Banca de DEFESA: FABIANE ROCHA BOTARELI

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : FABIANE ROCHA BOTARELI
DATA : 12/12/2016
HORA: 14:00
LOCAL: Departamento de Enfermagem da UFRN
TÍTULO:

VALIDATION OF THE NURSING DIAGNOSIS RISK OF DRY EYE IN ADULT PATIENTS HOSPITALIZED IN THE INTENSIVE CARE UNIT

PALAVRAS-CHAVES:

Nursing, Nursing Process, Nursing Diagnosis, Validation Studies, Dry Eye Syndromes, Intensive Care Units.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

The objective of this study was to validate the nursing diagnosis of dry eye risk in patients admitted to the Intensive Care Unit. It is a methodological study developed in two stages of validation of nursing diagnoses according to Lopes, Silva and Araujo (2012): construction of constitutive and operational definitions of dry eye risk factors and clinical validation of nursing diagnosis Dry eye risk. For the first step, the model of Walker and Avant (2011) was implemented through an integrative review according to Whittemore and Knalf (2005), through manual and reverse search of the references of the Analysis of concept on dry eye of Fernandes (2015) and the NANDA-I taxonomy for the diagnosis in question. The first step resulted in the constitutive and operational definitions of 15 risk factors for dry eye and subsidized the clinical validation stage. This second phase was performed at the ICU of the Onofre Lopes University Hospital operated by means of a prospective cohort study with the following steps: 1. Training of the data collection team and the diagnostic nurses; 2. Pilot study with 30 patients; 3. Data collection; 4. Inference of the diagnosticians. The sample was defined with a collection time of 7 months, which at the end was composed of 70 patients. Inclusion criteria were: age greater than or equal to 18 years, no ocular dryness at ICU admission, length of stay longer than 24 hours. Exclusion criteria: diseases of the ocular surface e topical ocular treatment. The instrument of data collection consisted of sociodemographic and clinical data; risk factors for the diagnosis in question; ocular evaluation, neurological, hemodynamic, respiratory, hydroelectrolytic evaluation; laboratory data; medications in use and the Schirmer test result. The evaluation took place daily and with a follow-up time of up to five days. The dry eye outcome was established by clinical criteria and Schirmer's test was less than 10 mm. The research was submitted and approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion 918.510 and CAAE: 36079814.6.0000.5537 in accordance with Resolution 466/2012 of the National Health Council of the Ministry of Health, and in it were observed and respected the bioethical precepts governed by this dictates. Descriptive data were analyzed using simple, mean, median and standard deviation frequencies. The measures of association between the outcome variables and predictors were calculated using the Chi-square test and Fisher's exact test. For the quantitative variables, the t-Student test was used for symmetrical samples and the Wilcoxon-Mann-Whitney test. The symmetry of the sample was verified by the Kolmogorov-Smirnov test. The level of significance was 5%. The relation between exposure and outcome was obtained by Relative Risk. The calculations were performed by SPSS (Statistic Package for Social Sciences) software version 22.0. The results demonstrate that the risk factors strongly associated with dry eye in patients hospitalized in the ICU are: lagoftalmia, mechanical ventilation with elevated PEEP, chemosis, blink reflex alteration and use of systemic drugs. In addition, the criteria defined for the outcome (conjunctival hyperemia, Schirmer test less than 10 mm and mucous secretion) presented statistical significance for ocular dryness. Therefore, it is believed that this study is innovative for the advancement of knowledge on the subject and for the improvement and validation of the use of the NANDA-I taxonomy by nurses working in this scenario, in order to provide support for precise ocular evaluation, Inference of the diagnosis in question, risk prediction as adoption of measures of prevention and monitoring of complications.

MEMBROS DA BANCA:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externo à Instituição - ANA RAILKA DE SOUZA OLIVEIRA KUMAKURA - UNICAMP
Interno - 1352508 - MARCOS ANTONIO FERREIRA JUNIOR
Externo à Instituição - ROSIMERE FERREIRA SANTANA - UFF
Interno - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS