descritivo, quantitativo, realizado por meio de um questionário estruturado aplicado aos profissionais de enfermagem do serviço de nefrologia do Hospital do Rim no município de Aracaju, em Sergipe. Utilizou-se a estatística descritiva e o teste de Pearson para análise dos dados. 96,15% da equipe de enfermagem conhece os tipos de tratamentos oferecidos ao paciente com IRC. 50% relataram não conhecer a portaria 389 de 2014, destes 57,69% não sabem informar quais são os parâmetros utilizados para diagnosticar um paciente com insuficiência renal crônica. Entretanto 76,92% informaram ser necessário ter competência para atuar na nefrologia. Os que apresentaram maior conhecimento referente as competências para atuação na nefrologia foram os que participaram de capacitações (26,03%) e os que conheciam a portaria 389 (23,1%). Evidencia-se que há uma fragilidade no conhecimento da equipe de enfermagem e que se faz necessário a busca por novas capacitações na área, para a oferta de uma assistência qualificada e livre de eventos adversos.

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Main evidence of nursing care for patient’s kidney disease in the intensive care unit

Araújo¹,

Santos²,

Passos³

et al. 2023

IJAERS

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Introduction: Renal Failure is a pathology that affects about 10% of the world population, which has the possibility of treatment, in the most serious cases, renal replacement therapy (RRT). The main evidence of care in the Intensive Care Unit is fundamental for safe and effective performance Methodology: integrative review formulated through research in original articles using the PICO method, the research took place from May to July 2021 using the following descriptors: Renal Failure, Care of Nursing and Intensive Care Unit in the following databases: Latin American and Caribbean Literature on Health Sciences Information (LILACS), Virtual Health Library (BVS), Scientific Electronic Library Online (SciELO) and BDENF respecting the limits for publication between 2016 and 2021. Results: Nursing actions are guidelines regarding food balance and fluid intake, management of intradialytic complications and their prevention, such as monitoring signs of acceleration, administration of anticoagulants, antiemetics, saline solution acid-base control and access route maintenance. Conclusion: The use of care protocols and in this environment streamlines the work of the professional nurse in managing the intradialytic occurrence, continuing education and offering training are essential for adequate care.

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Diagnósticos, resultados e intervenções de enfermagem em pacientes com lesão renal aguda

Cited by 13 publications

References 17 publications

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Conhecimento do enfermeiro nefrologista para atuar com o paciente em terapia renal substitutiva: hemodiálise

Main evidence of nursing care for patient’s kidney disease in the intensive care unit

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