RESUMO
Trata-se de um estudo que verificou a relação entre as características demográficas e clínicas com os diagnósticos de enfermagem definidos durante a consulta com enfermeira em ambulatório de um hospital geral. É um estudo transversal, que avaliou 237 consultas de enfermagem de pacientes atendidos no Programa de Saúde da Mulher (46 em enfermagem obstétrica e 24 em enfermagem em mastologia) e 167 no Programa de Educação em Diabetes Melito. Foram identificados 49 diagnósticos de enfermagem. Os mais frequentes no programa de saúde da mulher foram: Conhecimento deficiente, Conforto prejudicado, Integridade tissular prejudicada e Ansiedade. No programa de educação em diabetes: Controle ineficaz do regime terapêutico e Nutrição desequilibrada: mais do que as necessidades corporais. Foi encontrada associação significativa entre os diagnósticos mais frequentes com determinadas características demográficas e clínicas. Os resultados confirmaram que a identificação dos diagnósticos de enfermagem durante a consulta pode propiciar acurácia nos focos de cuidado ambulatorial.
El objetivo de este estudio fue verificar la relación entre las características demográficas y clínicas con diagnósticos de enfermería definidos durante la consulta con una enfermera en un ambulatorio de un hospital general. Este es un estudio transversal que evaluó 237 consultas de enfermería de los pacientes atendidos en el Programa de Salud de la Mujer (46 en enfermería obstétrica y 24 en enfermería en mastología) y 167 en Programa de Educación en Diabetes Mellitus. Se identificó un total de 49 diagnósticos de enfermería. Los más frecuentes en el Programa de Salud de la Mujer fueron: Déficit de conocimientos, Deterioro de la comodidad, Deterioro de la integridad del tejido y Ansiedad; y en el programa de Educación en Diabetes Mellitus fueron: Manejo inefectivo del régimen terapéutico y Nutrición alterada: más que las necesidades corpóreas. Se encontró una asociación significativa entre los diagnósticos más frecuentes con algunas características demográficas y clínicas. Este estudio confirma que la definición de los diagnósticos de enfermería durante la consulta puede proporcionar exactitud en el foco de la atención en el ambulatorio.
This study was aimed at verifying the relationship between demographic and clinical features and nursing diagnoses established during a nurse consultation in a general hospital. This is a cross-sectional study that assessed 237 nursing consultations of patients in two different programs: Women's Health (46 in obstetrical nursing and 24 in mastology nursing) and 167 in Diabetes Mellitus Education. A total of 49 nursing diagnoses were identified. The most frequent in the women's health program were: Knowledge Deficit, Impaired Comfort, Impaired Tissue Integrity and Anxiety; in the program of diabetes education were: Ineffective Therapeutic Regimen Management, and Imbalanced Nutrition: more than body requirements. There was a significant association between the most common diagnoses with certain demographic and clinical features. The results confirmed that the identification of the nursing diagnoses during the consultation may provide accuracy in the focus of outpatient care.
Assuntos
Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Assistência Ambulatorial , Diagnóstico de Enfermagem , Encaminhamento e Consulta , Estudos Transversais , DemografiaRESUMO
This study was aimed at verifyjing the relationship between demographic and clinicalfeatures and nursing diagnoses established during a nurse consultation in a general hospital. This is a cross-sectional study that assessed 237 nursing consultations of patients in two different programs Women's Health (46 in obstetrical nursing and 24 in mastology nursing) and 167 in diabetes mellitus education. A total of 49 nursing diagnoses were identified. The most frequent in the women's health program were: knowledge deficit, impaired comfort, impaired tissue, integrity and anxiety; in the program of diabetes education were: ineffective therapeutic regimen management, and imbalanced nutrition: more than body requirements. There was a significant association between the most common diagnoses with certain demographic and clinical features. The results confirmed that the identification of the nursing diagnoses during the consultation may provide accuracy in the focus of outpatient care.
Assuntos
Assistência Ambulatorial , Diagnóstico de Enfermagem , Encaminhamento e Consulta , Adulto , Estudos Transversais , Demografia , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
PURPOSE/OBJECTIVES: To assess differences in ways women with breast cancer evaluate their own quality of life (QOL) compared to perceptions of their partners and to identify factors that influence dissimilarities in QOL perceptions. DESIGN: Cross-sectional study. SETTING: Breast unit in southern Brazil. SAMPLE: 73 women with stage I-III breast cancer and their partners. Most participants were middle-aged, with partners of long-term cohabitation. METHODS: QOL was evaluated with the World Health Organization Quality of Life-Brief Form (WHOQOL-BREF), Beck Depression Inventory, and WHOQOL-BREF adapted for a third person. MAIN RESEARCH VARIABLES: Demographic and clinical features, QOL, partners' perceptions, and depression. FINDINGS: No differences were found between the perceptions of QOL in different domains between the patients and their partners. Depression in women seemed to be the only variable that interfered in a consistent manner with the congruity of the QOL assessments made by patients and their partners. CONCLUSIONS: Partners of women with breast cancer may be viewed as reliable surrogates to assess patients' QOL. IMPLICATIONS FOR NURSING: Partners' judgments of patients' QOL may be important in some circumstances, particularly when patients are not able to answer questions about their own QOL because of cognitive or functional limitations. Nurses must be aware that partners are the most frequent informal caregivers and should be included in the entire treatment process.
Assuntos
Neoplasias da Mama/enfermagem , Neoplasias da Mama/psicologia , Depressão/psicologia , Qualidade de Vida , Cônjuges/psicologia , Depressão/enfermagem , Saúde da Família , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Enfermagem Oncológica , Sobreviventes/psicologiaRESUMO
The aim of this cross-sectional study is to investigate demographic and clinical factors that interfere with quality of life (QoL) in women with breast cancer. The sample was composed of 73 women at the mean age of 47.8 (sd=7.8) years and time of disease at 3.08 (sd=3.2) years. For purposes of assessing QoL, we applied the WHOQOL-bref instrument and for detecting depressive symptoms, the Beck Depression Inventory (BDI). Because variables were arranged into temporally related categories, hierarchical multiple linear regression was performed: Group 1 (age and educational background), Group 2 (staging, time of disease, mastectomy and chemotherapy) and Group 3 (BDI). The lowest QoL ratings were associated with mastectomy in the physical (p=0.002) and psychological (p=0.02) domains and depressive symptoms in all domains of WHOQOL-bref (p<0.05). Because QoL assessments are viewed as potentially useful in clinical practice, it is critical that health professionals be alert to patients' depressive symptoms even several years after cancer diagnosis.
Assuntos
Atitude Frente a Saúde , Neoplasias da Mama/psicologia , Depressão/psicologia , Qualidade de Vida/psicologia , Mulheres/psicologia , Atividades Cotidianas/psicologia , Adulto , Idoso , Antineoplásicos/uso terapêutico , Brasil , Neoplasias da Mama/complicações , Neoplasias da Mama/terapia , Estudos Transversais , Depressão/diagnóstico , Depressão/etiologia , Feminino , Humanos , Modelos Lineares , Mastectomia/psicologia , Pessoa de Meia-Idade , Estadiamento de Neoplasias/psicologia , Pesquisa Metodológica em Enfermagem , Fatores de Risco , Apoio Social , Inquéritos e Questionários , Mulheres/educaçãoRESUMO
A gigantomastia é um desenvolvimento anormal e rápido da glândula mamária, de grandes proporçöes e de etiologia desconhecida, mais observada na mulher jovem, que pode ocorrer durante a gravidez ou adolescência. Säo relatados quatro casos diagnosticados no Serviço de Mastologia do Hospital de Clínicas de Porto Alegre, no período de 1985 a 1995. Além de caracterizar melhor esta patologia, que causa grandes transtornos de ordem física e psicológica, os autores destacam os aspectos do diagnóstico, complicaçöes, tratamento e associaçäo com outras enfermidades.