Diagnósticos e intervenções de enfermagem para pacientes em pós-operatório imediato: revisão de literatura

Abstract

For these diagnoses, the presence of specific nursing interventions carried out by the nursing teams was identified, which meet the care demands for the women. dysfunctions identified. Conclusion: The diagnoses and nursing interventions identified demonstrated the care needs of patients in the post-anesthetic recovery room in the immediate postoperative period. The need for a clinical look associated with the nurse's technical / scientific knowledge was evident in order to identify the diagnoses associated with patients in the post-anesthetic recovery room and to implement the necessary interventions.The immediate postoperative period is a critical moment for the patient, and strict observation by nursing is imperative to maintain vital physiological functions within the parameters of normality, until the effects of anesthesia disappear. identify nursing diagnoses and interventions for patients in the immediate postoperative period in the post-anesthetic recovery room contribute to nursing care qualified and patient safety. Method: Integrative literature review, contemplating the following steps proposed by Mendes, Silveira and Galvão (2008), which were identification of the research question for the elaboration of the integrative review, establishment of inclusion and exclusion criteria, definition of the information to be extracted from the studies, evaluation of the studies included in the integrative review, interpretation of the results and presentation of the review. The SCIELO and LILACS databases were used. The universe of this study included the inclusion of seven articles that emerged from clinical studies in real care environments for patients in the immediate postoperative period. Results: From the data analysis, 46 nursing diagnoses and 62 nursing interventions for patients in the immediate postoperative period were identified. Of the 46 diagnoses, it was observed that seven were most frequently found in the studies that made up the universe of this research and were present in the NANDA-I Classification Domains (2015) D4: Activity and rest; D11: Safety and protection and D12: Comfort. These DE were: Risk of Infection, Acute Pain, Risk of unbalanced body temperature, Ineffective Breathing Pattern, Decreased Cardiac Output, Impaired ambulation and Ineffective tissue perfusion.