Mapeamento dos diagnósticos de enfermagem nas síndromes geriátricas prescritos em uma unidade de terapia intensiva

Vanessa Souza da Silva; Luana dos Santos Braga; Rayhelle Cristiny Arantes de Moura; Marília Araújo Figueiredo de Lima; Maria Eduarda Souza da Fonseca; Lilia de Souza Nogueira; Greiciane da Silva Rocha

doi:10.15253/2175-6783.20242593567

Autores/as

Vanessa Souza da Silva Universidade Federal do Acre https://orcid.org/0009-0004-8175-293X
Luana dos Santos Braga Universidade Federal do Acre https://orcid.org/0009-0001-8319-7528
Rayhelle Cristiny Arantes de Moura Hospital Santa Juliana https://orcid.org/0000-0003-3368-0172
Marília Araújo Figueiredo de Lima Hospital Santa Juliana https://orcid.org/0009-0004-8468-2965
Maria Eduarda Souza da Fonseca Hospital Santa Juliana https://orcid.org/0009-0009-1620-0238
Lilia de Souza Nogueira Universidade de São Paulo, Escola de Enfermagem https://orcid.org/0000-0001-5387-3807
Greiciane da Silva Rocha Universidade Federal do Acre https://orcid.org/0009-0004-8175-293X

DOI:

https://doi.org/10.15253/2175-6783.20242593567

Palabras clave:

Diagnósticos de Enfermagem; COVID-19; Idoso; Enfermagem Geriátrica; Unidade de Terapia Intensiva.

Resumen

Objetivos: Identificar la frecuencia de diagnósticos relacionados con síndromes geriátricos en ancianos hospitalizados por COVID-19 en la unidad de cuidados intensivos. Métodos: Estudio longitudinal, de cohorte retrospectivo, basado en historias clínicas de pacientes adultos mayores de 60 años o más, diagnosticados con COVID-19 ingresados en UCI entre 2020-2021. Los diagnósticos fueron agrupados con base en la nomenclatura internacional NANDA 2021-2023 listados por la enfermera y posteriormente agrupados en síndromes geriátricos con presentación de los dominios y características definitorias. Resultados: La muestra del estudio estuvo compuesta por 132 pacientes, masculinos (57,58%), mediana de edad 71,5 años (mínimo – máximo: 60-96). La fragilidad, al ser un estado de mayor vulnerabilidad del paciente y disminución de la capacidad intrínseca, se relacionó con un mayor número de diagnósticos (11), seguida de la inestabilidad postural (7) y la iatrogénesis (6).Conclusión: Se logró relacionar los diagnósticos de enfermería en los dominios encontrados en la NANDA-I en cada síndrome geriátrico, con énfasis en los diagnósticos en necesidad de oxigenación y regulación térmica, vascular e inmunológica y entre los síndromes con mayor número de diagnósticos en fragilidad. síndrome. Contribuciones a la práctica: Permite a los profesionales identificar diagnósticos agrupados en síndrome geriátrico.

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