Nursing diagnoses in patients with liver cirrhosis in an emergency hospital service

• Autor(a) principal: Costa Maia, Jéssica
• Data de Publicação: 2022
• Outros Autores: Godinho Bertoncello, Katia Cilene, Martins da Silva, Alexsandra, Goulart Tavares Pereira, Ana Paula, Colaço, Aline Daiane, dos Reis Bellaguarda, Maria Lígia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/36042
• topic: Liver Cirrhosis; Acute-on-Chronic Liver Failure; Nursing Diagnosis; Emergency Service; Cirrosis hepática; Insuficiencia hepática crónica aguda; Diagnóstico de enfermería; Servicio hospitalario de emergencia; Enfermería de Urgencias.; Cirrose Hepática; Insuficiência Hepática Crônica Agudizada; Diagnóstico de Enfermagem; Serviço Hospitalar de Emergência

Introduction: The study was developed with the aim of highlighting the importance of nursing diagnoses in cirrhotic patients, due to the increase in cases of liver disease. Objective: Describe the sociodemographic and clinical variables and list the nursing diagnoses of the North American Association of Nursing Diagnoses (NANDA-I) in patients with liver cirrhosis treated in a hospital emergency. Material and Methods: Quantitative, descriptive and cross-sectional research, conducted with 59 patients seen in an emergency department of a university hospital in southern Brazil, from April to June 2018. Results: There was a predominance during the research of the male population with 66.1% and of low educational level, with approximately 54.2% having completed elementary school, with alcohol as the main etiology of the disease with 44.1% and the presence of comorbidities such as hypertension with 14.8% and diabetes with 15.6%. Six nursing diagnoses with higher prevalence were identified: risk of infection, risk of electrolyte imbalance, unbalanced nutrition: (less than body needs), acute pain, excessive fluid volume and risk of bleeding. Conclusion: The sociodemographic characteristics presented in this study corroborate the already widely known findings in liver disease. The nursing diagnoses identified were consistent with the pathophysiological repercussions of liver cirrhosis, highlighting the predominance of risk diagnoses.