Identified disgnostic of nursings in homeless womens / Identificação de diagnósticos de enfermagem em mulheres moradoras de rua

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

An exploratory descriptive study with a quantitative approach whose objectives were: to structure the nursing consultation for homeless women; to implement an instrument for nursing consultation using the domains and classes of the NANDA Taxonomy II as its basic structure, and to identify the nurses diagnoses in this population. The sample was composed of forty homeless women, who attend philanthropic institutions that assist the homeless population in the downtown area of the city of São Paulo. The data were collected between January thirty first and July thirty first of 2006. The socio-demographic profile of the women is characterized as follows: average age 41.2 years, with variation of 19 to 63; 37.5% are white; 35% are black and 27.5% mulattas; the majority (60%) is single; 35% reported to be living with a male partner; 40% had not completed basic education; and 15% are illiterate; the majority (57.5%) come from the South/Southeastern areas of the country; 37.5% reported not having children; 35 % reported having 1 to 2 children; 65 % are unemployed; half of the interviewed women (50.0%) report sleeping in the street, the other half go to shelters or philanthropic institutions to sleep. Fifty percent of the women had been living in the street for less than 2 years, whereas for 27.5% this situation is relatively new, since it has been occurring for less than 1 year. The average time in the street was 5 years, with a variation of 1 to 34 years. The majority (52.2%) smokes, 32.5% use alcohol and 5% use drugs. The consultation was structured in two institutions, where the data were collected. As for the diagnoses, forty-two classified by the NANDA Taxonomy II were identified. The ten most frequent diagnoses were: inefficient health maintenance (80%); damaged dentition (78%); constipation (35%); unbalanced nutrition: below bodily needs (33%); inadequate self-care: baths/hygiene and risk of infection (30%); unbalanced nutrition, above bodily needs (15%); damaged integrity of the skin (13%); Anxiety and Risk of injury (10%). We identified thirty other diagnoses, which we decided to call probable, since the defining characteristics and related factors did not match the NANDA Taxonomy. Moreover, other very particular situations were identified in this population; most of them were of a social character, which had neither been included in the identified diagnoses nor in the probable ones, due to the lack of elements to classify them. As there are few studies directed toward this population, especially in the nursing area, the development of other similar research is recommended in order to enable comparisons and enrich the data in this study.

ASSUNTO(S)

pobreza homeless persons saúde da mulher womens heath poverty diagnósticos de enfermagem nursing diagnosis enfermagem sem teto

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