Interventions of nursing identified in consultations to carriers of hypertension: study in a unit of reference in Fortaleza â CE / IntervenÃÃes de enfermagem identificadas em consulta a portadores de hipertensÃo arterial: estudo em um centro de referÃncia em Fortaleza-Ce

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

The performance of the nurse in the consultations to carriers of hypertension, carrying through specific actions and systemize interventions, has increasing importance because, not rare, the customer lacks of interventions that run away from the ability of one alone professional. It was had as objective to identify registered interventions of nursing in handbooks of taken care of carriers of hypertension in a reference service; to detect the frequency of the register of the interventions; to analyze, on the basis of the Plan of Reorganization of the attention to the Hypertension and Diabetes Mellitus (2001) and in the Brazilian Lines of direction of Hypertension (2006), the interventions with a frequency equal or bigger the five times in the registers; e to mapear the found interventions, according to International Classification for Nursing Pratice, version 1.0. It was carried through in the city of Fortaleza, in a unit of health of reference in hypertension and diabetes mellitus, for the state CearÃ. Universe consisting of 3.606 registered in cadastre handbooks of July of 2003 the July of 2005, in a total of 704 handbooks with register of the diagnosis of hypertension. Amongst these, 175 handbooks had taken care of to the inclusion criteria: to be handbook of carrying patient of the diagnosis of arterial or primary hypertension, without other disease, as neoplasias, hematology, neuro-psychiatric, bones, metabolic and renals illnesses; to be registered in cadastre, and in validity since July of 2003; independent of sex and age and, to have register of, at least, a nursing consultation. The data had been collected in handbooks for the analysis of the registers of the carried through consultations of nursing of December of 2005 the February of 2006. A form was used that had as axle the questions necessary to reach the considered objectives. In 175 handbooks, it had register of 259 consultations of nursing (average: 1,48). In all had registers of interventions, in a total of 10 actions of nursing and 972 registers of interventions, with a average of 3,7 interventions for consultation. The actions presented had been: to verify (819), to guide (71), to direct (65), to teach (7), to keep (5), to stimulate (1), to acquire knowledge (1), to prevent (1), to request (1) and to watch (1). In the action to verify interventions had been distinguished that had occurred with a frequency equal or bigger the five times: blood pressure (257), weight (217), glicemy (212), height (86); following itself for the referring interventions to direct: cardiologist (18), dentist (12), nutrition (10), ophthalmologist (8) and nephrologist (7) and to guide: to diminish weight (9), diet (8), orientation (5); to keep: cares (5). It was observed that the registered intervention more registered was verification of the arterial pressure (257), however it being characterized as a specific action and essential in the consultation of nursing to the carrier of hypertension, it was not presented in all consultations. This fact seems to indicate, the occurrence of sub-registers for the nurses, what it represents damage for the systematic evaluation of the customer and accompaniment of the effectiveness of its therapeutical one. One concludes that the analysis of registers of nursing consultations made possible to identify to interventions and action of nursing parallel with the interventions related in ICNP 1. However, sub-registers can be occurring, making with that the quantitative one of interventions is inferior to that face to the specific of the analyzed consultations could expect.

ASSUNTO(S)

hypertension hipertensÃo - enfermagem diabetes mellitus - enfermagem hipertensÃo enfermagem em saÃde pÃblica nursing enfermagem enfermagem saÃde da famÃlia

ACESSO AO ARTIGO

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