Use of the Nursing Outcomes Classification - NOC to assess the knowledge of patients with venous ulcer

Abstract

Objective: To evaluate the knowledge of patients with venous ulcers (VU) on their chronic disease, treatment, and prevention of complications, according to the Nursing Outcomes Classification-NOC. Methods: This is a cross-sectional study conducted between 2017 and 2018 in a Brazilian hospital. The sample consisted of 38 patients with VU attended in outpatient nursing consultations. The study analyzed sociodemographic, clinical and nine indexes from the Knowledge: Chronic Disease Management (1847) of the NOC, assessed using a five-point Likert scale, analyzed using descriptive statistics. Results: The mean of the result Knowledge: Chronic Disease Management (1847) was 3.56±1.42. The clinical index Procedures involved in treatment regimen had the highest mean 4.18±0.21, followed by Pain management strategies with 3.92±0.27. In the association between knowledge and healing, the best scores were in patients with at least one healed VU. Conclusion: The knowledge of the patients was moderate and it was necessary to promote educational actions according to individual demands.

Indicadores da Nursing Outcomes Classification para avaliação de pacientes com lesão por pressão: consenso de especialistas

“…Indicators for patients with pressure injury Santos CT, Barbosa FM, Almeida T, Einhardt RS, Eilert AC, Lucena AF of tissue compression, decreases the perception of pain, and consequently, the mobilization of the patient, which can result in the PI. [8][9][10][11][12][13][14][15][16][17][18][19][20] Thus, the recommendation with a strong level of evidence for the prevention and treatment of PI is the change in the patient's decubitus every 2 hours, especially in those with decreased sensitivity and those who are bedridden. 1,20 The Tissue perfusion (1101111) indicator allows the evaluation of the level of vascular oxygenation in relation to the speed with which the circulation of the skin returns to the basal conditions after the local pressure of the skin is applied.…”

“…This measure, attached to a humid/hydrated environment, when the lesion is already installed, accelerates the healing process, assists in the removal of exudate and performs mechanical debridement of non-viable tissues, evidencing to be an important indicator to be evaluated for the choice of the most appropriate dressing for the healing phase of the lesion. 16 The Blanching (110122) indicator allows the evaluation of the skin pigmentation conditions in the PI area. This indicator is present, most of the times, in elderly people, in which the aging process leads to alterations in the melanocytes with reduction of the epidermis-dermis thickness, reduction of the elasticity and sebum secretion by the sebaceous glands, reduction of the vascular bed and paleness in the skin coloration.…”

“…The instrument contained questions regarding the professional characterization of the specialist, followed by the list of indicators of the outcomes Tissue integrity: skin and mucous membranes (1101) and Wound healing: second intention (1103), both previously selected by researchers based on the literature 10,11,16 on evaluation of the PI with the NOC. In the part of the instrument that contemplated the questions regarding the indicators of the NOC, the specialists were able to select, among the 40 clinical indicators, 22 belonging to the outcome Tissue integrity: skin and mucous membranes (1101), and 18 to the outcome Wound healing: second intention (1103).…”

“…After selecting the indicators, the researchers elaborated their conceptual and operational definitions, considering the magnitude on the Likert scale of five points for each selected indicator. 14 The elaboration of these definitions was based on previous studies, 10,11,16 in addition to consulting the literature in the SciELO, CINAHL Database and PubMed databases using the Indicators for patients with pressure injury Santos CT, Barbosa FM, Almeida T, Einhardt RS, Eilert AC, Lucena AF descriptors: Pressure injury; Standardized Nursing Terminology, Outcome Assessment, Health Care. RIL was conducted in July 2019 and were considered full articles published from 2013 to 2018 in Portuguese, Spanish and English.…”

“…Besides this scale, the Nursing Outcomes Classification (NOC), 14 standardized nursing language system, has been used in clinical studies, both to evaluate nursing interventions and to expand their use and qualify their content, in order to provide excellence in the evaluation of health care outcomes. Examples are studies that bring conceptual and operational definitions for NOC indicators, 11,12,15 as well as research that has sought evidence of nursing care to patients with skin and tissue damage, 10,11,16 but are still incipient those that address its use in a specific way for evaluating the PI.…”