巴西重症监护病房COVID-19住院患者的护理诊断：一项横断面研究

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-03-24 DOI:10.1016/j.enfi.2025.500541

Giovanna Maria de Lima-Medeiros RN , Caio Rodrigo Menezes-dos-Santos RN , Thiago de Jesus-Santos MSN , Edilza Fraga-Santos RN , Andreia Centenaro-Vaez PhD , Fernanda Gomes de Magalhães Soares-Pinheiro PhD , Damião da Conceição-Araújo PhD

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引用次数: 0

摘要

2019冠状病毒病大流行对全球产生了重大影响，特别是对重症监护病房住院患者。针对大流行背景下护理诊断的研究对于加强证据和促进临床实践的发展至关重要。目的分析巴西东北部地区成人COVID-19危重患者住院护理诊断情况。方法在巴西东北部一所大学医院进行横断面研究。样本包括2020年至2021年期间的117例住院治疗。回顾性地从电子病历中收集数据，并使用绝对频率、百分比、双变量和多变量分析进行分析。结果成人跌倒风险（95.7%）、感染风险（94%）、洗澡自理能力不足（89.7%）等护理诊断占主导地位。机械通气患者营养失衡、腹泻和身体活动能力受损的发生率较高。结论COVID-19危重症患者护理诊断的流行凸显了护理需求的复杂性以及循证实践对改善临床结果的重要性。

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Nursing diagnoses for patients hospitalized with COVID-19 in critical care units in Brazil: A cross-sectional study

Background

The COVID-19 pandemic had a significant global impact, particularly on patients hospitalized in critical care units. Studies addressing nursing diagnoses in the context of the pandemic are essential to strengthen the evidence and contribute to the development of clinical practice.

Objective

Analyze the prevalence of nursing diagnoses in hospitalizations of critically ill adult patients with COVID-19 in northeastern Brazil.

Method

This is a cross-sectional study conducted in a university hospital in northeastern Brazil. The sample included 117 hospitalizations between 2020 and 2021. Data were retrospectively collected from electronic medical records and analyzed using absolute frequencies, percentages, and bivariate and multivariate analyses.

Results

The results revealed a predominance of nursing diagnoses such as risk for falls in adults (95.7%), risk for infection (94%), and bathing self-care deficit (89.7%). Patients on mechanical ventilation had higher prevalence rates of imbalanced nutrition, diarrhea and impaired physical mobility.

Conclusions

The prevalence of nursing diagnoses in critically ill COVID-19 patients highlights the complexity of care required and the importance of evidence-based practice to improve clinical outcomes.

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.