Sistema de classificação de pacientes na especialidade enfermagem psiquiátrica

Abstract

OBJETIVO: Estudar um Instrumento para Classificação do Nível de Dependência de Pacientes Psiquiátricos aos Cuidados de Enfermagem, foi o objetivo deste estudo. MÉTODOS: Os indicadores críticos do cuidado (aparência e higiene, expressão do pensamento, humor e afeto, interação social, atividades, alimentação e hidratação, sono, medicação, eliminações, sinais vitais e outros controles, problemas e queixas somáticas). RESULTADOS: com gradação de 1 a 3 pontos permitiram identificar os níveis de dependência. Foi aplicada a técnica Delphi e, os avaliadores concordaram pela manutenção dos 11 indicadores críticos. CONCLUSÃO: Os resultados deste estudo mostram que o instrumento é válido e pode contribuir para o avanço tecnológico e científico da Especialidade no Brasil.

Caracterização de pacientes de unidade de internação psiquiátrica, segundo grau de dependência do cuidado de enfermagem

“…The study also highlights that psychic aspects are not addressed, which makes it diffi cult to apply these instruments to psychiatric pati ents, as they do not cover their parti culariti es (6) . The author developed the research based on her experience when she needed to structure an internment service for psychiatric disorder pati ents, facing a lack of bibliography about nursing staff dimensioning in this specialty and identi fying the need for management research on how to calculate the professionals needed to deliver high-quality care to a psychiatric pati ent or even identi fy how many psychiatric pati ents a nursing team professional would manage to therapeuti cally att end.…”

Use of patients’ classification instruments: analysis of the brazilian production of knowledge

“…Inter-rater reliability (8,10,(17)(18)(19)(20) Kappa Coefficient (8,10,(18)(19)(20) Pearson Correlation (17,20) Between nurses (17)(18) Nurses, technician and physician versus Pediatrics PCI (19) Perroca (original) (17)(18) Psychiatry (10) Pediatrics (8,19) Perroca (new version) 20 K = 0.68-0.90 (18) ; 0.17 -0.76 (10) ; 0.69-0.84 (19) ; 0.41-0.74 and ≥ 0.75 (8) r = 0.87-0.95 (17) α = 0.87; CCI= 0.89-0.90 (20) Internal reliability and users' opinions (21) Cronbach' alpha (21) Spearman Correlation (21) Perroca original (21) α= 0.94 ; rs = 0.08 to 0.87 (21) Satisfied users; tendency to underestimate the care category (21) . Content validity (2,(7)(8)(9)22) Delphi technic (2,(7)(8)(9)22) Agreement level ≥ 70% (2,(7)(8)(9)22) Neonatology …”

“…(39) Predominance of patients in intermediate, semi-intensive care and high-risk care (39) Original version (39)(40) 48 h until discharge (39) No regular use of instruments such as the Braden scale and PCI (39) 2 Wards -N=50 (40) Increase of 71.3% in identifying the needs of care through the use of the instrument (40) Discharge orientation before and after the application of PCI (40) Recommends the use of PCI to guide nursing discharge planning Out of the 15 studies investigated in the category WL, eight were conducted in medical-surgical units and seven in specialized units (hemodynamics, emergency room, post-anesthesia recovery, pediatrics, psychiatry, and geriatrics). To identify the demand for patient care in relation to the Nursing, PCIs were used in the original (6) , new version (2) (n=9), adult patients (5) (n=4), pediatrics (8) (n=1) and psychiatry (9)(10) (n=1). (Table 2).…”

“…The researchers used diverse tests to prove reliability and validity of the instruments: inter-rater reliability (8,10,(17)(18)(19)(20) , predictive ability (6,20) , users' opinion (21) , content validity (2,(7)(8)(9)22) and construct validity (10,(20)(21)23) . The original PCI and its new version were the most subjected to a validation process (2,6,(20)(21)(23)(24) .…”

“…Among them we highlight those addressed for adult patients (2,(5)(6) , that have been most used by hospitals. There are also available PCIs for use in areas such as Neonatology (7) , Pediatrics (8) and Psychiatry (9)(10) . Despite the existence of PCIs to suit different types of clients, their application in daily nursing practice is not yet a reality in many institutions (2) .…”