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Proposal of nursing diagnoses, outcomes and interventions for postoperative patients of orthognathic surgery

ABSTRACT

Objective:

To propose nursing diagnoses, outcomes and interventions for patients in the postoperative period of orthognathic surgery.

Method:

Secondary analysis of an information bank of a focal group with five patients submitted to orthognathic surgery. The classifications of the North American Nursing Diagnosis Association International, Nursing Outcomes Classification and Nursing Interventions Classification were used for elaborating nursing diagnoses, outcomes and interventions. Nursing diagnoses were identified based on the transcription of the focus group and the expected outcomes and interventions were proposed. In the second stage, the material was submitted to an analysis by judges for validating the previous stage.

Results:

After careful analysis of the retrieved information, nine nursing diagnoses that relate to both the difficulties already installed and to potential patient difficulties were identified. After this phase, the expected outcomes for nursing care and the appropriate interventions for the postoperative period at home were identified.

Conclusion:

Given the short hospital stay and the long postoperative period, the established actions have a strong educational focus.

DESCRIPTORS
Orthognathic Surgery; Postoperative Care; Nursing Process; Perioperative Nursing; Nursing Diagnosis

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