Nursing Diagnoses in Critical Patients During the COVID-19 Pandemic
DOI:
https://doi.org/10.26694/reufpi.v13i1.5552Keywords:
COVID-19, Critical Care, Nursing DiagnosisAbstract
Objective: To verify the association between NANDA International nursing diagnoses (ND) and their clinical indicators in critically ill patients during the COVID-19 pandemic. Methods: Descriptive, retrospective and quantitative study. The sample consisted of 60 medical records of patients admitted to a reference intensive care unit for COVID-19 in Pernambuco from August to October 2020. Data collection occurred by filling out the form referring to ED indicators for care to patients with COVID-19 in critical condition. Data were analyzed using descriptive and inferential statistics. The study was approved by the Research Ethics Committee with opinion number: 4,199,128. Results: The NDs Ineffective airway clearance, Risk of aspiration, Deficit in self-care when dressing, Ineffective peripheral tissue perfusion and Dysfunctional response to ventilatory weaning were significantly associated with some of its clinical indicators. Conclusion: It was found that five diagnoses showed significant statistical associations with their clinical indicators. In this way, the identification of NDs and the association with their indicators generate support for qualified and individualized care for critically ill patients with COVID-19.
References
Ministério da Saúde (BR). Protocolo de manejo clínico da Covid-19 na Atenção Especializada. Brasília (DF): Ministério da Saúde; 2020.
Bouadma L, Lescure FX, Lucet JC, Yazdanpanah Y, Timsit JF. Severe SARS-CoV-2 infections: practical considerations and management strategy for intensivists. Intensive Care Med. 2020;46(4):579–82. DOI: 10.1007/s00134-020-05967-x.
Majumder J, Minko T. Recent Developments on Therapeutic and Diagnostic Approaches for COVID-19. AAPS J. 2021;23(1):14. DOI: 10.1208/s12248-020-00532-2.
Marian AJ. Current state of vaccine development and targeted therapies for COVID-19: impact of basic science discoveries. Cardiovasc Pathol. 2021;50:107278. DOI: 10.1016/j.carpath.2020.107278.
Yuan L, Chen S, Xu Y. Donning and doffing of personal protective equipment protocol and key points of nursing care for patients with COVID-19 in ICU. Stroke Vasc Neurol. 2020;5(3):302–307. DOI: 10.1136/svn-2020-000456.
Herdman TH, Kamitsuru S, Lopes C, editors. Nanda International Nursing Diagnoses: Definitions & Classification 2021-2023. New York: Thieme Medical Publishers; 2021.
Rede de Pesquisa em Processo de Enfermagem (BR). Diagnósticos, Resultados e Intervenções de enfermagem para atendimento aos pacientes com COVID-19 em estado crítico durante a pandemia da covid-19: Versão 2. Brasil (BR): Rede de Pesquisa em Processo de Enfermagem; 2020.
Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med. 2020;46(5):854–887. DOI: 10.1007/s00134-020-06022-5.
Barros A, Silva V, Santana RF, Cavalcante A, Vitor AF, Lucena AF, et al. Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic. Rev Bras Enferm. 2020;73(2):e20200798. DOI: 10.1590/0034-7167-2020-0798.
D'Adamo H, Yoshikawa T, Ouslander JG. Coronavirus Disease 2019 in Geriatrics and Long-Term Care: The ABCDs of COVID-19. J Am Geriatr Soc. 2020;68(5):912–917. DOI: 10.1111/jgs.16445.
Giménez GC, Müller-Thies M, Prado FJ, Bach JR. Proposed Decannulation Criteria for COVID-19 Patients. Am J Phys Med Rehabil. 2021;100 (8):730–732. DOI: 10.1097/PHM.0000000000001788.
Ovadya D, Bachar K, Peled M, Skudowitz M, Wollner A. Weaning of Severe COVID-19 Mechanically Ventilated Patients: Experience within a Dedicated Unit in Israel. Isr Med Assoc J[Internet]. 2020 [acesso em 10 abr 2023];22(12):733–735. Available from: https://pubmed.ncbi.nlm.nih.gov/33381942/.
Black C, Klapaukh R, Gordon A, Scott F, Holden N. Unanticipated demand of Physiotherapist-Deployed Airway Clearance duringthe COVID-19 Surge 2020 a single centrereport. Physiotherapy. 2021;113:138–140. DOI: 10.1016/j.physio.2021.03.010.
Frajkova Z, Tedla M, Tedlova E, Suchankova M, Geneid A. Postintubation Dysphagia during COVID-19 Outbreak-Contemporary Review. Dysphagia. 2020;3 (4):549–557. DOI: 10.1007/s00455-020-10139-6.
Martins HMT, Amaral I, Souza TKP, Duarte CR, Schiochet GF, Fadel CB, Santos CB. Redução das atividades de vida após internação por COVID-19 em unidades de terapia intensiva. Rev. enferm. UFPI. 2024;13:e4151. DOI: 10.26694/reufpi.v13i1.4151.
Zhu S, Gao Q, Yang L, Yang Y, Xia W, Cai X, et al. Prevalence and risk factors of disability and anxiety in a retrospective cohort of 432 survivors of Coronavirus Disease-2019 (Covid-19) from China. PLoS One. 2020;15(12):e0243883. DOI: 10.1371/journal.pone.0243883.
Azevedo C, Moura CC, Salgado PO, Mata LR, Domingos CS, Ercole FF, et al. Diagnósticos de enfermagem da NANDA-I® em pacientes críticos adultos portadores de COVID-19. Acta Paul Enferm. 2022;35:eAPE03722. DOI: 10.37689/acta-ape/2022AO03722.
Tibirica E, De Lorenzo A. Importance of the evaluation of systemic microvascular flow and reactivity in critically ill patients with coronavirus disease 2019 - COVID-19. Microvasc Res. 2020;131:104028. DOI: 10.1016/j.mvr.2020.104028.
Buffon MR, Severo IM, Barcellos RA, Azzolin KO, Lucena AF. Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload. Rev Bras Enferm. 2022;75Suppl 1(Suppl 1):e20210119. DOI: 10.1590/0034-7167-2021-0119.
Barioni EMS, Nascimento CDSD, Amaral TLM, Ramalho Neto JM, Prado PRD. Clinical indicators, nursing diagnoses, and mortality risk in critically ill patients with COVID-19: a retrospective cohort. Rev Esc Enferm USP. 2022;56:e20210568. DOI: 10.1590/1980-220X-REEUSP-2021-0568en.
Azevedo C, Moura CC, Salgado PO, Mata LRF, Domingos CS, Ercole FF, et al. Diagnósticos de enfermagem da NANDA-I® em pacientes críticos adultos portadores de COVID-19. Acta Paul enferm. 2022;35;eAPE03722. DOI: 10.37689/acta-ape/2022AO03722.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rev Enferm UFPI
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
