Os diagnósticos de enfermagem da taxonomia da NANDA em mulheres com o filho prematuro hospitalizado e o sistema conceitual de King

Abstract

This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of King's Conceptual System and Taxonomy I of NANDA's nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.

Diagnósticos de enfermagem de prematuros sob cuidados intermediários

“…Uma das ações básicas da enfermagem é apoiar a família durante a internação do prematuro, facilitar a formação do apego entre pais e filho e prepará-los para o cuidado dele. Nessa teia de relações se inserem os fatores de incômodo por não ter o filho no ambiente familiar e não poder, imediatamente após o nascimento, inserí-lo no contexto social em que a família vive (17,(28)(29) . Acrescenta-se também que há outros DE possíveis para a situação de maternidade/paternidade e família os quais não foram incluídos no check list da UCIN, são eles: tensão do papel de cuidador, risco de tensão do papel de cuidador, paternidade ou maternidade prejudicada, risco de paternidade ou maternidade prejudicada, disposição para paternidade ou maternidade melhorada, desempenho de papel ineficaz e conflito no desempenho do papel de pai/mãe.…”

“…Na literatura nacional e internacional, foram encontrados 21 estudos relacionados aos DE em Neonatologia (incluindo pré-termo e a termo) com temas como: aleitamento materno (11)(12) , cardiopatia congênita (13)(14) , dor (15) , pais/família (16)(17) , visão do aluno a respeito do DE (18) , doenças respiratórias (19) , hipotermia (20) e a elaboração de guia de intervenção para os DE aplicado aos neonatos em UTIN (21) . Destes estudos apenas quatro (14)(15)(20)(21) não especificaram o referencial teórico de diagnósticos de enfermagem utilizados, sendo que os demais utilizaram a NANDA.…”

Parental role conflict: the nursing diagnosis in mothers of hospitalized newborns

“…The variables studied were the ten DC of the diagnosis "parental role conflict", proposed by NANDA-I (7) : "anxiety," "demonstrates disruption in caretaking routines", "reports concern about perceived loss of control over decisions relating to child", "fear", "reports concern about family (e.g., functioning, communication, health)", "reports concern about changes in parental role", "reports feeling of inadequacy to provide for child's needs (e.g., physical, emotional)", "reluctant to participate in usual caretaking activities", even with encouragement and support, "reports feelings of guilt", and "reports feelings of frustration" (7) . Maternal and neonatal data were also collected from the medical records to characterize the sample, considering factors that could interfere with the maternal role, according to the literature (8)(9)(10) : maternal age; marital status; education; responsibility for the care of others in the family; parity; receiving family or institutional support for transportation to the hospital; birth weight and gestational age of the baby; days of hospitalization of the baby; complexity of care for the baby; and, daily frequency of visits from mother to child.…”

“…Since there are few studies about ND related to mothers in the hospital neonatal unit (8)(9) , the central focus of this work is the ND defined as the maternal "experience of role confusion and conflict in response to crisis" (7) . Thus, the present study aimed to determine whether mothers of hospitalized infants recognized the defining characteristics (DC) of "parental role conflict" (00064) as representative of that experience, and to investigate possible associations between the presence of the diagnosis and maternal and neonatal characteristics.…”

Nursing Diagnoses Identified During Parent Group Meetings in a Neonatal Intensive Care Unit

“…Vieira and Rossi (2000) attempted to identify NANDA nursing diagnoses in mothers with a hospitalized preterm child in an NICU. Two nurses used case‐study methodology to examine 35 puerperal women.…”