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AIMS AND OBJECTIVES: To identify the main nursing diagnosis and to analyse and select the appropriate outcomes and interventions for postinfarction patients. BACKGROUND: After a cardiac event, few patients resume their sexual life with the same intensity and frequency they used to have, and some patients do not even do it. Doubtful and insecure reactions are observed in both patients/partners and health professionals. These behaviours are frequently taboos and preconceptions about sexuality which are still taken as real among us. DESIGN: Exploratory study. METHODS: Integrative literature review with online search on the Virtual Health Library (BVS) and websites. The most relevant diagnosis in the general literature was compared with International Classification for Nursing Practice and North-American International Nursing Diagnosis Association. The outcomes were selected from Nursing Outcome Classification, and the interventions and activities were based on the general literature and Nursing Intervention Classification. RESULTS: Sexual dysfunction was the most relevant diagnosis described in the general literature. The characteristics and related factors were specified in patient's/their partner's verbalisation of the physical difficulties in having sexual activity and in their social and emotional reactions to the disease and to the prescribed medicine. The selected priority results were sexuality and knowledge on sexuality. The counselling intervention was chosen as the most appropriate. CONCLUSION: It was possible to get to the wide understanding of the sexual dysfunction as a nursing diagnosis expressed in the daily routine of the care to the postinfarction patient. Its identification requires knowledge and abilities to acknowledge its characteristics and related factors, which served as support for selection of outcomes, interventions and nursing activities. RELEVANCE TO CLINICAL PRACTICE: Association between diagnosis, outcomes, interventions and nursing activities established for the postinfarction patient is strategic so as to guide the nurses who operate in the cardiovascular area and may contribute towards refinement of the nursing classifications.

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Female sexual dysfunction (FSD) is a common health issue that can have significant negative effects on overall well-being and quality of life. The primary purpose of this article is to review commonly noted pharmacologic therapies for FSD. The pathophysiology, clinical evaluation, and selected nonpharmacologic therapies are also briefly addressed as well as recommendations for practice.

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PURPOSE: A literature search was used to verify the relevance of the nursing diagnoses Sexual Dysfunction and Ineffective Sexuality Patterns to their titles and to determine whether their defining characteristics address biological, psychological, and social aspects involving human sexuality. METHODS: This nonexperimental, descriptive study utilized content analysis based on a bibliographic review and nurse expert analysis of the definitions of the nursing diagnoses being studied in terms of the adequacy of the titles and their respective definitions as proposed by NANDA. FINDINGS: The title Sexual Dysfunction is pertinent; however, based upon the results of this study, the definition and defining characteristics should address the three human sexual response phases: desire, excitation, and orgasm. The title and definition of Ineffective Sexuality Patterns should be maintained; however, based upon the findings of this study, psychosocial aspects of sexuality should be included in the defining characteristics of this diagnosis. RECOMMENDATIONS. The location of Sexual Dysfunction in domain 8 (Sexuality) and class 2 (Sexual Function) is appropriate. It is recommended that Ineffective Sexuality Patterns remain in domain 8, but it should be transferred to class 1, as it refers to Sexual Identity.

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Assuntos

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This descriptive study was based on the assumptions of qualitative investigation methods and on the Crisis Theory formulated by CAPLAN (1966). The objective of the study was to identify the sexual problems experienced by women undergoing an HIV-1 crisis. Data were collected through a semi-structured interview recorded by the method of FREITAS et al. (1992) and analyzed by the method of MEIHY (1996). Authors concluded that these women maintained themselves unbalanced using negative coping mechanisms. Thus, authors believe that it would be possible to help them using adequate nursing actions such as educational and guidance actions, but mainly by actions directed to the needs of patients undergoing an HIV-1 crisis.

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The defining characteristics of the nursing diagnosis "Sexual Dysfunction" were gathered from NAAM assessment records. From this population 96 records with the defining characteristics of Sexual Dysfunction were selected. The 9 defining characteristics proposed by The North American Nursing Diagnosis Association were used as a framework for the data collection tool. The 3 most frequently defining characteristics were absence of sexual desire (71.9%), vaginal discharge (64.5%), and pain (44.8%). The authors concluded that 6 defining characteristics have not appeared; absence of sexual desire and vaginal discharge can be considered as minor characteristics. The authors recommend the implementation of other studies to clarify the subjective defining characteristics.

Assuntos