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ORIGINAL ARTICLE
Content analysis of the nursing diagnosis “Excess fluid volume (00026)” in renal patients
- Micnéias Lacerda Botelho
, - Marisa Dibbern Lopes Correia ,
- Elaine Ribeiro ,
- Raisa Camilo Ferreira ,
- Erika Christiane Marocco Duran
05-09-2022
Resumo
ORIGINAL ARTICLEContent analysis of the nursing diagnosis “Excess fluid volume (00026)” in renal patients
Revista Brasileira de Enfermagem. 2022;75(4):e20210058
05-09-2022DOI 10.1590/0034-7167-2021-0058
- Micnéias Lacerda Botelho ,
- Marisa Dibbern Lopes Correia ,
- Elaine Ribeiro ,
- Raisa Camilo Ferreira ,
- Erika Christiane Marocco Duran
Visualizações0Ver maisABSTRACT
Objective:
To analyze the content of the conceptual and operational definitions of the related factors, associated condition and defining characteristics of the nursing diagnosis “Excess fluid volume (00026)” in hemodialysis renal patients.
Methods:
Methodological study, of the content analysis type, with 49 specialists who reached a score equal to or greater than 5, according to Fehring’s criteria. Thirty elements were evaluated for relevance, clarity, and precision. The experts’ profile was analyzed using descriptive statistics, and the binomial test analyzed the agreement between them in relation to the terms.
Results:
The main validated indicators were “Oliguria”, “Anasarca”, “Paroxysmal nocturnal dyspnea”, “Dyspnea”, “Change in blood pressure”, “Edema”, “Ingestion greater than elimination” and “Increased central venous pressure”. This shows that this phenomenon is present in this population.
Conclusion:
29 elements were validated for relevance, clarity, and precision. This result clarifies the terms that make up the phenomenon, providing a better understanding of the concept; and assists in the accurate diagnostic proposition.
Visualizações0
Resumo
ORIGINAL ARTICLEContent analysis of the nursing diagnosis “Excess fluid volume (00026)” in renal patients
Revista Brasileira de Enfermagem. 2022;75(4):e20210058
05-09-2022DOI 10.1590/0034-7167-2021-0058
- Micnéias Lacerda Botelho ,
- Marisa Dibbern Lopes Correia ,
- Elaine Ribeiro ,
- Raisa Camilo Ferreira ,
- Erika Christiane Marocco Duran
Visualizações0Ver maisABSTRACT
Objective:
To analyze the content of the conceptual and operational definitions of the related factors, associated condition and defining characteristics of the nursing diagnosis “Excess fluid volume (00026)” in hemodialysis renal patients.
Methods:
Methodological study, of the content analysis type, with 49 specialists who reached a score equal to or greater than 5, according to Fehring’s criteria. Thirty elements were evaluated for relevance, clarity, and precision. The experts’ profile was analyzed using descriptive statistics, and the binomial test analyzed the agreement between them in relation to the terms.
Results:
The main validated indicators were “Oliguria”, “Anasarca”, “Paroxysmal nocturnal dyspnea”, “Dyspnea”, “Change in blood pressure”, “Edema”, “Ingestion greater than elimination” and “Increased central venous pressure”. This shows that this phenomenon is present in this population.
Conclusion:
29 elements were validated for relevance, clarity, and precision. This result clarifies the terms that make up the phenomenon, providing a better understanding of the concept; and assists in the accurate diagnostic proposition.
- Micnéias Lacerda Botelho
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ORIGINAL ARTICLE
Accuracy of the defining characteristics of the nursing diagnosis hypothermia in patients on hemodialysis
- Jackson Rodrigues Damasceno ,
- Tahissa Frota Cavalcante ,
- José Erivelton de Souza Maciel Ferreira ,
- Eloise da Silva Barbosa ,
- Rafaella Pessoa Moreira , [ ... ],
- Ana Luisa Brandão de Carvalho Lira
04-15-2022
Resumo
ORIGINAL ARTICLEAccuracy of the defining characteristics of the nursing diagnosis hypothermia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2022;75(4):e20210620
04-15-2022DOI 10.1590/0034-7167-2021-0620
- Jackson Rodrigues Damasceno ,
- Tahissa Frota Cavalcante ,
- José Erivelton de Souza Maciel Ferreira ,
- Eloise da Silva Barbosa ,
- Rafaella Pessoa Moreira ,
- Marcos Venícios de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Visualizações0Ver maisABSTRACT
Objective:
to analyze the accuracy of the defining characteristics of hypothermia in patients on hemodialysis.
Methods:
a diagnostic accuracy study was assembled within a cross-sectional study with 124 patients from two dialysis centers. A latent class model was used for data analysis.
Results:
the nursing diagnosis hypothermia was present in 13 (10.48%) study participants. The most prevalent defining characteristics were hypoxia (100%), decrease in blood glucose level (83.1%), hypertension (65.3%), piloerection (45.2%), and skin cool to touch (41.1%). The defining characteristics acrocyanosis (99.96%) and cyanotic nail beds (99.98%) had a high sensitivity. Acrocyanosis (91.8%), skin cool to touch (64.8%), and peripheral vasoconstriction (91.8%) had high specificity.
Conclusion:
specific and sensitive indicators of hypothermia work as good clinical indicators for confirming this diagnosis in patients on hemodialysis. The study findings can assist nurses in their clinical reasoning for a correct inference of hypothermia.
Visualizações0Resumo
ORIGINAL ARTICLEAccuracy of the defining characteristics of the nursing diagnosis hypothermia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2022;75(4):e20210620
04-15-2022DOI 10.1590/0034-7167-2021-0620
- Jackson Rodrigues Damasceno ,
- Tahissa Frota Cavalcante ,
- José Erivelton de Souza Maciel Ferreira ,
- Eloise da Silva Barbosa ,
- Rafaella Pessoa Moreira ,
- Marcos Venícios de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Visualizações0Ver maisABSTRACT
Objective:
to analyze the accuracy of the defining characteristics of hypothermia in patients on hemodialysis.
Methods:
a diagnostic accuracy study was assembled within a cross-sectional study with 124 patients from two dialysis centers. A latent class model was used for data analysis.
Results:
the nursing diagnosis hypothermia was present in 13 (10.48%) study participants. The most prevalent defining characteristics were hypoxia (100%), decrease in blood glucose level (83.1%), hypertension (65.3%), piloerection (45.2%), and skin cool to touch (41.1%). The defining characteristics acrocyanosis (99.96%) and cyanotic nail beds (99.98%) had a high sensitivity. Acrocyanosis (91.8%), skin cool to touch (64.8%), and peripheral vasoconstriction (91.8%) had high specificity.
Conclusion:
specific and sensitive indicators of hypothermia work as good clinical indicators for confirming this diagnosis in patients on hemodialysis. The study findings can assist nurses in their clinical reasoning for a correct inference of hypothermia.
- Jackson Rodrigues Damasceno
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ARTIGO ORIGINAL
[RETRACTED ARTICLE] Burden and social support in informal caregivers of people undergoing kidney dialysis: a mixed study
- Ingrid Fernanda de Oliveira Vieira ,
- Ana Cláudia Mesquita Garcia ,
- Tábatta Renata Pereira Brito ,
- Rogério Silva Lima ,
- Denismar Alves Nogueira , [ ... ],
- Silvana Maria Coelho Leite Fava
08-20-2021
Resumo
ARTIGO ORIGINAL[RETRACTED ARTICLE] Burden and social support in informal caregivers of people undergoing kidney dialysis: a mixed study
Revista Brasileira de Enfermagem. 2021;74(6):e20201266
08-20-2021DOI 10.1590/0034-7167-2020-1266
- Ingrid Fernanda de Oliveira Vieira ,
- Ana Cláudia Mesquita Garcia ,
- Tábatta Renata Pereira Brito ,
- Rogério Silva Lima ,
- Denismar Alves Nogueira ,
- Eliane Garcia Rezende ,
- Silvana Maria Coelho Leite Fava
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the burden and the social support of the informal caregivers of people undergoing kidney dialysis.
Methods:
mixed study, based on the Theory of Stress and Overload, using instruments of sociodemographic characterization, the Social Support Survey from the Medical Outcomes Study, Zarit’s Burden Scale, and guiding questions. Analysis of data used statistical and thematic inferences.
Results:
55 caregivers were evaluated, most were women, from 31 to 50 years old, married, and having worked in care for more than three years. A high level of affective and material support was observed, with a light overload on the caregiver. The central theme of the discourses was: “Experiences of the caregiver: between the burden of responsibility and the search for meaning”.
Conclusions:
a small overload was found in the participants, with a high median in the dimensions of affective and emotional support, in the relations between positive social interactions and the burden of the caregivers, in addition to the duality or responsibility and the meaning of care.
Visualizações0Resumo
ARTIGO ORIGINAL[RETRACTED ARTICLE] Burden and social support in informal caregivers of people undergoing kidney dialysis: a mixed study
Revista Brasileira de Enfermagem. 2021;74(6):e20201266
08-20-2021DOI 10.1590/0034-7167-2020-1266
- Ingrid Fernanda de Oliveira Vieira ,
- Ana Cláudia Mesquita Garcia ,
- Tábatta Renata Pereira Brito ,
- Rogério Silva Lima ,
- Denismar Alves Nogueira ,
- Eliane Garcia Rezende ,
- Silvana Maria Coelho Leite Fava
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the burden and the social support of the informal caregivers of people undergoing kidney dialysis.
Methods:
mixed study, based on the Theory of Stress and Overload, using instruments of sociodemographic characterization, the Social Support Survey from the Medical Outcomes Study, Zarit’s Burden Scale, and guiding questions. Analysis of data used statistical and thematic inferences.
Results:
55 caregivers were evaluated, most were women, from 31 to 50 years old, married, and having worked in care for more than three years. A high level of affective and material support was observed, with a light overload on the caregiver. The central theme of the discourses was: “Experiences of the caregiver: between the burden of responsibility and the search for meaning”.
Conclusions:
a small overload was found in the participants, with a high median in the dimensions of affective and emotional support, in the relations between positive social interactions and the burden of the caregivers, in addition to the duality or responsibility and the meaning of care.
- Ingrid Fernanda de Oliveira Vieira
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ORIGINAL ARTICLE
Relationship between the comfort level of chronic renal patients and sociodemographic and clinical variables
- Regilane Cordeiro dos Santos ,
- Geórgia Alcântara Alencar Melo ,
- Renan Alves Silva ,
- Fabiana Larissa Barbosa da Silva ,
- Antonio Brazil Viana Júnior , [ ... ],
- Joselany Áfio Caetano
12-21-2020
Resumo
ORIGINAL ARTICLERelationship between the comfort level of chronic renal patients and sociodemographic and clinical variables
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20200085
12-21-2020DOI 10.1590/0034-7167-2020-0085
- Regilane Cordeiro dos Santos ,
- Geórgia Alcântara Alencar Melo ,
- Renan Alves Silva ,
- Fabiana Larissa Barbosa da Silva ,
- Antonio Brazil Viana Júnior ,
- Joselany Áfio Caetano
Visualizações0Ver maisABSTRACT
Objective:
To assess the association between the comfort level of chronic hemodialysis patients with sociodemographic and clinical variables using the General Comfort Questionnaire.
Method:
Cross-sectional study, with a quantitative approach, considering 180 chronic hemodialysis renal patients. Two instruments were used: one for sociodemographic and clinical variables; and the General Comfort Questionnaire, Brazilian version. Mann-Whitney’s, Kruskal-Wallis’s, and Spearman’s tests were used for data analysis.
Results:
The overall comfort level of patients was 78.16%. The socio-cultural domain presented the lowest level of comfort and the psychospiritual the highest level. Some variables were significantly associated with the domains, such as marital status, education, and considering oneself to be anxious.
Conclusion:
In the four domains of comfort, it was possible to identify patients’ needs, such as the presence and intensity of pain, anxiety, constipation and type of access, making it possible to guide nurses in the systematization of care and improve the comfort of these patients.
Visualizações0Resumo
ORIGINAL ARTICLERelationship between the comfort level of chronic renal patients and sociodemographic and clinical variables
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20200085
12-21-2020DOI 10.1590/0034-7167-2020-0085
- Regilane Cordeiro dos Santos ,
- Geórgia Alcântara Alencar Melo ,
- Renan Alves Silva ,
- Fabiana Larissa Barbosa da Silva ,
- Antonio Brazil Viana Júnior ,
- Joselany Áfio Caetano
Visualizações0Ver maisABSTRACT
Objective:
To assess the association between the comfort level of chronic hemodialysis patients with sociodemographic and clinical variables using the General Comfort Questionnaire.
Method:
Cross-sectional study, with a quantitative approach, considering 180 chronic hemodialysis renal patients. Two instruments were used: one for sociodemographic and clinical variables; and the General Comfort Questionnaire, Brazilian version. Mann-Whitney’s, Kruskal-Wallis’s, and Spearman’s tests were used for data analysis.
Results:
The overall comfort level of patients was 78.16%. The socio-cultural domain presented the lowest level of comfort and the psychospiritual the highest level. Some variables were significantly associated with the domains, such as marital status, education, and considering oneself to be anxious.
Conclusion:
In the four domains of comfort, it was possible to identify patients’ needs, such as the presence and intensity of pain, anxiety, constipation and type of access, making it possible to guide nurses in the systematization of care and improve the comfort of these patients.
- Regilane Cordeiro dos Santos
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ORIGINAL ARTICLE
Quality of life and spirituality of patients with chronic kidney disease: pre- and post-transplant analysis
- Letícia Meazzini de Olivera ,
- Meiry Fernanda Pinto Okuno ,
- Dulce Aparecida Barbosa ,
- Ricardo de Castro Cintra Sesso ,
- Gerson Scherrer Júnior , [ ... ],
- Angélica Gonçalves Silva Belasco
08-07-2020
Resumo
ORIGINAL ARTICLEQuality of life and spirituality of patients with chronic kidney disease: pre- and post-transplant analysis
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20190408
08-07-2020DOI 10.1590/0034-7167-2019-0408
- Letícia Meazzini de Olivera ,
- Meiry Fernanda Pinto Okuno ,
- Dulce Aparecida Barbosa ,
- Ricardo de Castro Cintra Sesso ,
- Gerson Scherrer Júnior ,
- João Luis Erbs Pessoa ,
- Cassiane Dezoti da Fonseca ,
- Angélica Gonçalves Silva Belasco
Visualizações0Ver maisABSTRACT
Objective:
to compare the quality of life (QoL) of patients under dialysis and after kidney transplant; correlate the QoL of transplant patients to sociodemographic, morbid and spirituality/religiosity variables.
Method:
prospective study with a quantitative approach, with a sample of 27 patients who underwent peritoneal dialysis or dialysis undergoing kidney transplant. QoL and spirituality were assessed by the KDQOL-SF and WHOQOL-SRPB tools, being correlated with sociodemographic and economic variables.
Results:
the dimensions of total mental component, kidney disease effects and kidney disease burden showed significant improvement in the post-transplant period, with p <0.0004. There was a significant correlation between four dimensions of spirituality and seven dimensions of QoL; p ranged from 0.04 to 0.006.
Conclusion:
there was a significant improvement in QoL in the post-transplant period. The dimensions of spirituality: wholeness and integration, spiritual connection, wonder and inner peace were positively correlated with seven dimensions of QoL.
Visualizações0Resumo
ORIGINAL ARTICLEQuality of life and spirituality of patients with chronic kidney disease: pre- and post-transplant analysis
Revista Brasileira de Enfermagem. 2020;73(suppl 5):e20190408
08-07-2020DOI 10.1590/0034-7167-2019-0408
- Letícia Meazzini de Olivera ,
- Meiry Fernanda Pinto Okuno ,
- Dulce Aparecida Barbosa ,
- Ricardo de Castro Cintra Sesso ,
- Gerson Scherrer Júnior ,
- João Luis Erbs Pessoa ,
- Cassiane Dezoti da Fonseca ,
- Angélica Gonçalves Silva Belasco
Visualizações0Ver maisABSTRACT
Objective:
to compare the quality of life (QoL) of patients under dialysis and after kidney transplant; correlate the QoL of transplant patients to sociodemographic, morbid and spirituality/religiosity variables.
Method:
prospective study with a quantitative approach, with a sample of 27 patients who underwent peritoneal dialysis or dialysis undergoing kidney transplant. QoL and spirituality were assessed by the KDQOL-SF and WHOQOL-SRPB tools, being correlated with sociodemographic and economic variables.
Results:
the dimensions of total mental component, kidney disease effects and kidney disease burden showed significant improvement in the post-transplant period, with p <0.0004. There was a significant correlation between four dimensions of spirituality and seven dimensions of QoL; p ranged from 0.04 to 0.006.
Conclusion:
there was a significant improvement in QoL in the post-transplant period. The dimensions of spirituality: wholeness and integration, spiritual connection, wonder and inner peace were positively correlated with seven dimensions of QoL.
- Letícia Meazzini de Olivera
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RESEARCH
Use of vitamin D and infection in patients with chronic kidney disease
Revista Brasileira de Enfermagem. 2018;71(suppl 6):2792-2799
01-01-2018
Resumo
RESEARCHUse of vitamin D and infection in patients with chronic kidney disease
Revista Brasileira de Enfermagem. 2018;71(suppl 6):2792-2799
01-01-2018DOI 10.1590/0034-7167-2018-0640
Visualizações0Ver maisABSTRACT
Objective:
To evaluate the effectiveness of vitamin D supplementation as protection factor against infection of patients with chronic kidney disease on conservative treatment.
Method:
Retrospective cohort study carried out between 2013 and 2016 in the Conservative Treatment Outpatient Clinics (Ambulatório de Tratamento Conservador) of the Hypertension and Kidney Hospital (Hospital do Rim e Hipertensão) of the Universidade Federal de São Paulo. Data on sociodemographic factors, comorbidity, infection episodes and use or nonuse of vitamin D supplementation for at least 6 months were collected from medical records. The primary outcomes considered in both groups were: presence or absence of infection anywhere on the body (bloodstream, urinary, respiratory and surgical sites).
Results:
A total of 263 patients were included and those who received (n=43) vitamin D had 59% less chance of developing infections (OR=0.41; 95%CI; 0.15-0.99), when compared to those who did not receive.
Conclusion:
Vitamin D supplementation was a protective factor against infections of all causes.
Visualizações0Resumo
RESEARCHUse of vitamin D and infection in patients with chronic kidney disease
Revista Brasileira de Enfermagem. 2018;71(suppl 6):2792-2799
01-01-2018DOI 10.1590/0034-7167-2018-0640
Visualizações0Ver maisABSTRACT
Objective:
To evaluate the effectiveness of vitamin D supplementation as protection factor against infection of patients with chronic kidney disease on conservative treatment.
Method:
Retrospective cohort study carried out between 2013 and 2016 in the Conservative Treatment Outpatient Clinics (Ambulatório de Tratamento Conservador) of the Hypertension and Kidney Hospital (Hospital do Rim e Hipertensão) of the Universidade Federal de São Paulo. Data on sociodemographic factors, comorbidity, infection episodes and use or nonuse of vitamin D supplementation for at least 6 months were collected from medical records. The primary outcomes considered in both groups were: presence or absence of infection anywhere on the body (bloodstream, urinary, respiratory and surgical sites).
Results:
A total of 263 patients were included and those who received (n=43) vitamin D had 59% less chance of developing infections (OR=0.41; 95%CI; 0.15-0.99), when compared to those who did not receive.
Conclusion:
Vitamin D supplementation was a protective factor against infections of all causes.
Renal Insufficiency Archives - Revista Brasileira de Enfermagem
