Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2014 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Reme (Online) |
| Texto Completo: | https://periodicos.ufmg.br/index.php/reme/article/view/50138 |
Resumo: | The objective of this study was to analyse nursing diagnosis of delayed surgical recovery in adult and elderly patients. It is a descriptive observational prospective study using a quantitative approach. Randomized sample included 69 subjects monitored since the first day after surgery until hospital discharge from a public university hospital in the State of Rio de Janeiro, Brazil. The production data instrument assessed the presence or absence of defining characteristics and related factors. The evaluators were trained in order to ensure an accurate diagnosis assessment. Twenty-three (33.4%) subjects were diagnosed with delayed surgical recovery. Most of them were female, average age was 52 years old and average length of stay was 14 days. Regarding the defining characteristics in both groups, elderly patients presented "moving difficulties" and "need for self-care". Amongst the adults there was a prevalence of "loss of appetite, nausea and discomfort". As to the related factors, "expectations after surgery - anxiety" was only present in adults; and "pain and obesity" only in elderly people. Although diagnosis in those groups was prevalent, defining characteristics and related factors were different. Nevertheless, diagnosis causes limitations in the two groups, which directly influences the quality of care. Therefore, we recommend an early diagnosis regarding nursing practice. |
| id |
UFMG-27_0f0f43fd49959ba9a4eb11cef0acfff0 |
|---|---|
| oai_identifier_str |
oai:periodicos.ufmg.br:article/50138 |
| network_acronym_str |
UFMG-27 |
| network_name_str |
Reme (Online) |
| repository_id_str |
|
| spelling |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patientsAnálisis del diagnóstico de enfermería en el retraso de la recuperación quirúrgica en adultos y ancianos hospitalizadosAnálise do diagnóstico de enfermagem: recuperação cirúrgica retardada em adultos e idosos hospitalizadosProcedimientos Quirúrgicos OperativosEnfermería PerioperatoriaDiagnóstico de EnfermeríaHospitalizaciónProcedimentos Cirúrgicos OperatóriosEnfermagem PerioperatóriaDiagnóstico de EnfermagemHospitalizaçãoSurgical Procedures, OperativePerioperative NursingNursing DiagnosisHospitalizationThe objective of this study was to analyse nursing diagnosis of delayed surgical recovery in adult and elderly patients. It is a descriptive observational prospective study using a quantitative approach. Randomized sample included 69 subjects monitored since the first day after surgery until hospital discharge from a public university hospital in the State of Rio de Janeiro, Brazil. The production data instrument assessed the presence or absence of defining characteristics and related factors. The evaluators were trained in order to ensure an accurate diagnosis assessment. Twenty-three (33.4%) subjects were diagnosed with delayed surgical recovery. Most of them were female, average age was 52 years old and average length of stay was 14 days. Regarding the defining characteristics in both groups, elderly patients presented "moving difficulties" and "need for self-care". Amongst the adults there was a prevalence of "loss of appetite, nausea and discomfort". As to the related factors, "expectations after surgery - anxiety" was only present in adults; and "pain and obesity" only in elderly people. Although diagnosis in those groups was prevalent, defining characteristics and related factors were different. Nevertheless, diagnosis causes limitations in the two groups, which directly influences the quality of care. Therefore, we recommend an early diagnosis regarding nursing practice.El objetivo del presente estudio fue analizar el diagnóstico de Enfermería en el Retraso de Recuperación Quirúrgica en adultos y ancianos hospitalizados. Se trata de un estudio de enfoque cuantitativo, observacional, prospectivo de diseño descriptivo. La muestra aleatoria consistió en 69 sujetos seguidos desde el primer día pre-operatorio hasta el alta hospitalaria. El estudio se llevó a cabo en un gran hospital público universitario del Estado de Río de Janeiro, Brasil. Se utilizó un instrumento de producción de datos para evaluar la presencia o ausencia de características definidoras y factores relacionados. Los evaluadores realizaron entrenamiento para minimizar y garantir la evaluación precisa del diagnóstico. Se encontraron 23 (33,4%) sujetos con diagnóstico de Retraso en la Recuperación Quirúrgica. Hubo predominio del género femenino, con edad media de 52 años y 14 días promedio de internación. Con relación a las características definidoras en las dos poblaciones, los ancianos demostraron principalmente dificultad para moverse y necesidad de ayuda para cuidarse. Los adultos presentaron pérdida de apetito con náuseas y disconfort. Cuanto a los factores relacionados, en los adultos se observaron expectativas pos-operatorias - ansiedad y en los ancianos dolor y obesidad. Se demuestra que, a pesar de prevalente, el diagnóstico en las dos poblaciones, las características definidoras y los factores relacionados son diferentes. El diagnóstico en sí causa limitaciones en los dos grupos, influyendo directamente en los niveles de calidad de la atención. Por lo tanto, se recomienda evidenciar precozmente dicho diagnóstico en la práctica clínica de enfermería.O objetivo deste estudo foi analisar o diagnóstico de enfermagem recuperação cirúrgica retardada em adultos e idosos hospitalizados. Tratou-se de estudo de abordagem quantitativa, descritivo, observacional e prospectivo. Amostra aleatória foi composta de 69 sujeitos acompanhados desde o primeiro dia de pré-operatório até a alta hospitalar, em um cenário de hospital universitário público de grande porte do Estado do Rio de Janeiro. Utilizou-se um instrumento de produção de dados para avaliação da presença ou ausência das características definidoras e dos fatores relacionados. Os avaliadores realizaram treinamento para minimizar e garantir acurada avaliação do diagnóstico. Obtiveram-se 23 (33,4%) sujeitos com o diagnóstico de recuperação cirúrgica retardada. Houve predomínio do sexo feminino, a média de idade foi de 52 anos de idade e a média de internação foi de 14 dias. Quanto à análise das características definidoras nas duas populações, observaram-se exclusivamente nos idosos "dificuldade para movimentar-se" e "precisa de ajuda para o autocuidado". Nos adultos, foram observados: perda de apetite com naúseas e desconforto. Sobre os fatores relacionados, estiveram presentes, somente nos adultos, expectativas pós-operatórias - ansiedade. E, nos idosos, dor e obesidade. Demonstra-se, contudo, que, apesar de prevalente, o diagnóstico em ambas as populações, as características definidoras e os fatores relacionados foram diferenciados. Porém, a presença do diagnóstico em si causa limitações nos dois grupos, influenciando diretamente os padrões de qualidade da assistência. Recomenda-se, portanto, evidenciar precocemente esse diagnóstico na prática clínica de enfermagem.Universidade Federal de Minas Gerais2014-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5013810.5935/1415-2762.20140048REME-Revista Mineira de Enfermagem; Vol. 18 No. 3 (2014)REME-Revista Mineira de Enfermagem; Vol. 18 Núm. 3 (2014)REME-Revista Mineira de Enfermagem; v. 18 n. 3 (2014)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50138/41327https://periodicos.ufmg.br/index.php/reme/article/view/50138/41328https://periodicos.ufmg.br/index.php/reme/article/view/50138/41329Copyright (c) 2014 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessPereira, Shimmenes KamacaelSantana, Rosimere FerreiraSantos, Iraci dosSoares, Thais da SilvaAmaral, Dayana Medeiros doSilva, Deborah Marinho2024-01-24T12:41:22Zoai:periodicos.ufmg.br:article/50138Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T12:41:22Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false |
| dc.title.none.fl_str_mv |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients Análisis del diagnóstico de enfermería en el retraso de la recuperación quirúrgica en adultos y ancianos hospitalizados Análise do diagnóstico de enfermagem: recuperação cirúrgica retardada em adultos e idosos hospitalizados |
| title |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients |
| spellingShingle |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients Pereira, Shimmenes Kamacael Procedimientos Quirúrgicos Operativos Enfermería Perioperatoria Diagnóstico de Enfermería Hospitalización Procedimentos Cirúrgicos Operatórios Enfermagem Perioperatória Diagnóstico de Enfermagem Hospitalização Surgical Procedures, Operative Perioperative Nursing Nursing Diagnosis Hospitalization |
| title_short |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients |
| title_full |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients |
| title_fullStr |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients |
| title_full_unstemmed |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients |
| title_sort |
Analysis of nursing diagnosis: delayed surgical recovery of adult and elderly patients |
| author |
Pereira, Shimmenes Kamacael |
| author_facet |
Pereira, Shimmenes Kamacael Santana, Rosimere Ferreira Santos, Iraci dos Soares, Thais da Silva Amaral, Dayana Medeiros do Silva, Deborah Marinho |
| author_role |
author |
| author2 |
Santana, Rosimere Ferreira Santos, Iraci dos Soares, Thais da Silva Amaral, Dayana Medeiros do Silva, Deborah Marinho |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Pereira, Shimmenes Kamacael Santana, Rosimere Ferreira Santos, Iraci dos Soares, Thais da Silva Amaral, Dayana Medeiros do Silva, Deborah Marinho |
| dc.subject.por.fl_str_mv |
Procedimientos Quirúrgicos Operativos Enfermería Perioperatoria Diagnóstico de Enfermería Hospitalización Procedimentos Cirúrgicos Operatórios Enfermagem Perioperatória Diagnóstico de Enfermagem Hospitalização Surgical Procedures, Operative Perioperative Nursing Nursing Diagnosis Hospitalization |
| topic |
Procedimientos Quirúrgicos Operativos Enfermería Perioperatoria Diagnóstico de Enfermería Hospitalización Procedimentos Cirúrgicos Operatórios Enfermagem Perioperatória Diagnóstico de Enfermagem Hospitalização Surgical Procedures, Operative Perioperative Nursing Nursing Diagnosis Hospitalization |
| description |
The objective of this study was to analyse nursing diagnosis of delayed surgical recovery in adult and elderly patients. It is a descriptive observational prospective study using a quantitative approach. Randomized sample included 69 subjects monitored since the first day after surgery until hospital discharge from a public university hospital in the State of Rio de Janeiro, Brazil. The production data instrument assessed the presence or absence of defining characteristics and related factors. The evaluators were trained in order to ensure an accurate diagnosis assessment. Twenty-three (33.4%) subjects were diagnosed with delayed surgical recovery. Most of them were female, average age was 52 years old and average length of stay was 14 days. Regarding the defining characteristics in both groups, elderly patients presented "moving difficulties" and "need for self-care". Amongst the adults there was a prevalence of "loss of appetite, nausea and discomfort". As to the related factors, "expectations after surgery - anxiety" was only present in adults; and "pain and obesity" only in elderly people. Although diagnosis in those groups was prevalent, defining characteristics and related factors were different. Nevertheless, diagnosis causes limitations in the two groups, which directly influences the quality of care. Therefore, we recommend an early diagnosis regarding nursing practice. |
| publishDate |
2014 |
| dc.date.none.fl_str_mv |
2014-09-01 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50138 10.5935/1415-2762.20140048 |
| url |
https://periodicos.ufmg.br/index.php/reme/article/view/50138 |
| identifier_str_mv |
10.5935/1415-2762.20140048 |
| dc.language.iso.fl_str_mv |
por eng |
| language |
por eng |
| dc.relation.none.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50138/41327 https://periodicos.ufmg.br/index.php/reme/article/view/50138/41328 https://periodicos.ufmg.br/index.php/reme/article/view/50138/41329 |
| dc.rights.driver.fl_str_mv |
Copyright (c) 2014 Reme: Revista Mineira de Enfermagem info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Copyright (c) 2014 Reme: Revista Mineira de Enfermagem |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
text/plain application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
| publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
| dc.source.none.fl_str_mv |
REME-Revista Mineira de Enfermagem; Vol. 18 No. 3 (2014) REME-Revista Mineira de Enfermagem; Vol. 18 Núm. 3 (2014) REME-Revista Mineira de Enfermagem; v. 18 n. 3 (2014) 2316-9389 1415-2762 reponame:Reme (Online) instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
| instname_str |
Universidade Federal de Minas Gerais (UFMG) |
| instacron_str |
UFMG |
| institution |
UFMG |
| reponame_str |
Reme (Online) |
| collection |
Reme (Online) |
| repository.name.fl_str_mv |
Reme (Online) - Universidade Federal de Minas Gerais (UFMG) |
| repository.mail.fl_str_mv |
remeufmg@gmail.com |
| _version_ |
1797041906023137280 |