Nursing diagnoses in patients undergoing prostatectomy: identification of the significance of its components

Abstract

RESUMO Estudo transversal e descritivo, realizado em um hospital universitário localizado no nordeste brasileiro, com 50 pacientes em pós-operatório imediato de prostatectomia. Objetivou identificar as características definidoras e os fatores relacionados/ de risco que apresentam associação com os diagnósticos de enfermagem presentes em pacientes prostatectomizados. Foram identificados nove diagnósticos que apresentaram associação estatística com fatores relacionados/de risco e características definidoras. Conclui-se que o considerável número de associações identificadas entre os diagnósticos de enfermagem e seus elementos evidencia que os profissionais dessa área, principalmente os da clínica de urologia, devem estar preparados para as diversas necessidades de cuidados dessa clientela. Descritores: Prostatectomia; Diagnóstico de Enfermagem; Análise Estatística. ABSTRACTCross-sectional study conducted in a university hospital located in the Brazil´s northeastern with 50 patients in the prostatectomy immediate postoperative. The study aimed to identify the defining characteristics and related/ risk factors that are associated with nursing diagnoses present in patients undergoing to prostatectomy. Nine nursing diagnoses that are statistically associated with related/ risk factors and defining characteristics were identified. We conclude that the considerable number of identified associations between nursing diagnoses and their elements shows that professionals, especially those in the urology clinic, should be prepared for the various care needs of this clientele. Key words: Prostatectomy; Nursing Diagnosis; Statistical Analysis. RESUMENEstudio transversal y descriptivo realizado en un hospital universitario ubicado en el nordeste de Brasil, con 50 pacientes en el postoperatorio inmediato de prostatectomía. Tuvo como objetivo identificar las características definitorias y los factores relacionados/de riesgos que se asocian con los diagnósticos de enfermería presentes en pacientes sometidos a prostatectomía. Se identificaron nueve diagnósticos de enfermería que están estadísticamente asociados con factores relacionados /de riesgo y de las características definitorias. Llegamos a la conclusión de que el número considerable de asociaciones entre diagnósticos de enfermería identificados y sus elementos muestra que los profesionales, especialmente los de la clínica de urología, deben estar preparados para las diversas necesidades de atención de la clientela.

Nursing diagnoses and NIC interventions in adult males undergoing radical prostatectomy

“…Thus, the NDs Risk for infection and Risk for bleeding were detected in all patients in our study. In parallel with our findings, the ND Risk for infection was found in all patients (n=50) in another study (21) . In addition to this ND, Risk for impaired skin integrity was determined in all patients in our study.…”

“…Accordingly, we found that nearly 75% of individuals had the ND Acute pain especially in the first day of surgery. Similarly, Acute pain was present in 36% (n=50) of men in another study (21) .…”

“…In the current study, the ND Deficient knowledge was identified in nearly 70% of patients. Deficient knowledge was determined in 20% (n=50) of patients in a study (21) , and findings of another study carried out with patients undergoing urological surgery (22) demonstrated the presence of this ND in 61% of patients. This difference in proportion of Deficient knowledge might be associated with information previously given to patients in the other study (21) , different clinical procedures, and different levels of awareness of Pca and its treatment.…”

“…Accordingly, the NDs Risk for deficient fluid volume and Risk for imbalanced fluid volume were present in all patients in the current study. In a study aimed at identifying the defining characteristics and related or risk factors regarding the NDs present in men undergoing prostatectomy, the ND Risk for deficient fluid volume was determined in 94% (n=50) of patients (21) . This finding is consistent with our study.…”

Nursing diagnoses in patients with immune-bullous dermatosis

“…Despite the studies in Brazil in order to identify nursing diagnoses in people with different problems that affect health, such as diabetes mellitus 6 , sepsis 7 , or subjected to procedures such as prostatectomy 8 and cardiac surgery 9 , the articles selected during that ILR reveal the inexistence of studies on the nursing diagnoses presented by customers with ID. It was found that the authors of these articles cite nursing care superficially, usually at the end of the articles 1 , emphasizing aspects of the disease and drug therapy 1 - 2 .…”