Abstract
Objective: The objective is to correlate the nursing diagnoses of the domain Safety/Protection of NANDA-I in critically ill patients with sociodemographic and clinical data. Method: A cross-sectional study with 86 individuals was conducted, from October 2013 to May 2014 in the Intensive Care Unit of a university hospital in northeastern Brazil, through a formal interview and physical examination. Results: It was possible to identify a total of 20 significant statistical associations, and 15 were clinically justified by the literature, namely: risk for aspiration and reason for admission; impaired dentition and age; risk for peripheral neurovascular dysfunction and sex and comorbidity; skin integrity and comorbidity; risk for impaired skin integrity and gender and reason for admission; impaired tissue integrity and gender and reason for admission; risk for perioperative positioning injury and reason for admission; risk for thermal injury and age and comorbidity; delayed surgical recovery and reason for admission; risk for poisoning and years of schooling; and risk for imbalanced body temperature and age. Conclusions: By understanding the relationship between customers’ answers and the sociodemographic and clinical profile, positive health outcomes can be achieved in particular in the prevention of risks facing vulnerability characteristics, providing greater safety and protection for the critical customer.
Highlights
Intensive Care Unit (ICU) is a critical area for admission of critically ill patients, who are greatly dependent on care and have multiple comorbidities and chronic diseases that require professional, specialized and continuous care, as well as specific materials and technologies necessary to diagnosis, monitoring and therapy [1] [2].given the characteristics of these patients, there is a need of interventions of extreme complexity, as even the most basic actions become complex when performed in patients in critical condition
The study evaluated 86 critically ill patients admitted to the Intensive Care Unit, of which the majority were female (52.3%), had a religion (95.3%) and a partner (70.9%)
Corroborating the data from this study in relation to impaired dentition and age, in a study developed with elderly patients in the center-west of Brazil, in order to determine the prevalence of the nursing diagnoses in the domain Safety/protection, the diagnosis impaired dentition was found in all seniors
Summary
Given the characteristics of these patients, there is a need of interventions of extreme complexity, as even the most basic actions become complex when performed in patients in critical condition. This required proper planning and a trained team [3]. The ICU comprises a specialized nursing care with safe and complete approach that requires high technical and scientific competence [4]. The assessment of the critical patient is part of the nursing work process, whose aim is to check the health status and the care needs. The data obtained from this evaluation guide the formulation of a care plan directed to individual needs [5]
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