Nursing diagnosis of NANDA identified in people with acute spinal cord injury through approaching based on the theory of long term care deficit.
The nursery role next to people with acute spinal cord injury is of great reaching, and itrequires knowledge from the professionals faced to the features of that population. Thenursing diagnosis (ND) knowledge that occurs on that group of people can help on moreefficient introducing of nursing systems. Facing the exposed above, it emerges the need ofknowing the diagnosis profile of that population. It is about a descriptive study of thequantitative approaching and aims: 1 - to analyze the nursing diagnosis profile of NorthAmerican Nursing Diagnosis Association (NANDA), identified next to acute spinal cordinjury carriers using Orem Model. 2 ? To analyze the relation of identified nursing diagnosisnumbers with the variables: age, sex, income, marital status and level of scholarship of theperson with acute spinal cord injury, etiology, level and extent of the injury, lead time of theinjury, existence of a daycare, sex and degree of kinship of the daycare. 3 ? to analyze therelation of the identified nursing diagnosis with those variables. To the data collection, it wasmade interviews, physical exam and consulting to the patient files. In the ND developing itwas realized the process of rational thought process proposed by Helland and the TaxonomyII of NANDA. 30 patients with acute spinal cord injury participated on the sample,independent from the gender, attended in the ambulatory of triage of a rehabilitation center ofGoiás state, from November 2005 to December 2006, who agreed to take part in the researchsigning the informed consent , 73.3% of the patients were male, the medium age was 32.6years old (± 10,29). The average time of the injury was 162 days (±369,9), 28 of the casespresented traumatic injury, and 16 presented complete spinal cord injury. From these ones,16.7% were not literate. The familiar income varied from 0 to 5 minimum wages. 61 differentnursing diagnoses were found, with a sum of 734 happenings, and the average was 24.46 NDper person. The most affected requirement of universal long term care was the one aboutprevention of dangerous to the life function and to the well- being of humans, with 20 ND and318 happenings. The number of identified nursing diagnosis didn?t present any link with thevariables age, sex, income, marital status and scholarship of the person with acute spinal cordinjury, etiology, level and extent of the injury, lead time of the injury, existence of thedaycare, sex and degree of kinship of the daycare, to the studied sample. The variables withhighest number of association with ND were: level of the injury that presented associationstatistically meaningful with ND impaired walking (p = 0.009); useless control of thetherapeutic regime (p = 0.034); lack of care about feeding (p = 0.0006); lack of care aboutoral hygiene (p = 0.004); impaired physical mobility (p = 0.034); ineffective protection (p =0.014); and risk for impaired home maintenance (p = 0.015), and the variable extent of theinjury that presented association statistically meaningful with ND impaired walking (p =0.007); sexual dysfunction (p = 0.005), intestinal incontinent (p = 0.033); total urinaryincontinent (p = 0.0006); infection (p= 0.024); tissue integrity impaired (p = 0.16); ineffectiveprotection (p = 0.0004); risk for peripheral neurovascular dysfunction (p = 0.002) and risk formusculoskeletal inactivity (p = 0.015). We hope the results of this research can contribute tothe grounding of professional practice and to a better nursing assistance to acute spinal cordinjury patients.
Advisor:Maria Marcia Bachion
School:Universidade Federal de Goiás
Source Type:Master's Thesis
Keywords:Nursing, nursing diagnosis, Orem theory, Spinal cord injury.
Date of Publication:02/23/2007