Abstract
Resumo Objetivo Elaborar e validar um subconjunto terminológico da Classificação Internacional para Prática de Enfermagem (CIPE®) para pacientes com tromboembolismo venoso associado ao câncer. Métodos Estudo metodológico, desenvolvido em quatro etapas: revisão integrativa da literatura, que buscou evidências empíricas de diagnósticos e intervenções de enfermagem relacionadas ao tromboembolismo venoso associado ao câncer, nas bases de dados MEDLINE, PUBMED, CINAHL, LILACS, BDENF e COCHRANE, com recorte temporal de 2001 a 2016; na segunda etapa do estudo foi realizado o mapeamento cruzado entre os termos identificados na literatura e os termos constantes na CIPE® versão 2017; a terceira etapa consistiu na construção do subconjunto terminológico CIPE®, contendo os enunciados de diagnósticos/resultados e intervenções de enfermagem e distribuídos conforme as Necessidades Humanas Básicas postuladas no referencial conceitual de Wanda Horta; na quarta etapa foi realizada a validação de conteúdo das declarações por enfermeiros peritos. Resultados No total, 37 afirmativas de diagnósticos e intervenções de enfermagem foram elaboradas. Destas, 34 diagnósticos e 35 intervenções foram validadas. Foi proposta a inclusão de quatro diagnósticos de enfermagem como conceitos pré-coordenados na CIPE®: Edema periférico unilateral; Edema periférico crônico; Saturação de oxigênio no sangue, baixa; e Conhecimento sobre regime terapêutico. Conclusão O instrumento poderá constituir-se numa referência de fácil acesso para enfermeiros, propiciando um cuidado baseado em evidências e linguagem de enfermagem unificada.
Highlights
IntroductionVenous thromboembolism is an important clinical complication strongly associated with cancer, since it favors the occurrence of blood hypercoagulability, venous stasis and vascular endothelial injury.[1]
Venous thromboembolism is an important clinical complication strongly associated with cancer, since it favors the occurrence of blood hypercoagulability, venous stasis and vascular endothelial injury.[1]. Its prevalence in cancer patients is about 20%, and it is the second cause of death in these patients.[2,3]
Nursing classification systems can be used to this end because they provide their own terminology and a standardized language used by nursing professionals in order to contribute to a more effective, conscious and above all, visible nursing practice in the data set of health.[4,5]
Summary
Venous thromboembolism is an important clinical complication strongly associated with cancer, since it favors the occurrence of blood hypercoagulability, venous stasis and vascular endothelial injury.[1]. The International Classification for Nursing Practice (ICNP®) is one of the most widely used classification systems and a medium that helps reasoning and clinical decision making by promoting communication among nurses and with other professionals. It favors documentation of professional practice, and the resulting data and information can be used for planning and management of nursing care and the development of policies.[4,5]. In view of the problematic of the study, we tried to answer the following question: What nursing diagnoses/outcomes and interventions are useful in nursing care for patients with cancer- associated venous thromboembolism? In view of the problematic of the study, we tried to answer the following question: What nursing diagnoses/outcomes and interventions are useful in nursing care for patients with cancer- associated venous thromboembolism? Based on this question, the aim of the study was to develop and validate an ICNP® terminology subset for patients with cancer-associated venous thromboembolism
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