Instrumento para avaliação da integridade tissular dos pés de portadores de diabetes melittus

Abstract

Objective: To construct and validate a scale for assessment of the feet of patients with diabetes mellitus according to NOC indicators to the outcome "Tissue Integrity: skin and mucous membranes". Methods: This study was developed using evidence-based nursing. Based on the question: "Which indicators should be employed for assessing the feet of patients with diabetes mellitus?", a search was performed in databases and textbooks and subsequently the construction of a scale and assessment by expert nurses. Results: The final version of the instrument consists of 20 indicators for assessment of the conditions of skin and hair, blood circulation, sensitivity, temperature and foot plantar pressure. Conclusion: The instrument proposed for assessment of tissue integrity of the feet of patients with diabetes mellitus was constructed and validated by expert nurses with a high level of acceptance. ResumoObjetivo: Construir e validar uma escala de avaliação dos pés de portadores de diabetes mellitus, a partir dos indicadores da NOC para o resultado "Integridade Tissular: pele e mucosas". Métodos: Utilizou-se da enfermagem baseada em evidências para realização deste estudo. A partir da questão: "Quais indicadores devem ser utilizados para a avaliação dos pés de pacientes com diabetes mellitus?" foi realizada uma busca em bases de dados e livros-textos e, posterioremente, a construção da escala e a avaliação por enfermeiros peritos. Resultados: A versão final do instrumento consiste em 20 indicadores para avaliação das condições da pele e pêlos, circulação sanguínea, sensibilidade, temperatura e pressão plantar dos pés. Conclusão: O instrumento de avaliação proposto integridade tissular dos pés de portadores de diabetes melittus foi construído e validado por enfermeiros peritos com nível excelente de aceitação.

Clinical Validation of the Indicators and Definitions of the Nursing Outcome "Tissue Integrity: Skin and Mucous Membranes” in People With Diabetes Mellitus

“…This is the final validation step. In a previous study (Silva et al., ), the review of indicators, development of the definitions, and validation of appearance and content were done. This proposal complied with the ethical recommendations for research involving human subjects and was approved by the Research Ethics Committee at Ribeirão Preto College of Nursing, University of São Paulo, Brazil, under protocol CAAE: 36011614.6.0000.5393.…”

“…We considered 20 indicators and their definitions to compose the validation of the nursing outcome. Of these, 16 indicators were suggested by the NOC—skin temperature, sensation, elasticity, hydration, texture, thickness, tissue perfusion, hair growth on the skin, skin lesions, scar tissue, peeling skin, scabs on the skin, erythema, pallor, necrosis, and hardening (Moorhead et al., 2012)—and two were proposed by the literature—varicose veins and edema (Silva et al., ).…”

“…In this context, from the indicators proposed by the NOC for the above outcome and from the indicators identified in the literature through an integrative review, researchers gathered the indicators that best relate to people with diabetes mellitus (Silva, Chaves, Carvalho, & Iunes, ). These researchers chose this population because they are susceptible to skin damage to the feet (Silva et al., ) and they could have the nursing diagnosis Impaired tissue integrity (00044), Impaired skin integrity (00046), or Risk for impaired skin integrity (00047; Teixeira, Zanetti, & Pereira, ). For each one of the indicators, conceptual and operational definitions were constructed.…”

Knowledge produced from the outcomes of the "Nursing Outcomes Classification - NOC": integrative review

“…When some institutions implement the nursing process, they use this classifi cation to assess the impact, quality and eff ectiveness of the implemented interventions (13) . In this review, seven studies addressed the applicability of NOC in clinical practice (33.33%).…”

Enfermagem Baseada Em Evidência: Caracterização Dos Estudos No Brasil

“…Azevedo, Barbosa, Cassiani (14) 2012 Acta Paulista de Enfermagem LILACS A2 Silva, Chaves, Carvalho, Iunes (15) 2013 Acta Paulista de Enfermagem LILACS A3 Pedrolo, Danski, Mingorance, Lazzari, Méier, Crozeta (5) 2009 Cogitare Enfermagem LILACS A4 Silva, Galvão, Pereira, Silva (16) 2013 Revista da Sociedade Brasileira de Medicina Tropical…”