Proposal of nursing care plan in people hospitalized with AIDS

Souza Neto, Vinicius Lino de; Silva, Richardson Augusto Rosendo da; Silva, Cristiane da Costa; Negreiros, Rosangela Vidal de; Rocha, Cintia Capistrano Teixeira; Nóbrega, Maria Miriam Lima da

doi:10.1590/S1980-220X2016027203204

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Revista da Escola de Enfermagem da USP

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Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 51 • 2017 • https://doi.org/10.1590/S1980-220X2016027203204 copy

Proposal of nursing care plan in people hospitalized with AIDS^* * Extracted from the masters’ dissertation “Diagnósticos, resultados e intervenções de enfermagem da CIPE para pessoas vivendo com Aids”, Universidade Federal do Rio Grande do Norte, 2016.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

to elaborate and validate a proposal for a nursing care plan in people hospitalized with AIDS, in an infectious disease unit, using ICNP^® version 2015.

METHODS

A cross-sectional study, followed by validation of content, performed with 20 nurses and 120 people, living with AIDS in an infectious disease unit of a hospital of infectious diseases in Northeast Brazil. The methodological trajectory was carried out in the following stages: elaboration of the diagnosis, nursing outcomes; Initial proposal of nursing interventions; Preparation of a care plan; And validation of the plan by field experts.

RESULTS

42 diagnoses were elaborated and validated, 33 presented CVI > 0.80 (55.42%) among field experts. From this quantitative, 228 interventions were elaborated and 41 obtained a CVI > 0.80 (44.78%), considered validated.

CONCLUSION

The study allowed us to identify and validate nursing diagnoses, outcomes and interventions for the use in clinical practice, aiming to subsidize the process of care for people with AIDS.

Descriptors
Acquired Immunodeficiency Syndrome; Nursing Process; Nursing Diagnosis; Classification

BASIC HUMAN NEEDS
Psychobiological needs
Nursing diagnosis statements
Oxygenation and vascular regulation	f(%)	CVI > 0.80
Dyspnea	94	1.0
Increased heart rate	90	1.0
Bleeding	79	0.70
Expectoration	70	0.50
Hydration and electrolytic regulation
Impaired swallowing	82	0.90
Dehydration	80	0.80
Hyperthermia	80	0.80
Nutrition and excretion
Cachexia	78	0.70
Impaired Defecation	74	0.62
Committed spontaneous bladder elimination	74	0.60
Excessive intestinal elimination	71	0.50
Vomit	70	0.50
Sleep and rest
Insomnia	68	0.42
Thermal regulation, body care and cutaneomucous integrity
Impaired skin integrity	68	0.40
Impaired oral cavity hygiene	65	0.40
Impaired scalp hygiene pattern	61	0.35
Physical security of the environment, immunological regulation, therapeutics
Exposure to contamination	60	0.35
Tobacco abuse	60	0.30
Drug abuse	59	0.30
Alcohol and tobacco abuse	55	0.30
Psychosocial needs
Communication / Learning (health education) / Sociability / Recreation and leisure
Acceptance of the impaired therapeutic regimen	81	1.0
Loneliness	80	1.0
Fear	79	0.80
Communication impaired	75	0.70
Altered state of consciousness	70	0.70
Social isolation	69	0.65
Low health knowledge	65	0.60
Self-realization, Self-esteem and Self-image
Acceptance	61	0.50
Body Modification	60	0.50
Socialization	50	0.40
Will to Live	47	0.40
Spiritual needs
Religious / Spirituality
Spiritual Anguish	47	0.40

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Vinicius Lino de Souza Neto. Universidade Federal do Rio Grande do Norte, Centro de Ciências da Saúde - Departamento de Enfermagem, Campus Central, s/n, Lagoa Nova, CEP 59078-970 - Natal, RN, Brazil. vinolino@hotmail.com

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Proposal of nursing care plan in people hospitalized with AIDS* * Extracted from the masters’ dissertation “Diagnósticos, resultados e intervenções de enfermagem da CIPE para pessoas vivendo com Aids”, Universidade Federal do Rio Grande do Norte, 2016.

Abstract

OBJECTIVE

METHODS

RESULTS

CONCLUSION

Proposal of nursing care plan in people hospitalized with AIDS^* * Extracted from the masters’ dissertation “Diagnósticos, resultados e intervenções de enfermagem da CIPE para pessoas vivendo com Aids”, Universidade Federal do Rio Grande do Norte, 2016.