ICNP® nursing diagnoses for people with acquired immunodeficiency syndrome

Souza, Vinicius Lino de; Silva, Richardson Augusto Rosendo da; Rocha, Cintia Capistrano Teixeira; Costa, Rayane Teresa da Silva; Nóbrega, Maria Miriam Lima da

doi:10.1590/1982-0194201700081

Acessibilidade / Reportar erro

Brasil

Acta Paulista de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Articles • Acta Paul Enferm. 30 (6) • Nov-Dec 2017 • https://doi.org/10.1590/1982-0194201700081 copy

ICNP® nursing diagnoses for people with acquired immunodeficiency syndrome

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To identify ICNP® nursing diagnoses from nursing practice phenomena evidenced in health evaluation of people living with the acquired immunodeficiency syndrome (AIDS).

Methods:

Cross-sectional study with 120 people living with AIDS at a hospital for the treatment of infectious and contagious diseases. Data collection was carried out using an interview script and a physical exam. Diagnoses were formulated using the ICNP^® guidelines. Data were analyzed through descriptive and inferential statistics.

Results:

Seventy-two nursing practice phenomena were identified, and 37 diagnoses were given. Among them, 11 reached agreement and content validity indexes > 0.80 and were considered validated. Within this set of diagnoses, seven were categorized in the group of psychobiological needs and four were included in the group of psychosocial demands.

Conclusion:

The identification of nursing practice phenomena helps to formulate diagnoses, results, and interventions oriented to the essential needs of people living with AIDS.

Keywords
Nursing process; Nursing care; HIV; Acquired immunodeficiency syndrome

SCORE	BRUNT	SCORE	BRUNT	SCORE	BRUNT	SCORE	BRUNT	SCORE	BRUNT
1	0	2	0.25	3	0.5	4	0.75	5	1

Practice phenomena	Basic human needs
Noisy, fast and abdominal breathing; use of accessory musculature; anteroposterior diameter; peripheral and central cyanosis; thready pulse; bloody sputum; vascular perfusion; altered heart rate; bloody nasopharynx secretion; anemia.	Oxygenation and vascular regulation.
Dehydration; peripheral and central edema; dry mucosa; anasarca; body fat index; peritonitis; positive fluid balance; altered turgor.	Hydration and electrolyte balance.
Weight loss; malnutrition; tube feeding; lesion in the naso and oropharynx; dysphagia; dyspepsia; nausea; vomit; diarrhea; flat abdomen, with hydro-aereal noise; long-term bladder catheters and dysuria; constipation.	Nutrition and elimination.
Use of medication to sleep; fatigue; adynamia; stress.	Sleep and rest.
Average temperature of 39.5°C; oral cavity; dental flaws; dry skin; seborrhea; pediculosis; ecchymosis and papules; hyperaemia in the sacrum.	Thermoregulation, body care and skin and mucosa integrity.
Changes in gait; decreased muscular strength; decreased peripheral sensitivity; consumption of alcohol, drugs, and tobacco; recurrent infections; leukocytosis/leukopenia (CD4/CD8); interruption of treatment with antiretroviral drugs; sexual practices; viral load.	Locomotion, body mechanics and mobility, physical safety of the environment, immunological regulation, therapeutics.
Dysarthria; becoming sad easily; aphasia; family support; living alone; irritability; fear to expose ideas; stigma; expression and comprehension aphasia; health education.	Communication/learning (health education), sociability, leisure activities, neurological regulation.
Crying easily; sadness; lack of self-confidence; fear of death; body changes; lack of perspectives; desire for achievement and victory; positive attributes.	Self-fulfillment, self-esteem and self-image.
Anguish; lack of a spiritual belief.	Religiosity, spirituality.

Basic human psychobiological needs	Nursing diagnoses	^* * AI - Agreement index; AI > 0.80	^† † CVI - Content validity index; CVI > 0.80 (Score)	^‡ ‡ Binomial test - p < 0.05 p-value
Oxygenation and vascular regulation	Marked dyspnea	1.0	0.898	0.004
	Bleeding	0.70	0.735	0.248
	Impaired vascular perfusion	0.80	0.921	0.000
	Bloody sputum	0.80	0.987	0.04
Nutrition and nutritional regulation	Cachexia	0.62	0.627	0.128
	Impaired swallowing	0.90	0.935	0.003
Hydration and electrolyte balance	Dehydration	1.0	0.824	0.001
Elimination	Impaired spontaneous vesicle release	0.70	0.325	0.245
	High bowel movement frequency	0.62	0.456	1.25
	Vomit	0.74	0.489	0.589
	Constipation	0.50	0.676	0.269
Locomotion, body mechanics and mobility/neurological regulation	Impaired physical mobility	0.70	0.354	1.29
	Tremor	0.60	0.489	0.450
Sleep and rest	Impaired sleep	0.70	0.754	0.680
Skin and mucosa integrity	Impaired skin integrity	0.70	0.358	0.247
Body care	Impaired hygiene of the oral cavity	0.74	0.479	1.28
	Impaired hygiene of the scalp	0.65	0.612	0.398
Thermoregulation	Hyperthermia	1.0	0.980	0.001
Physical safety and environment	Exposure to contamination	0.64	0.169	0.741
	Tobacco abuse	0.52	0.458	0.125
	Drug abuse	0.51	0.698	0.322
	Alcohol and tobacco abuse	0.51	0.547	0.489
Therapeutics	Impaired adherence to the treatment	1.0	0.897	0.028

Basic human needs	Nursing diagnoses	^* * AI - Agreement index; AI > 0.80	^† † CVI - Content validity index; CVI > 0.80 (Score)	^‡ ‡ Binomial test - p < 0.05 p-value
Psychosocial
Communication	Impaired communication	0.60	0.259	0.369
	Altered state of consciousness	0.58	0.489	0.578
Learning, sociability, recreation and leisure	Social isolation	0.70	0.783	0.784
	Knowledge of deficient health	0.80	0.854	0.001
	Low family support	1.0	0.951	0.034
	Low acceptance of the current health condition	0.70	0.412	0.174
	Marked body changes	0.60	0.587	0.246
Self-fulfillment, self-esteem and self-image	Loneliness	0.71	0.349	0.357
	Fear to die	0.80	0.871	0.00
	Impaired socialization	0.90	0.975	0.02
	Pertinent will to live	0.60	0.548	0.181

Psychospiritual	Spiritual anguish	0.70	0.459	0.342
Religiosity, spirituality	Impaired religious belief	0.60	0.378	0.234
	Need of a religious leader	0.74	0.594	0.253

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author Vinicius Lino de Souza Neto Campus Central, s/n, 59078-970, Natal, RN, Brazil. vinolino@hotmail.com