Abstract

SOARES, Lenir Honório; PINELLI, Francisca das Graças Salazar  and  ABRAO, Ana Cristina Freitas de Vilhena. Construction of an instrument to collect nursing data in gynecology. Acta paul. enferm. [online]. 2005, vol.18, n.2, pp. 156-164. ISSN 1982-0194.  http://dx.doi.org/10.1590/S0103-21002005000200007.

this is a descriptive exploratory survey. The purpose was to construct an instrument to collect data aiming implantation to systematize nursing assistance in a gynecologic clinic. The instrument was elaborated based on the Bifocal Clinical Practice Model developed by Carpenito constructed according to the Functional Health Patterns described by Gordon. When elaborating the instrument, a method to organize and register a greater number of information on general and special conditions of the patient's health. It was applied in 100 women hospitalized in a gynecologic clinic of a Public Teaching Hospital in the city of São Paulo, from May to September 2002. The results showed that the constructed instrument was adequate because it made possible to identify 48 nursing diagnosis. Eight diagnoses were identified in a frequency of 70% to 100%, being "Risk of Infection, Altered Comfort, Deficit of knowledge and Fear" occurred in 100% and "Anxiety, Behavior to increase Health Status, Disorder in the sleep pattern and Impaired Skin Integrity was observed in a frequency of 96.0% to 70.0%. The others variables occurred in a frequency of 31.0% to 64.0%

Keywords : Data collection; Nursing diagnosis; Obstetrical nursing.