Avaliando diagnósticos e intervenções de enfermagem no trabalho de parto e na gestação de risco

Abstract

RESUMO Objetivo Avaliar o uso de diagnósticos e intervenções de enfermagem propostos para mulheres em trabalho de parto e gestantes de alto risco. Método Estudo descritivo, documental e retrospectivo realizado com 1000 prontuários, através de checklist, durante julho a setembro de 2014, em uma maternidade da Paraíba. Analisaram-se as medidas descritivas e a relação comparativa entre os diagnósticos e as intervenções de enfermagem utilizadas no serviço por meio da NANDA-Internacional e da Classificação das Intervenções de Enfermagem. Resultados Os diagnósticos mais evidenciados no trabalho de parto: dor aguda (62%), fadiga (24,7%) e ansiedade (22%). Para as gestantes de alto risco: sono e repouso prejudicados (100%), risco de infecção (81,8) e ansiedade (77,2%). As intervenções foram: lavar as mãos (80,8%), identificar e acomodar no leito (78%). Conclusão Os diagnósticos expressam as necessidades na parturição e nas alterações psicobiológicas na gestação de risco. As intervenções estão desarticuladas dos diagnósticos, necessitando de revisões e mudanças.

Diagnósticos, resultados e intervenções de enfermagem no parto cesáreo

“…It is said that these actions are reinforced in a study that emphasizes the importance of good practices at the time of delivery and birth. 23 In this study, a large number of cesareans were demonstrated; In this way, by highlighting care in cesarean delivery, activities should be focused not only on the delivery itself, but also on clarifying and guiding the pregnant women, in the initiative that the choice of the delivery should be made of conscious way. Activities such as determining the patient's perception and preparation for childbirth, explaining the reason for the unplanned cesarean section, informing about the procedure and the sensations that will be experienced, and encouraging the participation of the father during childbirth.…”

“…It is noted that these interventions act directly in the diagnosis of Nursing Risk of Infection, contributing to maternal health. 23,25 Attention is paid to the relevance of considering newborn care activities, such as clamping the umbilical cord in a timely manner, checking the Apgar score in the first minute, examining the placenta, membranes and cord, estimating postpartum blood loss and document all events. It is said that these actions are reinforced in a study that emphasizes the importance of good practices at the time of delivery and birth.…”

“…It is observed that these interventions act, directly or indirectly, in some nursing diagnoses, such as fear and riskprone health behavior, generating implications for the results Knowledge: labor and expulsion and Knowledge and Behavior of Maternal Health Post -Room. 23,25 Postpartum care is related to surgical wound treatment, nutritional control, infection and pain, general and specific guidelines, and NB care. It is suggested, as well as post-anesthetic care, that the activities are directed to the control of vital signs, the return of activities and physiological functions and the treatment of common signs in the postanesthetic period.…”

“…The motherchild relationship provides better comfort, health care and favorable conditions for both, through the direct relation of Nursing interventions, from the moment of preconception to the birth and immediate puerperium. 11,23 Bleeding is considered a normal risk for normal delivery and cesarean delivery, requiring intervention so that there are no complications. It becomes essential for reduction of bleeding: postpartum uterus -a review of obstetric history and birth records; administration of medications to contain bleeding; evaluation of lochia; monitoring of vital signs and level of maternal awareness.…”

Fatores de risco do diagnóstico de enfermagem: risco de infecção em pacientes com a Síndrome da Imunodeficiência Adquirida hospitalizados

“…Diante desse contexto, a fim de que os profissionais enfermeiros conduzam as estratégias que orientem suas intervenções ao paciente com AIDS, resolveu-se neste estudo dar ênfase ao domínio 11 Segurança/proteção da Taxonomia II da North American Nursing Diagnosis Association (NANDA -International) 2015-2017, pois é a mais conhecida e difundida no Brasil [10][11] . Este domínio é definido como: estar livre de perigo, lesão física ou dano ao sistema imunológico; conservação contra perdas e proteção da segurança e da ausência de perigos.…”