Terminologia especializada de enfermagem para o cuidado de pessoas com síndrome metabólica

Abstract

RESUMO Objetivo Construir uma terminologia especializada de enfermagem para o cuidado de pessoas com síndrome metabólica na Atenção Primária à Saúde. Método Estudo metodológico, realizado a partir da identificação dos conceitos de enfermagem para o cuidado à pessoa com a síndrome, validação dos conceitos com enfermeiros especialistas e mapeamento cruzado com os conceitos primitivos da CIPE® 2017. Resultados Dos conceitos extraídos, 489 envolveram as necessidades psicobiológicas, psicossociais e psicoespirituais. Destes, 441 conceitos foram validados e submetidos ao mapeamento e à análise de similaridade e abrangência, a qual possibilitou eliminação de conceitos considerados sinônimos, culminado em 389 conceitos relacionados às necessidades de pessoas com síndrome metabólica, em que 43,7% dos conceitos validados não constavam na versão 2017 da CIPE®. Do total de conceitos constantes e não constantes, 42,3% foram classificados no eixo Ação, seguido do eixo Foco (34,9%). Conclusão e implicações para a prática Com o alcance do objetivo, têm-se o avanço no conhecimento sobre a utilização da CIPE®, com uma proposta de uniformização da linguagem profissional para o cuidado de pessoas com síndrome metabólica, com potencial para incrementar sistemas de informação da Atenção Primária à Saúde com indicadores do cuidado de enfermagem para pessoas com agregação de fatores de risco cardiovascular.

Specialized nursing terminology for the care of people with COVID-19

“…The concepts contained in CIPE ® classified in Focus and Action Axis grouped the highest quantity, which can be observed in other studies with similar design (14,(24)(25) , being the same for other health priorities. This aspect is due to the fact that the Focus Axis represents the relevant area of attention for nursing and must be included in the formulation of nursing diagnosis and results.…”

“…With the pandemic on the rise, in which about two million professionals, mostly nurses, work in the front line of health services in defense of the population, offering direct care, face to face with the virus, at the front of combat (23) . The validation of the concepts by specialists was essential for the construction of the terminology, given the literature (14) refers to that, for those extracted from official guidelines, this method is recommended in order to verify the pertinence and relevance of the concepts identified in relation to a population or health priority, in this case, COVID-19. The consensus validation of the present study refined the concepts extracted for health priority, based on the expertise of specialists in the area, to subsequently collaborate in the process of building pre-coordinated concepts.…”

“…We extracted these concepts using the PORONTO program (13) , electronic tool for semi-automatic construction of ontologies in healthcare. The tool facilitates the process of normalization and standardization of concepts with analysis and exclusion of synonyms (14) . Verbal tense and grammatical gender were also adapted, excluding concepts belonging to other areas, such as medical diagnosis and procedures.…”

“…The disagreement of one or more specialists resulted in the non-validation of respective concepts. A study with a similar methodological approach also employed this same technique (14) .…”

Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

“…In view of the problem presented, the development and importance of this study is justified, since there is a scarcity of studies aimed at chronic renal patients undergoing conservative treatment, since publications on specialized nursing terminologies deal with the following topics: medical clinic and surgical; neonatal and adult intensive care unit; physical-motor rehabilitation; ostomates; people with pressure injuries; leprosy; palliative care; spinal cord injury; elderly women with HIV / AIDS and metabolic syndrome (7)(8)(10)(11)(12)(13)(14)(15)(16)(17)(18) .…”