Consulta de enfermagem ambulatorial e diagnósticos de enfermagem relacionados a características demográficas e clínicas

Abstract

This study was aimed at verifyjing the relationship between demographic and clinicalfeatures and nursing diagnoses established during a nurse consultation in a general hospital. This is a cross-sectional study that assessed 237 nursing consultations of patients in two different programs Women's Health (46 in obstetrical nursing and 24 in mastology nursing) and 167 in diabetes mellitus education. A total of 49 nursing diagnoses were identified. The most frequent in the women's health program were: knowledge deficit, impaired comfort, impaired tissue, integrity and anxiety; in the program of diabetes education were: ineffective therapeutic regimen management, and imbalanced nutrition: more than body requirements. There was a significant association between the most common diagnoses with certain demographic and clinical features. The results confirmed that the identification of the nursing diagnoses during the consultation may provide accuracy in the focus of outpatient care.

Risk factors for constant glycemic variability in pregnant women: a case-control study

“…Therefore, they did not constitute risk factors. Although NANDA-I presents another 15 risk factors for the nursing diagnosis of risk for unstable blood glucose level, most of them do not present direct correlations to the pregnancy period (8) . Pregnancy is the unique risk factor proposed by NANDA-I to the nursing diagnosis risk for unstable blood glucose level.…”

“…Within this diagnosis, one has the risk factors of lacking daily physical activity, excessive weight gain, and compromised physical health status (8) . Although these risk factors present characteristics related to weight control, they do not present objective evidence that may be associated with the gestational period.…”

“…No previous studies have been found that investigated factors associated with pregnancy, and which may increase risk for development of variation in blood glucose levels when compared to the related diagnosis. The exception is one cross-sectional study that verified the relationship between demographic and clinical characteristics with this nursing diagnosis in 237 patients in a Diabetes Mellitus Education Program (167) and in a Women's Health Program (70), which identified the nursing diagnosis "Risk for Unstable Blood Glucose Level" in only 4.3% of pregnant women (8) .…”

Diagnósticos de enfermagem em pacientes diabéticos: revisão integrativa [Nursing diagnoses in diabetic patients: an integrative review] [Diagnósticos de enfermería en pacientes diabéticos: revisión integradora]

“…Neste sentido, o enfermeiro deve incentivar modificações do estilo de vida em pessoas em condições crônicas, com ações de promoção da saúde como práticas saudáveis de alimentação e realização de atividade física regular, que possam contribuir para a melhoria dos indicadores de controle clínicos da DM 10,25 . O DE risco de glicemia instável também foi identificado [19][20][21][22][23][24][25][26]28 , sendo este um dos principais diagnósticos de enfermagem a ser considerado no paciente diabético a fim de evitar as complicações decorrentes das alterações glicêmicas. Em relação aos fatores de risco de glicemia instável foram encontrados: alterações nos níveis de hemoglobina glicada, índice de massa corpórea >31 Kg/m 2 , história prévia de hipoglicemia, déficit cognitivo/demência, neuropatia autonômica cardiovascular, comorbidades e perda de peso que correspondem a fatores de risco descritos na taxonomia NANDA-I 4,29 .…”

Evidências clínicas para hipertensos e diabéticos na saúde da família

“…This increase in blood glucose, hyperglycemia, is the main symptom for the diagnosis and evaluation of DM treatment. 24,30,32,35,37, Hyperglycemia, when uncontrolled, may be indicated to decrease or even impair vision. Therefore, it is necessary for nurses to evaluate whether the early detection of retinopathy is being performed in other levels of health care, since there are effective interventions.…”