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A profile of nursing diagnoses in patients with multiple sclerosis: a cross-sectional study

Thatiane Monick de Souza Costa, Vinicius Lino de Souza Neto, Mariana Melo da Cruz Domingos, Bárbara Coeli Oliveira da Silva, Iellen Dantas Campos Verdes Rodrigues, Richardson Augusto Rosendo da Silva

Abstract


Aim:  identify  the  most  frequent  nursing  diagnoses  in  patients  with multiple  sclerosis  hospitalized  in  a  neurological  unit.  Method:  This  is  a  cross-sectional, quantitative  study,  conducted  in  the  period  from  January  to August  2014  with  58 patients in a teaching hospital in northeastern Brazil, following the relevant steps: data collection  through  validated  instrument;  process   analysis   and  validation  in  pairs according to the nursing diagnoses; and, finally, inferential analysis. Results: 30 nursing diagnoses  were identified,  the  most  common were:  impaired  physical  mobility;  activity intolerance,  impaired  urinary  excretion;  impaired  memory;  impaired pattern  of  sleep; self-care  deficit  for  feeding;  ineffective  coping;  constipation;  sexual  dysfunction  and chronic  pain.  Conclusion:  The  most  common  diagnoses  identified  are  in  the  fields  of activity/rest,   disposal   and   exchange   coping/stress   tolerance,   perception/cognition, comfort and sexuality.

Keywords


Health Sciences; Nursing; Care

References


Feinstein A. The neuropsychiat ry of multiple sclerosis. Can J Psychiatry 2013;49(3):157-63.

Morrison JD, Stuifbergen AK. Outcome expectations and physical activity in persons with longstanding multiple sclerosis. J Neurosci Nurs. 2014;46(3):171-79.

Askari F, Ghajarzadeh M, Mohammadifar M, Azimi A, Sahraian MA, Owji M. Anxiety in patients with multiple sclerosis: association with disability, depression, disease type and sex. Acta Med Iran. 2014;52(12):889-92.

Heise CO. As voltas com o diagnostico de autoimunidade. Fleury Medicina e Saúde. 2014; 2 (6): 09-11

Cerullo JASB, Cruz DALM. Raciocínio clínico e pensamento crítico. Rev. Latino-Am. Enfermagem. 2010; 18 (1):180-6.

Almasalha F, Xu D, Keenan GM, Khokhar A, Yao Y,Chen J, et al. Data mining nursing care plans of endof- life patients: a study to improve healthcare decision making. Int J Nurs Knowl.2013;24(1):15-24.

Park H. Identifying Core NANDA-I Nursing Diagnoses, NIC Interventions, NOC Outcomes, and NNN Linkages for Heart Failure. Int J Nurs Knowl. 2014;25(1):30-8.

Fontelles MJ, Simões MG, Almeida JC, Fontelles RG. Metodologia da pesquisa: diretrizes para o cálculo do tamanho da amostra. Rev Paran Med. 2010;24:(1):57-64.

Tastan S, Linch GC, Keenan GM, Stifter J, McKinney D, Fahey L, et al. Evidence for the existing American Nursing Association – recognized standardized nursing terminologies: a systematic review. Int J Nurs Stud. 2014; 51(8):1160–70.

Gordon M. Nursing diagnosis: process and application. 3 ed. St Louis: Mosby;1994.

Mattia, AL; Barbosa, MH; Pontes, DC; Alves, DC. Diagnósticos de enfermagem em pacientes com acidente vascular cerebral. Nursing. 2011.14(158):388-94.

Doring A, Pfueller C, Paul F, Dorr J. Exercise in multiple sclerosis– an integral component of disease management. The EPMA Journal. 2012; 3:2.

Silva PLN, Santos S, Freitas EAM. Sistematização da assistência de enfermagem ao portador de esclerose múltipla. Rev Digital. 2012;172(17):5-12.

Denys P, Phe V. Even A, Chartier-Kastler E. Therapeutic strategies of urinary disorders in MS. Practice and algorithms. Ann Phys Rehabil Med. 2014;57(5):297-301.

Faleiros F, Paula EDR. Paralisia cerebral tetraplégica e constipação intestinal: avaliação da reeducação intestinal com uso de massagens e dieta laxante. Rev Esc Enferm USP. 2013; 47(4):836-42.

Ben-Zacharia AB. Therapeutics for multiple sclerosis symptoms. Mt Sinai J Med. 2011;78(2):176-91.

Olascoaga J. Quality of life and multiple sclerosis. Rev Neurol, 2010; 51(5): 279-88.

Rinaldi F, Calabrese M, Grossi P, Puthenparampil M, Perini P, Gallo P. Cortical lesions and cognitive impairment in multiple sclerosis. Neurol Sci. 2010; 31(2):235-37.

Filippi M, Rocca M.A. MRI and cognition in multiple sclerosis. Neurol Sci. 2010; 31(2):231-34.

Giorgio A, De Stefano N. Cognition in multiple sclerosis: relevance of lesions, brain atrophy and proton MR spectroscopy. Neurol Sci. 2010; 31(2):245-48.




DOI: https://doi.org/10.17665/1676-4285.20165383



 

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