Mechanical ventilatory assistance(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
15 Iyigun E, Pazar B, Tastan S. A study on reliability and validity of the Turkish version of the Face Anxiety Scale on mechanically-ventilated patients. Intensive Crit Care Nurs. 2016; 37:46-51. doi: 10.1016/j.iccn.2016.05.002 https://doi.org/10.1016/j.iccn.2016.05.0...
16 McCaughey C, Blackwood B, Glackin M, Brady M, McMullin MF. Characteristics and outcomes of haematology patients admitted to the intensive care unit: characteristics and outcomes of haematology patients. Nurs Crit Care. 2013; 18(4):193-9. doi: 10.1111/nicc.12005 https://doi.org/10.1111/nicc.12005...
17 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
18 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
19 Bashar FR, Vahedian-Azimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, et al. Post-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium. J Crit Care. 2018; 43:88-94. doi: 10.1016/j.jcrc.2017.08.034 https://doi.org/10.1016/j.jcrc.2017.08.0...
20 Dehghan M, Fatehi poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: a randomized clinical trial. Complement Ther Clin Pract. 2018; 30:122-8. doi: 10.1016/j.ctcp.2017.12.018 https://doi.org/10.1016/j.ctcp.2017.12.0...
21 Tiruvoipati R, Pilcher D, Buscher H, Botha J, Bailey M. Effects of hypercapnia and hypercapnic acidosis on hospital mortality in mechanically ventilated patients. Crit Care Med. 2017;45(7):e649-56. doi: 10.1097/CCM.0000000000002332 https://doi.org/10.1097/CCM.000000000000...
22 Jakob SM, Bütikofer L, Berger D, Coslovsky M, Takala J. A randomized controlled pilot study to evaluate the effect of an enteral formulation designed to improve gastrointestinal tolerance in the critically ill patient-the SPIRIT trial. Crit Care [Internet]. 2017 [cited 2019 Feb 14];21(1). doi: 10.1186 /s13054-017-1730-1 https://doi.org/10.1186 /s13054-017-1730...
23 Sundararajan K, Wills S, Chacko B, Kanabar G, O’Connor S, Deane AM. Impact of delirium and suture-less securement on accidental vascular catheter removal in the ICU. Anaesth Intensive Care. 2014 [cited 2019 Feb 14];42(4):473-9. doi: 10.1177/0310057X1404200408 https://doi.org/10.1177/0310057X14042004...
24 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
25 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
26 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
27 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
28 Cordeiro ALPC, Silva R, Prado CBC, Oliveira KF, Barbosa MH. Laryngotracheal mucosa injury and associated factors after endotracheal extubation: a pilot study. Acta Paul Enferm. [Internet]; 2017 [cited 2019 Feb 16] 30(3):316-22. Available from: http://www.scielo.br/pdf/ape/v30n3/en_1982-0194-ape-30-03-0316.pdf http://www.scielo.br/pdf/ape/v30n3/en_19...
-2929 Plani N, Becker P, van Aswegen H. The use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: a non-randomized experimental trial comparing a prospective to retrospective cohort. Physiother Theory Pract. 2013; 29(3):211-21. doi: 10.3109/09593985.2012.718410 https://doi.org/10.3109/09593985.2012.71...
). |
17 |
Pain(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
,1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
,2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
31 Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015; 16(3):354-66. doi: 10.1016/j.pmn.2014.08.014 https://doi.org/10.1016/j.pmn.2014.08.01...
32 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
33 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
34 Echegaray-Benites C, Kapoustina O, Gélinas C. Validation of the use of the Critical-Care Pain Observation Tool (CPOT) with brain surgery patients in the neurosurgical intensive care unit. Intensive Crit Care Nurs. 2014; 30(5):257-65. doi: 10.1016/j.iccn.2014.04.002 https://doi.org/10.1016/j.iccn.2014.04.0...
-3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
). |
10 |
Sedation(1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
,1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
-1818 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
,2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,2929 Plani N, Becker P, van Aswegen H. The use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: a non-randomized experimental trial comparing a prospective to retrospective cohort. Physiother Theory Pract. 2013; 29(3):211-21. doi: 10.3109/09593985.2012.718410 https://doi.org/10.3109/09593985.2012.71...
,3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
,3636 Elliott SR. ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit. Intensive Crit Care Nurs. 2014; 30(6):333-8. doi: 10.1016/j.iccn.2014.06.004 https://doi.org/10.1016/j.iccn.2014.06.0...
-3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
). |
9 |
Psychomotor agitation(1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
,1818 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
,3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
-3434 Echegaray-Benites C, Kapoustina O, Gélinas C. Validation of the use of the Critical-Care Pain Observation Tool (CPOT) with brain surgery patients in the neurosurgical intensive care unit. Intensive Crit Care Nurs. 2014; 30(5):257-65. doi: 10.1016/j.iccn.2014.04.002 https://doi.org/10.1016/j.iccn.2014.04.0...
,3636 Elliott SR. ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit. Intensive Crit Care Nurs. 2014; 30(6):333-8. doi: 10.1016/j.iccn.2014.06.004 https://doi.org/10.1016/j.iccn.2014.06.0...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
-3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
), delirium(1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
18 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
-1919 Bashar FR, Vahedian-Azimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, et al. Post-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium. J Crit Care. 2018; 43:88-94. doi: 10.1016/j.jcrc.2017.08.034 https://doi.org/10.1016/j.jcrc.2017.08.0...
,2323 Sundararajan K, Wills S, Chacko B, Kanabar G, O’Connor S, Deane AM. Impact of delirium and suture-less securement on accidental vascular catheter removal in the ICU. Anaesth Intensive Care. 2014 [cited 2019 Feb 14];42(4):473-9. doi: 10.1177/0310057X1404200408 https://doi.org/10.1177/0310057X14042004...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
,3636 Elliott SR. ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit. Intensive Crit Care Nurs. 2014; 30(6):333-8. doi: 10.1016/j.iccn.2014.06.004 https://doi.org/10.1016/j.iccn.2014.06.0...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
). |
8 |
Anxiety(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
-1515 Iyigun E, Pazar B, Tastan S. A study on reliability and validity of the Turkish version of the Face Anxiety Scale on mechanically-ventilated patients. Intensive Crit Care Nurs. 2016; 37:46-51. doi: 10.1016/j.iccn.2016.05.002 https://doi.org/10.1016/j.iccn.2016.05.0...
,1919 Bashar FR, Vahedian-Azimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, et al. Post-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium. J Crit Care. 2018; 43:88-94. doi: 10.1016/j.jcrc.2017.08.034 https://doi.org/10.1016/j.jcrc.2017.08.0...
,2929 Plani N, Becker P, van Aswegen H. The use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: a non-randomized experimental trial comparing a prospective to retrospective cohort. Physiother Theory Pract. 2013; 29(3):211-21. doi: 10.3109/09593985.2012.718410 https://doi.org/10.3109/09593985.2012.71...
,3131 Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015; 16(3):354-66. doi: 10.1016/j.pmn.2014.08.014 https://doi.org/10.1016/j.pmn.2014.08.01...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), altered heart rate(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,2121 Tiruvoipati R, Pilcher D, Buscher H, Botha J, Bailey M. Effects of hypercapnia and hypercapnic acidosis on hospital mortality in mechanically ventilated patients. Crit Care Med. 2017;45(7):e649-56. doi: 10.1097/CCM.0000000000002332 https://doi.org/10.1097/CCM.000000000000...
,3131 Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015; 16(3):354-66. doi: 10.1016/j.pmn.2014.08.014 https://doi.org/10.1016/j.pmn.2014.08.01...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
-3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
). |
7 |
Naso/oroenteral tube diet(2020 Dehghan M, Fatehi poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: a randomized clinical trial. Complement Ther Clin Pract. 2018; 30:122-8. doi: 10.1016/j.ctcp.2017.12.018 https://doi.org/10.1016/j.ctcp.2017.12.0...
,2222 Jakob SM, Bütikofer L, Berger D, Coslovsky M, Takala J. A randomized controlled pilot study to evaluate the effect of an enteral formulation designed to improve gastrointestinal tolerance in the critically ill patient-the SPIRIT trial. Crit Care [Internet]. 2017 [cited 2019 Feb 14];21(1). doi: 10.1186 /s13054-017-1730-1 https://doi.org/10.1186 /s13054-017-1730...
,2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
,3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
,4040 Bispo MM, Dantas ALM, Silva PKA, Fernandes MICD, Tinôco JDS, Lira ALBC. The nursing diagnosis of aspiration risk in critical patients. Esc Anna Nery [Internet]; 2016 [cited 2019 Mar 02] 20(2):357-362. Available from: http://www.scielo.br/pdf/ean/v20n2/en_1414-8145-ean-20-02-0357.pdf http://www.scielo.br/pdf/ean/v20n2/en_14...
), diarrhea(2222 Jakob SM, Bütikofer L, Berger D, Coslovsky M, Takala J. A randomized controlled pilot study to evaluate the effect of an enteral formulation designed to improve gastrointestinal tolerance in the critically ill patient-the SPIRIT trial. Crit Care [Internet]. 2017 [cited 2019 Feb 14];21(1). doi: 10.1186 /s13054-017-1730-1 https://doi.org/10.1186 /s13054-017-1730...
,2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
,3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
-3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
,4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
). |
6 |
Change in level of consciousness(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,1616 McCaughey C, Blackwood B, Glackin M, Brady M, McMullin MF. Characteristics and outcomes of haematology patients admitted to the intensive care unit: characteristics and outcomes of haematology patients. Nurs Crit Care. 2013; 18(4):193-9. doi: 10.1111/nicc.12005 https://doi.org/10.1111/nicc.12005...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
,4040 Bispo MM, Dantas ALM, Silva PKA, Fernandes MICD, Tinôco JDS, Lira ALBC. The nursing diagnosis of aspiration risk in critical patients. Esc Anna Nery [Internet]; 2016 [cited 2019 Mar 02] 20(2):357-362. Available from: http://www.scielo.br/pdf/ean/v20n2/en_1414-8145-ean-20-02-0357.pdf http://www.scielo.br/pdf/ean/v20n2/en_14...
,4242 Santos WC, Vancini-Campanharo CR, Lopes MCBT, Okuno MFP, Batista REA. Assessment of nurse’s knowledge about Glasgow coma scale at a university hospital. Einstein São Paulo. [Internet]; 2016 [cited 2019 Mar 02] 14(2):213-8. Available from: http://www.scielo.br/pdf/eins/v14n2/1679-4508-eins-14-2-0213.pdf http://www.scielo.br/pdf/eins/v14n2/1679...
), care with central venous catheter(2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,4343 Melo EM, Cavalcante HPO, Marques AM, Ferreira AMM, Abreu MAF, Lima VF, et al. Conhecimento do enfermeiro sobre as drogas vasoativas utilizadas em pacientes críticos. Rev Enferm UFPE [Internet]. 2016;10(8):2948-55. doi: 10.5205/reuol.9373-82134-1-RV1008201621 https://doi.org/10.5205/reuol.9373-82134...
44 Serafim CTR, Dell’Acqua MCQ, Castro MCN, Spiri WC, Nunes HRC. Severity and workload related to adverse events in the ICU. Rev Bras Enferm. [Internet]; 2017 [cited 2019 Mar 02] 70(5):942-8. Available from: http://www.scielo.br/pdf/reben/v70n5/0034-7167-reben-70-05-0942.pdf http://www.scielo.br/pdf/reben/v70n5/003...
-4545 Guimarães GL, Goveia VR, Mendonza IYQ, Corrêa A Reis, Matos SS, Guimarães JO. Nursing interventions for hemodialysis patients through central venous catheter. Rev Enferm UFPE. 2017;11(3). doi: 10.5205/reuol.10544-93905-1-RV.1103201702 https://doi.org/10.5205/reuol.10544-9390...
). |
5 |
Infusion of vasoactive drug(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
,4343 Melo EM, Cavalcante HPO, Marques AM, Ferreira AMM, Abreu MAF, Lima VF, et al. Conhecimento do enfermeiro sobre as drogas vasoativas utilizadas em pacientes críticos. Rev Enferm UFPE [Internet]. 2016;10(8):2948-55. doi: 10.5205/reuol.9373-82134-1-RV1008201621 https://doi.org/10.5205/reuol.9373-82134...
), altered blood pressure(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,2121 Tiruvoipati R, Pilcher D, Buscher H, Botha J, Bailey M. Effects of hypercapnia and hypercapnic acidosis on hospital mortality in mechanically ventilated patients. Crit Care Med. 2017;45(7):e649-56. doi: 10.1097/CCM.0000000000002332 https://doi.org/10.1097/CCM.000000000000...
,3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
-3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), increased gastric residual volume(2020 Dehghan M, Fatehi poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: a randomized clinical trial. Complement Ther Clin Pract. 2018; 30:122-8. doi: 10.1016/j.ctcp.2017.12.018 https://doi.org/10.1016/j.ctcp.2017.12.0...
,2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
,3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
,4040 Bispo MM, Dantas ALM, Silva PKA, Fernandes MICD, Tinôco JDS, Lira ALBC. The nursing diagnosis of aspiration risk in critical patients. Esc Anna Nery [Internet]; 2016 [cited 2019 Mar 02] 20(2):357-362. Available from: http://www.scielo.br/pdf/ean/v20n2/en_1414-8145-ean-20-02-0357.pdf http://www.scielo.br/pdf/ean/v20n2/en_14...
). |
4 |
Endotracheal suction(2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,2828 Cordeiro ALPC, Silva R, Prado CBC, Oliveira KF, Barbosa MH. Laryngotracheal mucosa injury and associated factors after endotracheal extubation: a pilot study. Acta Paul Enferm. [Internet]; 2017 [cited 2019 Feb 16] 30(3):316-22. Available from: http://www.scielo.br/pdf/ape/v30n3/en_1982-0194-ape-30-03-0316.pdf http://www.scielo.br/pdf/ape/v30n3/en_19...
,3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), mental confusion(2929 Plani N, Becker P, van Aswegen H. The use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: a non-randomized experimental trial comparing a prospective to retrospective cohort. Physiother Theory Pract. 2013; 29(3):211-21. doi: 10.3109/09593985.2012.718410 https://doi.org/10.3109/09593985.2012.71...
,3636 Elliott SR. ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit. Intensive Crit Care Nurs. 2014; 30(6):333-8. doi: 10.1016/j.iccn.2014.06.004 https://doi.org/10.1016/j.iccn.2014.06.0...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), incontinence dermatitis(2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
,4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
), dyspnoea(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,1818 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
,3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), hypertension(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,3131 Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015; 16(3):354-66. doi: 10.1016/j.pmn.2014.08.014 https://doi.org/10.1016/j.pmn.2014.08.01...
,3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
), hyperthermia(1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
,2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), hypotension(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,3131 Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015; 16(3):354-66. doi: 10.1016/j.pmn.2014.08.014 https://doi.org/10.1016/j.pmn.2014.08.01...
,3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
), hypothermia(1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
,2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), hemodynamic instability(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,4343 Melo EM, Cavalcante HPO, Marques AM, Ferreira AMM, Abreu MAF, Lima VF, et al. Conhecimento do enfermeiro sobre as drogas vasoativas utilizadas em pacientes críticos. Rev Enferm UFPE [Internet]. 2016;10(8):2948-55. doi: 10.5205/reuol.9373-82134-1-RV1008201621 https://doi.org/10.5205/reuol.9373-82134...
), skin injury(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
,4444 Serafim CTR, Dell’Acqua MCQ, Castro MCN, Spiri WC, Nunes HRC. Severity and workload related to adverse events in the ICU. Rev Bras Enferm. [Internet]; 2017 [cited 2019 Mar 02] 70(5):942-8. Available from: http://www.scielo.br/pdf/reben/v70n5/0034-7167-reben-70-05-0942.pdf http://www.scielo.br/pdf/reben/v70n5/003...
), obesity(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
,4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
,4646 Hyun S, Li X, Vermillion B, Newton C, Fall M, Kaewprag P, et al. Body mass index and pressure ulcers: improved predictability of pressure ulcers in intensive care patients. Am J Crit Care. 2014; 23(6):494-501. doi: 10.4037/ajcc201453 https://doi.org/10.4037/ajcc201453...
), nasal probe / oroenteral(2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,4444 Serafim CTR, Dell’Acqua MCQ, Castro MCN, Spiri WC, Nunes HRC. Severity and workload related to adverse events in the ICU. Rev Bras Enferm. [Internet]; 2017 [cited 2019 Mar 02] 70(5):942-8. Available from: http://www.scielo.br/pdf/reben/v70n5/0034-7167-reben-70-05-0942.pdf http://www.scielo.br/pdf/reben/v70n5/003...
), bladder catheter(2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
), vomiting(2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
,3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
). |
3 |
Change in sleep pattern(1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
,3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), analgesia(1818 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
,2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
), arrhythmia(2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
,3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
), bed bath(2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
,3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), calm(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), constipation(2020 Dehghan M, Fatehi poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: a randomized clinical trial. Complement Ther Clin Pract. 2018; 30:122-8. doi: 10.1016/j.ctcp.2017.12.018 https://doi.org/10.1016/j.ctcp.2017.12.0...
,3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
), convulsion(1616 McCaughey C, Blackwood B, Glackin M, Brady M, McMullin MF. Characteristics and outcomes of haematology patients admitted to the intensive care unit: characteristics and outcomes of haematology patients. Nurs Crit Care. 2013; 18(4):193-9. doi: 10.1111/nicc.12005 https://doi.org/10.1111/nicc.12005...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), malnutrition(3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
-3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), desaturation(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
-3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
), dysphagia(2828 Cordeiro ALPC, Silva R, Prado CBC, Oliveira KF, Barbosa MH. Laryngotracheal mucosa injury and associated factors after endotracheal extubation: a pilot study. Acta Paul Enferm. [Internet]; 2017 [cited 2019 Feb 16] 30(3):316-22. Available from: http://www.scielo.br/pdf/ape/v30n3/en_1982-0194-ape-30-03-0316.pdf http://www.scielo.br/pdf/ape/v30n3/en_19...
,4040 Bispo MM, Dantas ALM, Silva PKA, Fernandes MICD, Tinôco JDS, Lira ALBC. The nursing diagnosis of aspiration risk in critical patients. Esc Anna Nery [Internet]; 2016 [cited 2019 Mar 02] 20(2):357-362. Available from: http://www.scielo.br/pdf/ean/v20n2/en_1414-8145-ean-20-02-0357.pdf http://www.scielo.br/pdf/ean/v20n2/en_14...
), edema(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
), altered respiratory rate(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), body hygiene(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
,3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), hyperglycemia(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
,4747 Silveira LM, Basile-Filho A, Nicolini EA, Dessotte CAM, Aguiar GCS, Stabile AM. Glycaemic variability in patients with severe sepsis or septic shock admitted to an Intensive Care Unit. Intensive Crit Care Nurs. 2017; 41:98-103. doi: 10.1016/j.iccn.2017.01.004 https://doi.org/10.1016/j.iccn.2017.01.0...
), hypoalbuminemia(2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
-2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), hypoglycemia(2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
,4747 Silveira LM, Basile-Filho A, Nicolini EA, Dessotte CAM, Aguiar GCS, Stabile AM. Glycaemic variability in patients with severe sepsis or septic shock admitted to an Intensive Care Unit. Intensive Crit Care Nurs. 2017; 41:98-103. doi: 10.1016/j.iccn.2017.01.004 https://doi.org/10.1016/j.iccn.2017.01.0...
), hypoxia(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), insomnia(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), respiratory failure(1616 McCaughey C, Blackwood B, Glackin M, Brady M, McMullin MF. Characteristics and outcomes of haematology patients admitted to the intensive care unit: characteristics and outcomes of haematology patients. Nurs Crit Care. 2013; 18(4):193-9. doi: 10.1111/nicc.12005 https://doi.org/10.1111/nicc.12005...
-1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
), pressure injury(4444 Serafim CTR, Dell’Acqua MCQ, Castro MCN, Spiri WC, Nunes HRC. Severity and workload related to adverse events in the ICU. Rev Bras Enferm. [Internet]; 2017 [cited 2019 Mar 02] 70(5):942-8. Available from: http://www.scielo.br/pdf/reben/v70n5/0034-7167-reben-70-05-0942.pdf http://www.scielo.br/pdf/reben/v70n5/003...
,4646 Hyun S, Li X, Vermillion B, Newton C, Fall M, Kaewprag P, et al. Body mass index and pressure ulcers: improved predictability of pressure ulcers in intensive care patients. Am J Crit Care. 2014; 23(6):494-501. doi: 10.4037/ajcc201453 https://doi.org/10.4037/ajcc201453...
), fear(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), restricted mobilization(1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
,2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), change of position(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), nausea(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), parenteral nutrition(2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
-2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
), high risk of pressure injury(4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
,4646 Hyun S, Li X, Vermillion B, Newton C, Fall M, Kaewprag P, et al. Body mass index and pressure ulcers: improved predictability of pressure ulcers in intensive care patients. Am J Crit Care. 2014; 23(6):494-501. doi: 10.4037/ajcc201453 https://doi.org/10.4037/ajcc201453...
), adventitious noises(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), altered oxygen saturation(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
,3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), tracheal secretion(2424 López-López C, Murillo-Pérez MA, Morales-Sánchez C, Torrente-Vela S, Orejana-Martín M, García-Iglesias M, et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. [Internet]; 2014 [cited 2019 Feb 14] 25(3):114-21. doi: 10.1016/j.enfi.2014.03.001 https://doi.org/10.1016/j.enfi.2014.03.0...
,3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), overweight(2828 Cordeiro ALPC, Silva R, Prado CBC, Oliveira KF, Barbosa MH. Laryngotracheal mucosa injury and associated factors after endotracheal extubation: a pilot study. Acta Paul Enferm. [Internet]; 2017 [cited 2019 Feb 16] 30(3):316-22. Available from: http://www.scielo.br/pdf/ape/v30n3/en_1982-0194-ape-30-03-0316.pdf http://www.scielo.br/pdf/ape/v30n3/en_19...
,3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
). |
2 |
Respiratory acidosis(2121 Tiruvoipati R, Pilcher D, Buscher H, Botha J, Bailey M. Effects of hypercapnia and hypercapnic acidosis on hospital mortality in mechanically ventilated patients. Crit Care Med. 2017;45(7):e649-56. doi: 10.1097/CCM.0000000000002332 https://doi.org/10.1097/CCM.000000000000...
), administration of laxative drugs(3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
), administration of insulin(2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
), distress(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), alertness(2929 Plani N, Becker P, van Aswegen H. The use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: a non-randomized experimental trial comparing a prospective to retrospective cohort. Physiother Theory Pract. 2013; 29(3):211-21. doi: 10.3109/09593985.2012.718410 https://doi.org/10.3109/09593985.2012.71...
), altered breathing pattern(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), hallucinations(3636 Elliott SR. ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit. Intensive Crit Care Nurs. 2014; 30(6):333-8. doi: 10.1016/j.iccn.2014.06.004 https://doi.org/10.1016/j.iccn.2014.06.0...
), antibiotic therapy(2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), anuria(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
), apathy(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), apnea(3939 Da Silva R, Amante LN, Salum NC, Martins T, Werner J. Adverse events during intrahospital transport of critically ill patients in a large hospita. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Mar 02] 10(12):4459-65. Available from: http://www.scielo.br/pdf/rbti/v31n1/en_0103-507X-rbti-20190003.pdf http://www.scielo.br/pdf/rbti/v31n1/en_0...
), apprehension(1919 Bashar FR, Vahedian-Azimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, et al. Post-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium. J Crit Care. 2018; 43:88-94. doi: 10.1016/j.jcrc.2017.08.034 https://doi.org/10.1016/j.jcrc.2017.08.0...
), asynchrony with ventilator(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), aid in feeding(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), aid in walking(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), underweight(4646 Hyun S, Li X, Vermillion B, Newton C, Fall M, Kaewprag P, et al. Body mass index and pressure ulcers: improved predictability of pressure ulcers in intensive care patients. Am J Crit Care. 2014; 23(6):494-501. doi: 10.4037/ajcc201453 https://doi.org/10.4037/ajcc201453...
), tiredness(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), coma(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), mechanical restraint(2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), compressive dressing in arterial puncture(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
), depression(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
), discomfort(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), disorientation(1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
), communication difficulties(4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
), dysphonia(2828 Cordeiro ALPC, Silva R, Prado CBC, Oliveira KF, Barbosa MH. Laryngotracheal mucosa injury and associated factors after endotracheal extubation: a pilot study. Acta Paul Enferm. [Internet]; 2017 [cited 2019 Feb 16] 30(3):316-22. Available from: http://www.scielo.br/pdf/ape/v30n3/en_1982-0194-ape-30-03-0316.pdf http://www.scielo.br/pdf/ape/v30n3/en_19...
), dysrhythmia(1818 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
), abdominal distension(3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
), abdominal pain(3535 Giner M, Heras SB, Rosa LR, Díaz JA, Malpica ALB. Monitorización de la nutrición enteral como indicador clínico para la evaluación de la calidad en Unidades de Cuidados Intensivos. Nutr Hosp [Internet]. 2018 [cited 2019 Feb 23]; 35(1):6-10. Available from: http://scielo.isciii.es/pdf/nh/v35n1/1699-5198-nh-35-01-00006.pdf http://scielo.isciii.es/pdf/nh/v35n1/169...
), health education(4545 Guimarães GL, Goveia VR, Mendonza IYQ, Corrêa A Reis, Matos SS, Guimarães JO. Nursing interventions for hemodialysis patients through central venous catheter. Rev Enferm UFPE. 2017;11(3). doi: 10.5205/reuol.10544-93905-1-RV.1103201702 https://doi.org/10.5205/reuol.10544-9390...
), spirituality(4545 Guimarães GL, Goveia VR, Mendonza IYQ, Corrêa A Reis, Matos SS, Guimarães JO. Nursing interventions for hemodialysis patients through central venous catheter. Rev Enferm UFPE. 2017;11(3). doi: 10.5205/reuol.10544-93905-1-RV.1103201702 https://doi.org/10.5205/reuol.10544-9390...
), erythema(4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
), exhaustion(1414 Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. [Internet]; 2013 [cited 2019 Feb 14] 34(3):55-63. Available from: http://www.scielo.br/pdf/rgenf/v34n3/en_a07v34n3.pdf http://www.scielo.br/pdf/rgenf/v34n3/en_...
), extubation(4444 Serafim CTR, Dell’Acqua MCQ, Castro MCN, Spiri WC, Nunes HRC. Severity and workload related to adverse events in the ICU. Rev Bras Enferm. [Internet]; 2017 [cited 2019 Mar 02] 70(5):942-8. Available from: http://www.scielo.br/pdf/reben/v70n5/0034-7167-reben-70-05-0942.pdf http://www.scielo.br/pdf/reben/v70n5/003...
), fatigue(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), liquid stools(3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
), hemodialysis(2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
), oral hygiene(3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), hyperalbuminemia(2525 Coyer F, Gardner A, Doubrovsky A. An interventional skin care protocol (InSPiRE) to reduce incontinence-associated dermatitis in critically ill patients in the intensive care unit: a before and after study. Intensive Crit Care Nurs. 2017; 40:1-10. doi: 10.1016/j.iccn.2016.12.001 https://doi.org/10.1016/j.iccn.2016.12.0...
), hypercapnia(2121 Tiruvoipati R, Pilcher D, Buscher H, Botha J, Bailey M. Effects of hypercapnia and hypercapnic acidosis on hospital mortality in mechanically ventilated patients. Crit Care Med. 2017;45(7):e649-56. doi: 10.1097/CCM.0000000000002332 https://doi.org/10.1097/CCM.000000000000...
), hypercreatinemia(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), hypernatremia(1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
), hyperuremia(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), hypocapnia(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), hyponatremia(1717 Öztürk Birge A, Tel Aydin H. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses. Intensive Crit Care Nurs. 2017; 41:33-42. doi: 10.1016/j.iccn.2016.08.009 https://doi.org/10.1016/j.iccn.2016.08.0...
), hypoperfusion(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
), hypoxemia(1818 Selim AA, Ely EW. Delirium the under-recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units. J Clin Nurs. 2017;26(5-6):813-24. doi: 10.1111/jocn.13517 https://doi.org/10.1111/jocn.13517...
), depressed mood(44 da Costa C, da Costa Linch GF, Nogueira de Souza E. Nursing diagnosis based on signs and symptoms of patients with heart disease. Int J Nurs Knowl. 2016; 27(4):210-4. doi: 10.1111/2047-3095.12132 https://doi.org/10.1111/2047-3095.12132...
), immobility(3434 Echegaray-Benites C, Kapoustina O, Gélinas C. Validation of the use of the Critical-Care Pain Observation Tool (CPOT) with brain surgery patients in the neurosurgical intensive care unit. Intensive Crit Care Nurs. 2014; 30(5):257-65. doi: 10.1016/j.iccn.2014.04.002 https://doi.org/10.1016/j.iccn.2014.04.0...
), fecal incontinence(4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
), urinary incontinence(4141 Valls-Matarín J, del Cotillo-Fuente M, Ribal-Prior R, Pujol-Vila M, Sandalinas-Mulero I. Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos. Enferm Intensiva. 2017; 28(1):13-20. doi: 10.1016/j.enfi.2016.11.001 https://doi.org/10.1016/j.enfi.2016.11.0...
), antiarrhythmic drug infusion(2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), hypertonic glucose infusion(2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
), tube intolerance(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), orotracheal intubation(4040 Bispo MM, Dantas ALM, Silva PKA, Fernandes MICD, Tinôco JDS, Lira ALBC. The nursing diagnosis of aspiration risk in critical patients. Esc Anna Nery [Internet]; 2016 [cited 2019 Mar 02] 20(2):357-362. Available from: http://www.scielo.br/pdf/ean/v20n2/en_1414-8145-ean-20-02-0357.pdf http://www.scielo.br/pdf/ean/v20n2/en_14...
), isolation(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), contact isolation(3737 Chianca TCM, Gonçales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CLGC. Incontinence-associated dermatitis: a cohort study in critically ill patients. Rev Gaúcha Enferm [Internet]. 2016 [cited 2019 Feb 23];37(spe):1-9. Available from: http://www.scielo.br/pdf/rgenf/v37nspe/en_0102-6933-rgenf-1983-14472016esp68075.pdf http://www.scielo.br/pdf/rgenf/v37nspe/e...
), fasting(2727 Crespo JCL, Gomes VR, Barbosa RL, Padilha KG, Secoli SR. Haemodialysis, nutritional disorders and hypoglycaemia in critical care. Br J Nurs Mark Allen Publ. 2017; 26(5):281-6. doi: 10.12968/bjon.2017.26.5.281 https://doi.org/10.12968/bjon.2017.26.5....
), lethargy(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), leukocytosis(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), leukopenia(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), abdominal massage(2020 Dehghan M, Fatehi poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: a randomized clinical trial. Complement Ther Clin Pract. 2018; 30:122-8. doi: 10.1016/j.ctcp.2017.12.018 https://doi.org/10.1016/j.ctcp.2017.12.0...
), cardiac monitoring(4343 Melo EM, Cavalcante HPO, Marques AM, Ferreira AMM, Abreu MAF, Lima VF, et al. Conhecimento do enfermeiro sobre as drogas vasoativas utilizadas em pacientes críticos. Rev Enferm UFPE [Internet]. 2016;10(8):2948-55. doi: 10.5205/reuol.9373-82134-1-RV1008201621 https://doi.org/10.5205/reuol.9373-82134...
), altered motor skills(4242 Santos WC, Vancini-Campanharo CR, Lopes MCBT, Okuno MFP, Batista REA. Assessment of nurse’s knowledge about Glasgow coma scale at a university hospital. Einstein São Paulo. [Internet]; 2016 [cited 2019 Mar 02] 14(2):213-8. Available from: http://www.scielo.br/pdf/eins/v14n2/1679-4508-eins-14-2-0213.pdf http://www.scielo.br/pdf/eins/v14n2/1679...
), odynophagia(2828 Cordeiro ALPC, Silva R, Prado CBC, Oliveira KF, Barbosa MH. Laryngotracheal mucosa injury and associated factors after endotracheal extubation: a pilot study. Acta Paul Enferm. [Internet]; 2017 [cited 2019 Feb 16] 30(3):316-22. Available from: http://www.scielo.br/pdf/ape/v30n3/en_1982-0194-ape-30-03-0316.pdf http://www.scielo.br/pdf/ape/v30n3/en_19...
), oliguria(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), oxygen therapy(22 Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, et al. Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country. BMC Res Notes [Internet]. 2015 [cited 2019 Feb 02];8(1). Available from: https://bmcresnotes.biomedcentral.com/track/pdf/10.1186/s13104-015-1275-9 https://bmcresnotes.biomedcentral.com/tr...
), skin pallor(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), panic(1919 Bashar FR, Vahedian-Azimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, et al. Post-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium. J Crit Care. 2018; 43:88-94. doi: 10.1016/j.jcrc.2017.08.034 https://doi.org/10.1016/j.jcrc.2017.08.0...
), cardiorespiratory arrest(2626 Öztürk Birge A, Bedük T. The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload. J Clin Nurs. 2018 [cited 2019 Feb 16];27(9-10):2109-19. doi: 10.1111/jocn.14365 https://doi.org/10.1111/jocn.14365...
), polyneuromyopathy(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), polyuria(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), drug preparation and administration(4343 Melo EM, Cavalcante HPO, Marques AM, Ferreira AMM, Abreu MAF, Lima VF, et al. Conhecimento do enfermeiro sobre as drogas vasoativas utilizadas em pacientes críticos. Rev Enferm UFPE [Internet]. 2016;10(8):2948-55. doi: 10.5205/reuol.9373-82134-1-RV1008201621 https://doi.org/10.5205/reuol.9373-82134...
), altered cerebral perfusion pressure(3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), altered intracranial pressure(3232 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs. 2014; 46(5):285-91. doi: 10.1097/JNN.0000000000000077 https://doi.org/10.1097/JNN.000000000000...
), altered horny reflex(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), altered cough reflex(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), altered sensitivity(4242 Santos WC, Vancini-Campanharo CR, Lopes MCBT, Okuno MFP, Batista REA. Assessment of nurse’s knowledge about Glasgow coma scale at a university hospital. Einstein São Paulo. [Internet]; 2016 [cited 2019 Mar 02] 14(2):213-8. Available from: http://www.scielo.br/pdf/eins/v14n2/1679-4508-eins-14-2-0213.pdf http://www.scielo.br/pdf/eins/v14n2/1679...
), sweating(3030 Candiota CSS, Queluci GC, Cavalcanti ACD, Pereira JMV. Problem-situations and its complexity degrees - lower, medium and higher - in customers with acute coronary syndrome. Rev Enferm UFPE. [Internet]; 2016 [cited 2019 Feb 16] 10(1):112-8. Available from: https://pdfs.semanticscholar.org/d0e8/ea7c4ee243912eda96a9513c38c1b386da6f.pdf https://pdfs.semanticscholar.org/d0e8/ea...
), inotropic support(1616 McCaughey C, Blackwood B, Glackin M, Brady M, McMullin MF. Characteristics and outcomes of haematology patients admitted to the intensive care unit: characteristics and outcomes of haematology patients. Nurs Crit Care. 2013; 18(4):193-9. doi: 10.1111/nicc.12005 https://doi.org/10.1111/nicc.12005...
), altered temperature(2121 Tiruvoipati R, Pilcher D, Buscher H, Botha J, Bailey M. Effects of hypercapnia and hypercapnic acidosis on hospital mortality in mechanically ventilated patients. Crit Care Med. 2017;45(7):e649-56. doi: 10.1097/CCM.0000000000002332 https://doi.org/10.1097/CCM.000000000000...
), altered muscle tone(3333 Randen I, Lerdal A, Bjørk IT. Nurses’ perceptions of unpleasant symptoms and signs in ventilated and sedated patients: nurses’ perceptions of unpleasant symptoms and signs. Nurs Crit Care. 2013; 18(4):176-86. doi: 10.1111/nicc.12012 https://doi.org/10.1111/nicc.12012...
), numbness(3838 Garrido F, Tieppo L, Pereira MDDS, Freitas RD, Freitas WM, Filipini R, et al. Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave. ABCS Health Sci. 2017; 42(1):15-20. doi: 10.7322/abcshs.v42i1.944 https://doi.org/10.7322/abcshs.v42i1.944...
), glycemic variability(4747 Silveira LM, Basile-Filho A, Nicolini EA, Dessotte CAM, Aguiar GCS, Stabile AM. Glycaemic variability in patients with severe sepsis or septic shock admitted to an Intensive Care Unit. Intensive Crit Care Nurs. 2017; 41:98-103. doi: 10.1016/j.iccn.2017.01.004 https://doi.org/10.1016/j.iccn.2017.01.0...
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