Analysis of nursing diagnosis
DOI:
https://doi.org/10.5935/1415-2762.20140048Keywords:
Surgical Procedures, Operative, Perioperative Nursing, Nursing Diagnosis, HospitalizationAbstract
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.Downloads
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