Diagnostico de enfermagem da taxonomia da nanda em unidade de terapia dialitica utilizando o modelo teorico de Imogene King

AUTOR(ES)

Emilia Ferreira de Souza

DATA DE PUBLICAÇÃO

2003

RESUMO

Hemodialysis provokes various conditions in chronic renal clients that compromise not only the client s physical but also the psychological aspect together with personal, familial and social repercussions. The purpose of this study was to identify the most common nursing diagnoses in chronic renal clients using as reference the Imogene King s Conceptual Model and the Theory of Goal Attainment in which she deals with some basic concepts essential to nursing and describes the three systems that form the basis of her model - personal, interpersonal and social. In order to verify the needs of clients (n=20) in a dialytic unit, a data collecting tool based on the NANDA nursing diagnoses and composed of questions related to the personal, interpersonal and social systems was applied to the clients with a supervised follow up. The results detected the presence of nursing diagnoses in all the clients in this study sample. The highest pathological compromise occurred in the 41 to 50 year age group. The main cause of disease was due to hypertension and diabetes. The nursing diagnoses found in 50% of the clients were: risk of infection, ineffective protection and altered contort. Some diagnoses, such as: noncompliance, disturbed sleep pattern, fear, anxiety and ineffective role performance, had less frequency by had been relevant to the clients attendance. Therefore, it can be concluded that the data-collecting tool helped identify nursing diagnoses that were based on the Imogene King theory and the NANDA Taxonomy, but as the data collecting had been done just once, it is recommended longitudinal study to confirm there findings

ASSUNTO(S)

hemodialise chronic renal insufficiency insuficiencia renal cronica hemodialysis enfermagem nursing

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