Nursing diagnoses in people with leprosy: approximation between Orem’s theory and the ICNP®

Authors

DOI:

https://doi.org/10.5216/ree.v22.63602

Keywords:

Nursing, Nursing Theory, Classification, Leprosy, Communicable Diseases, Standardized Nursing Terminology

Abstract

Objective: To analyze the profile of nursing diagnoses in people with leprosy based on Orem’s theory and the International Classification for Nursing Practice (ICNP®). Method: cross-sectional, descriptive study of 24 people with leprosy in outpatient care. Data collection occurred through nursing consultations in the light of Orem’s theory, using interviews and clinical examination. Results: The process of nursing diagnoses development was based on clinical reasoning, the seven-axis model of the ICNP® and the ISO 18104. The diagnostic inferences were validated by three judges. Conclusion: Sixty nursing diagnoses were identified, 51.6% of which were classified as health deviation self-care requisites. The diagnostic profile indicates specific self-care demands of this population and the need for the organization of interventions based on the supportive-educative system.

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References

World Health Organization. Leprosy elimination: Epidemiology [Internet]. Geneva: WHO; 2019 [access at: Apr. 12, 2019]. Available at: https://www.who.int/lep/epidemiology/en/.

Lastória JC, de Abreu MAMM. Leprosy: Review of the epidemiological, clinical, and etiopathogenic aspects – Part 1. An Bras Dermatol. 2014;89(2):205-18. https://dx.doi.org/10.1590/abd1806-4841.20142450.

Orem DE, Taylor SG, Renpenning KM. Nursing: Concepts of Practice. St Louis: Mosby; 1995.

International Council of Nurses. About ICNP [Internet]. 2019 [access at: July 10, 2020]. Available at: https://www.icn.ch/what-we-do/projects/ehealth-icnp/about-icnp.

Breigeiron MK, Moraes VC, Coelho JC. Sinais e sintomas na Doença de Gaucher: diagnósticos de enfermagem prioritários. Rev Bras Enferm. 2018;71(1):113-20. https://dx.doi.org/10.1590/0034-7167-2016-0434.

Silva Júnior FJG, Ferreira RD, Araújo OD, Camêlo SMA, Nery IS. Assistência de enfermagem ao portador de Hanseníase: abordagem transcultural. Rev Bras Enferm. 2008;61(esp):713-7. https://doi.org/10.1590/S0034-71672008000700010.

Clares JWB, Guedes MVC, Silva LF, Nóbrega MMl, Freitas MC. Subconjunto de diagnósticos de enfermagem para idosos na Atenção Primária à Saúde. Rev Esc Enferm USP. 2016;50(2):272-8. https://doi.org/10.1590/S0080-623420160000200013.

Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-98. https://doi.org/10.1016/0022-3956(75)90026-6.

Ministério da Saúde. Guia prático sobre a Hanseníase [Internet]. Brasília, DF: Ministério da Saúde; 2017 [access at: Mar. 26, 2019]. Available at: https://portalarquivos2.saude.gov.br/images/pdf/2017/novembro/22/Guia-Pratico-de-Hanseniase-WEB.pdf.

Oliveira MDS, Lima JOR, Garcia TR, Bachion MM. Termos úteis à prática de enfermagem na atenção a pessoas com hanseníase. Rev Bras Enferm. 2019;72(3):744-52. https://doi.org/10.1590/0034-7167-2017-0684.

International Council of Nurses. ICNP Browser [Internet]. 2019 [access at: July 10, 2020]. Available at: https://www.icn.ch/what-we-do/projects/ehealth/icnp-browser.

ISO. ISO 18104:2014. Health informatics – Categorial structures for representation of nursing diagnoses and nursing actions in terminological systems [Internet]. Int. Organ. Stand. 2014 [access at: Dec. 14, 2016]. Available at: https://www.iso.org/standard/59431.html.

Nóbrega MML. Nomenclatura de diagnósticos, resultados e intervenções de enfermagem para pacientes hospitalizados em Unidades clínicas, utilizando a CIPE®. João Pessoa: Ideia; 2018.

Garcia TR, Cubas MR. Diagnósticos, Intervenções e resultados de Enfermagem: subsídios para a sistematização da prática profissional. Rio de Janeiro: Elsevier; 2013.

World Health Organization. WHO recommended MDT regimens [Internet]. Geneva: WHO; 2019 [access at: Mar. 26, 2019]. Available at: https://www.who.int/lep/mdt/regimens/en/.

Kubota RMM, Brancini VCL, Gouveia AS, Nardi SMT, Paschoal VDA, Vendramini SHF. Efeitos adversos da poliquimioterapia para hanseníase: utilização de doses alternativas e avaliação pós alta. Hansen Int. 2014;39(1):8-21.

Walker SL, Balagon M, Darlong J, Doni SN, Hagge DA, Halwai V, et al. ENLIST 1: An International Multi- centre Cross-sectional Study of the Clinical Features of Erythema Nodosum Leprosum. PLoS Negl Trop Dis. 2015;9(9):e0004065. https://doi.org/10.1371/journal.pntd.0004065. eCollection 2015.

Monteiro LD, Alencar CH, Barbosa JC, Novaes CCBS, Silva RCP, Heukelbach J. Pós-alta de hanseníase : limitação de atividade e participação social em área hiperendêmica do Norte do Brasil. Rev Bras Epidemiol. 2014;17(1):91-104. https://doi.org/10.1590/1415-790X201400010008ENG.

Ayres JA, Paiva BSR, Duarte MTC, Berti HW. Repercussões da hanseníase no cotidiano de pacientes : vulnerabilidade e solidariedade. Rev Min Enferm. 2012;16(14):56-62.

World Health Organization. MDT: managing irregular treatment FAQ [Internet]. Geneva: WHO; 2019 [access at: Mar. 26, 2019]. Available at: https://www.who.int/lep/mdt/irregular/en/.

Penna GO, Bührer-Sékula S, Kerr LRS, Stefani MMA, Rodrigues LC, Araújo MG, et al. Uniform multidrug therapy for leprosy patients in Brazil (U-MDT/ CT-BR): results of an open label, randomized and controlled clinical trial, among multibacillary patients. PLoS Negl Trop Dis. 2017;11(7):e0005725. https://doi.org/10.1371/journal.pntd.0005725.

Ribeiro GC, Lana FCF. Incapacidades físicas em hanseníase: caracterização, fatores relacionados e evolução. Cogitare Enferm. 2015;20(3):495-502. https://dx.doi.org/10.5380/ce.v20i3.41246.

Galan NGA, Beluci ML, Marciano LHSC, Prado RBR, Oliveira NGG, Bonini AG, et al. Avaliação da prática do autocuidado domiciliar em hanseníase. Hansenol Int. 2016;41(1):37-45.

Souza IA, Ayres JA, Meneguin S, Spagnolo RS. Autocuidado na percepção de pessoas com hanseníase sob a ótica da complexidade. Esc Anna Nery. 2014;18(3):510-4. https://doi.org/10.5935/1414-8145.20140072.

Nunes JM, Oliveira EN, Vieira NFC. Hanseníase: conhecimentos e mudanças na vida das pessoas acometidas. Ciênc Saúde Colet. 2011;16(suppl 1):1311-8. https://doi.org/10.1590/S1413-81232011000700065.

Published

2020-12-23

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Original Article