A metodologia de Callista Roy aplicada em clientes submetidos à intervenção hemodinâmica

Abstract

RESUMO: Trata-se de uma pesquisa qualitativa, do tipo exploratório descritiva, que identificou o perfil de saúde dos clientes em tratamento hemodinâmico e desenvolveu o Processo de Enfermagem (PE), fundamentado em Callista Roy. Realizou-se com 52 clientes, no Centro de Hemodinâmica de um hospital privado, de fevereiro a maio de 2010. Utilizouse um questionário semiestruturado para coleta de dados. A maioria tinha mais de 60 anos, aposentados, casados, moradores de Chapecó, com ensino fundamental. Os fatores de risco principais foram: idade acima de 60 anos, a Hipertensão Arterial Sistêmica (HAS), obesidade e vida sedentária. Os principais diagnósticos de enfermagem foram: ansiedade relacionada à morte (100%); risco de dor aguda (85%) e integridade da pele prejudicada (75%). Os resultados obtidos podem contribuir para a enfermagem embasar o cuidado no PE, identificar os fatores de risco, atuar na prevenção e num serviço de alta complexidade que exige conhecimentos especializados. Descritores: Cuidados de enfermagem; Hemodinâmica; Perfil de saúde.ABSTRACT: This is a qualitative exploratory and descriptive study that identified the health profile of the clients in treatment hemodynamic and developed the Nursing Process (EP) based on Callista Roy. It was held with 52 clients in Central Homodynamic in a private hospital from February to May 2010. We used a questionnaire for semi-structured data collection. Most had more than 60 years, retired, married, living Chapecó with school. The major risk factors were age over 60 years, hypertension, obesity and sedentary lifestyle. The major nursing diagnoses were: anxiety related to death (100%), risk of acute pain (85%) and impaired skin integrity (75%). The results can contribute to base the nursing care in the EP, to identify risk factors, prevention work and service of high complexity requiring specialized knowledge. Descriptors: Nursing care; Hemodynamics; Health profile. RESUMEN: Se trata de un estudio cualitativo, de tipo exploratorio-descriptivo, que identificó el perfil de salud de los pacientes en tratamiento hemodinámico y desarrolló el Proceso de Enfermería (PE) fundamentado en Callista Roy. Se llevó a cabo con 52 clientes en el Centro de Hemodinámica de un hospital privado, de febrero a mayo de 2010. Se utilizó un cuestionario para la recogida de datos semi-estructurados. La mayoría de los

Análise da intensidade, aspectos sensoriais e afetivos da dor de pacientes em pós-operatório imediato

“…Another investigation evaluated the pain of patients who underwent haemodynamic procedures and found that, although the surgical wound was small, these surgeries caused acute pain, discomfort, and changes in blood pressure associated with the harmful factors and the introduction of catheters. These results agree with the analysed study (15) . Given the significant number of patients who reported pain in the immediate postoperative period, it must be the focus of nursing staff and multi-professional teams.…”

Componentes do modelo teórico de Roy em pacientes submetidos à hemodiálise

“…Some Brazilian studies (12)(13)(14)(15) used this model. However, none of them concern patients on dialysis.…”

Nursing diagnoses with coronary patients in the light of Calista Roy’s theory

“…The fourth is the setting of goals and the fifth is the planning of the interventions. [7][8][9]11 Roy's Theory allows us to recognize that people, through stimuli, can trigger positive or negative responses in different situations. By enabling nurses to implement care actions that favor adaptive responses, thus contributing to adherence to the treatment and better quality of life of patients with coronary artery disease who will undergo invasive hemodynamic procedures, since they must undergo a process of adaptation to the new health condition and disease.…”