Nursing Diagnosis <i>Risk for Delayed Surgical Recovery</i> (00246): Concept Clarification and Definition of Empirical Referents

Rembold, Simone Martins; Santana, Rosimere Ferreira; Souza, Priscilla Alfradique de; Schwartz, Sócrates Miranda de Oliveira Xavier

doi:10.1111/2047-3095.12176

Cited by 5 publications

(8 citation statements)

References 20 publications

(35 reference statements)

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“…All these risk factors help in the identification of this diagnosis and in the evaluation of the patient's possibilities of presenting recovery delay. To avoid this delay in the patient's recovery, the nurse can identify the risk factors and thus prevent them (28) .…”

Section: Discussionmentioning

confidence: 99%

“…It was also observed the presence of RF corresponding to the subjective questions of those who experience the surgical procedure, inherent to the perception of the individual and how he experiences them. Among them are losses, fear of death, anxiety about the procedure, how it will occur, dependence on other people and fear of the unknown (18,28) .…”

Section: Discussionmentioning

confidence: 99%

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Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

et al. 2019

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Objective: Analyze the nursing diagnoses of NANDA-I Taxonomy in hospitalized adults and elderlies in preoperative of general surgery and proctology. Method: cross-sectional study, exploratory, quantitative approach, developed in the general surgery ward, between March and August, 2017. Inferential statistical analysis performed using Chi-square and Fisher test, considering p-value <0.05 and 95% confidence interval. Results: Of 51 participants, 32 (62.7%) were adults and 19 (37.3%) elderlies. In adults prevailed anxiety (81.3%), fear (50%), risk for infection (43.8%), and risk for delayed surgical recovery (37.5%). In elderlies, anxiety (68.4%), risk for infection (63.2%), impaired comfort (57.9), and risk for delayed surgical recovery (52.6%) prevailed. Anxiety was significant in adults (p=0.028); impaired dentition (p=0.001), and impaired comfort (p = 0.008) in elderlies. Conclusion: specificities of pre-surgical care rarely identified were evidenced, especially related to risk for infection and risk for delayed surgical recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

et al. 2019

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“…Sabe-se que um diagnóstico de risco não apresenta as mesmas consequências do diagnóstico real por não possuir características definidoras, entretanto seus fatores de risco, quando não tratados nem/ou prevenidos, podem culminar no diagnóstico em si. Daí a importância de uma assistência de enfermagem que busque associar as individualidades apresentadas pelos pacientes com os diagnósticos de enfermagem, de modo a implementar ações em busca de resultados que minimizem o tempo de internação e de recuperação do paciente 8 .…”

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Diagnósticos de enfermagem no período transoperatório: mapeamento cruzado

et al. 2019

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Objetivo: Mapear os diagnósticos de enfermagem da taxonomia NorthAmerican Nursing Diagnosis Association International (NANDA-I) em pacientes no período transoperatório. Método: Estudo do tipo transversal, documental, dos registros de enfermagem no período transoperatório de um hospital da rede suplementar de saúde do município de Niterói, Rio de Janeiro, desenvolvido por meio da ferramenta metodológica mapeamento cruzado. Resultados: Foram avaliados 65 prontuários. A maior parte da amostra foi composta de mulheres com média de idade de 50,1 anos e submetidas a cirurgias eletivas. Quanto à especialidade cirúrgica, os procedimentos mais realizados foram gerais e urológicos. Os termos mais encontrados foram bisturi elétrico, placa de bisturi, anestesia geral e entubação. Pelo painel de especialistas, obtiveram-se como diagnósticos prevalentes: risco de infecção de sítio cirúrgico (84,6%), risco de integridade da pele prejudicada (78,5%), integridade tissular prejudicada (63,1%) e risco de aspiração (58,5%). Conclusão: Os diagnósticos de enfermagem encontrados são prioritariamente de risco. Logo, carecem de identificação precoce e de intervenções para evitar danos e prevenir complicações, como o retardamento na recuperação cirúrgica.

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“…This study's objective was to clinically validate the nursing diagnosis Risk for delayed surgical recovery (00246) in adult and elderly patients. An earlier study presented an analysis of its concept that clarified the concept of this diagnosis and defined the empirical referents for identification of predictive factors of delay in recovery (Rembold, Santana, de Souza, & Schwartz, 2017). However, the impact of these factors was not established yet.…”

mentioning

confidence: 99%

“…In a previous study, we clarified the concept of this diagnosis and defined the empirical referents for identification of predictive factors of delay in recovery (Rembold et al, 2017). However, the impact of these factors was not established yet.…”

mentioning

confidence: 99%

Nursing Diagnosis Risk for Delayed Surgical Recovery (00246) in Adult and Elderly: A Case‐Control Study

Rembold

Santana

Lopes

et al. 2020

Int J of Nursing Knowl

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The study's objective was the clinical validation of the nursing diagnosis Risk for delayed surgical recovery (00246). METHOD: Case control study was conducted in a university hospital; the charts of 239 patient, 71 cases and 168 controls. Odds ratio was calculated for the association between each risk factor and the outcome of delayed surgical recovery. RESULTS: Risk factors with higher odds of association were malnutrition, pain, and postoperative emotional response. The associated conditions were perioperative surgical site infection, psychological disorder in the postoperative period, and surgical site contamination. CONCLUSION: Risk factors have different impact on the postoperative recovery. IMPLICATIONS FOR NURSING PRACTICE: Knowing the magnitude of the risk factors allows a decision making best interventions for a fast surgical recovery.

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Nursing Diagnosis Risk for Delayed Surgical Recovery (00246): Concept Clarification and Definition of Empirical Referents

Cited by 5 publications

References 20 publications

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

Diagnósticos de enfermagem no período transoperatório: mapeamento cruzado

Nursing Diagnosis Risk for Delayed Surgical Recovery (00246) in Adult and Elderly: A Case‐Control Study

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