Validation of a Nursing Discharge Plan for Pregnant and High-Risk Puerperal Women

Abstract

RESUMOEstudo descritivo de abordagem quantitativa com o objetivo de validar um plano de alta de enfermagem para gestantes e puérperas de alto risco, por meio da técnica de Delphi. Fez-se a coleta de dados no período de outubro de 2013 a outubro de 2014. Constituíram a amostra 17 avaliadores, sendo 11 enfermeiros e seis médicos especialistas em Obstetrícia. Os resultados revelaram os cuidados mais relevantes para cada um dos diagnósticos listados, sendo elaborados cinco cuidados para o trabalho de parto prematuro, quatro para diabetes mellitus, oito para doenças hipertensivas e 14 para cuidados puerperais. Concluiu-se que os cuidados elaborados obtiveram consenso entre os peritos, sendo alicerçados pela literatura e, portanto, auxiliarão as gestantes e puérperas na identificação de sinais de risco que sugiram necessidade de atendimento especializado imediato para o emprego de tratamentos efetivos na prevenção de complicações, sendo essencial para a diminuição dos desfechos desfavoráveis, passíveis de prevenção para mãe, feto ou neonato. Palavras-chave: Alta Hospitalar; Gestantes; Período Pós-Parto; Enfermagem Obstétrica; Saúde Materno-Infantil. ABSTR ACTThis is a descriptive study of quantitative approach which aims to validate a nursing discharge plan for pregnant and high-risk puerperal women through the Delphi Technique. The data collection was performed during the period from October 2013 to October 2014. Seventeen evaluators, eleven nurses and six doctors specialized in Obstetrics constituted the sample. The results showed the most relevant care for each of the listed diagnoses, being performed five cares for premature labor, four for Diabetes Mellitus, eight for hypertensive diseases and 14 for puerperal care. It was concluded that the elaborated care achieved consensus among the experts, being substantiated by the literature and thus, will assist the pregnant and puerperal women in identifying risk signs which suggested the need for immediate specialized care for employment of effective treatments in the prevention of complications, being essential for the reduction of unfavorable outcomes, preventable for the mother, fetus or neonate.

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