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Vol. 30. Issue 1.
Pages 31-36 (January - February 2020)
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Vol. 30. Issue 1.
Pages 31-36 (January - February 2020)
Brief original article
DOI: 10.1016/j.enfcle.2018.12.009
Associations between respiratory nursing diagnoses and nursing interventions in patients submitted to thoracic or upper abdominal surgery
Asociación entre diagnósticos de enfermería respiratorios e intervenciones de enfermería en pacientes sometidos a cirugía torácica o abdominal superior
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Janaína Nunes do Nascimentoa, Lívia Maia Pascoala,
Corresponding author
livia_mp@hotmail.com

Corresponding author.
, Vanessa Emille Carvalho de Sousab, Simony Fabíola Lopes Nunesa, Pedro Martins Lima Netoa, Francisco Dimitre Rodrigo Pereira Santosc
a Federal University of Maranhão, Imperatriz, Maranhão, Brazil
b Instituto de Ciências da Saúde Universidade da Integração Internacional da Lusofonia Afro-brasileira • Unilab, Redenção, Ceará, Brazil
c University of the South of Maranhão • Unisulma, Imperatriz, Maranhão, Brazil
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Tables (2)
Table 1. Nursing diagnoses from NANDA-I and NIC interventions identified and performed in the setting.
Table 2. Correlations between respiratory NANDA-I diagnoses and NIC interventions.
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Abstract
Objective

To determine associations between respiratory nursing diagnoses and nursing interventions in patients submitted to thoracic or upper abdominal surgery.

Method

Cross sectional quantitative study. Participants were 312 adult patients within the first 48h after thoracic or upper abdominal surgery. Patients were examined by the research team using an instrument with variables related to the respiratory function. The research team established the presence/absence of three nursing diagnoses and proposed interventions using the NANDA-I classification and the Nursing Interventions Classification. Correlations were tested using the chi-square or Fisher's test.

Results

From the total 312 examinations, ineffective airway clearance was present in 185 (59.3%) assessments, ineffective breathing pattern in 123 (39.4%), and impaired gas exchange in 141 (45.4%). Significant correlations showed that patients with ineffective airway clearance were more likely to require pain management (or: 2.27), chest physiotherapy (or: 2.96), and positioning (or:1.8), while patients with impaired gas exchange were less likely to require airway management (or: 0.13) and chest physiotherapy (or: 0.28).

Conclusions

Patients with ineffective airway clearance had more chances of requiring pain management, chest physiotherapy, and positioning, while the nursing diagnosis impaired gas exchange was related with airway management and chest physiotherapy. The findings provide basis for nurses to develop effective care plans and to minimize postoperative respiratory complications.

Keywords:
Nursing care
Postanesthesia nursing
Patient care planning
Nursing diagnosis
Resumen
Objetivo

Determinar la asociación entre diagnósticos de enfermería respiratorios e intervenciones de enfermería en pacientes sometidos a cirugía torácica o abdominal superior.

Mèc)todo

Estudio cuantitativo y transversal. Los participantes fueron 312 pacientes evaluados dentro de las primeras 48h, despuèc)s de ser sometidos a cirugía torácica o abdominal superior. Los pacientes fueron examinados por el equipo de investigación utilizando un instrumento con variables relacionadas con la función respiratoria. El equipo de investigación estableció la presencia de 3 diagnósticos de enfermería e intervenciones usando la clasificación NANDA-I y la Clasificación de Intervenciones de Enfermería. Las correlaciones se analizaron con las pruebas de Chi-cuadrado o de Fisher.

Resultados

Del total de 312 evaluaciones, la limpieza ineficaz de las vías aèc)reas estuvo presente en 185 evaluaciones (59,3%), el patrón respiratorio ineficaz en 123 (39,4%) y el deterioro del intercambio gaseoso en 141 (45,4). Los pacientes con limpieza ineficaz de las vías aèc)reas tenían más probabilidades de requerir manejo del dolor (OR: 2,27), fisioterapia torácica (OR: 2,96) y posicionamiento (OR: 1,8), mientras que los pacientes con deterioro del intercambio gaseoso tenían menos probabilidades de necesitar manejo de las vías aèc)reas (OR: 0,13) y fisioterapia (OR: 0,28).

Conclusiones

Aquellos pacientes con el diagnóstico de limpieza ineficaz de las vias aèc)reas presentaron asociación con las intervenciones manejo del dolor, fisioterapia y posicionamiento, mientras el diagnóstico deterioro del intercambio gaseoso estuvo asociado con la intervención manejo de las vías aèc)reas y fisioterapia. Los resultados proporcionan una base para que las enfermeras desarrollen planes de atención efectivos y minimicen las complicaciones respiratorias postoperatorias.

Palabras clave:
Atención de enfermería
Enfermería postanestèc)sica
Planificación de atención al paciente
Diagnóstico de enfermería

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