Perfil diagnóstico de enfermagem de pacientes vítimas de trauma admitidos em CTI, à luz do referencial teórico de Roy

• Autor(a) principal: Arruda, Aurilene Josefa Cartaxo Gomes de
• Data de Publicação: 2000
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/14894
• topic: Enfermagem - CTI; Modelo de adaptação de Roy; Vítimas de trauma - perfil diagnóstico; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Traumas, nowadays, are a great problem of public health, being synonymous of a preoccupying statistics and generating enormous personal and social costs. Using as theoretical mark the Roy's Adaptation Model, a descriptive study was developed, whose general objective was to establish, making use of specific components of the physiologic adaptation mode, a profile of the nursing diagnoses that happen more frequently in trauma victims, admitted in ITC. The research was accomplished at a hospital of the public health net, of the municipal district of João Pessoa , in Paraiba, considered reference unit for attendance to medical, surgical and trauma emergencies. The study population was constituted by trauma victims, independent of sex or age, directed to the Intensive Therapy Center of that institution, after initial attendance in the Emergency Unit. To the sample organization a "temporary cutting" was determined, during which the data of twenty-two patient were collected, among the ones 21 (95,5%) were of the masculine sex and 1 (4,5%) of the feminine sex. The predominant age rates were from 15 to 30 (40,9%) and from 31 to 46 years (31,8%). The falls (36,4%) and the automobile accidents (31,8%) represented the principal mechanisms trauma occurrence, followed by aggression/violence (27,3%) and of the suicide attempt (4,5%); the closed type of trauma happened in 36,3%, the opened in 36,3% and the mixed in 27,3% of the cases.There was a larger polytraumatism frequency in people in the age rates of 15-30 (41,7%) and of 31-46 years (41,7%), with a accumulated percentile for those age rates of 83,4%. Twenty different nursing diagnoses were firmed for those patients, with a total of 239 diagnose affirmatives and approximate average of 11 diagnoses for patient. For component of the Roy's physiologic mode, 85 diagnose affirmatives (35,6%) belonged to the oxygenation component; 50 (20,9%) to the protection component; 39 (16,3%) to the flowing and eletrolits component; 27 (11,3%) to the neurological function component; 15 (6,3%) to the senses component; and 6 (2,5%,) to the elimination component. Among the 20 different nursing diagnoses, 9 (45%) reached a frequency = 50% in the sample of studied cases and they became considered as being part of the component diagnosis profile of trauma victims, in the moment of their admission in ITC: Risk for infection (95,5%), Altered tissue peripheral perfusion (81,8%), Ineffective breathing pattern (77,3%), Inadequate gas exchange (77,3%), Hipoxia (77,3%), Disrupted skin integrity (72,7%), Pain (68,2%), Risk for pressure ulcer (59,1%), Stable processes of water balance (59,1%). We Believe that the study reached the established objectives and that, starting from the data evidenced, we can delineate possible unfoldings, among the ones the elaboration and application of norms/guidelines that establish the appropriate nursing interventions for nursing diagnoses more frequent in the trauma victims' sample.