Banca de DEFESA: FERNANDA BEATRIZ BATISTA LIMA E SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : FERNANDA BEATRIZ BATISTA LIMA E SILVA
DATA : 31/08/2018
HORA: 08:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Validation of vascular trauma nursing diagnosis for patients undergoing antineoplastic therapy

PALAVRAS-CHAVES:

Validation studies; Vascular trauma; Chemotherapy; Nursing

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

      Studies of validation of nursing diagnoses are of great value for legitimizing the specific events, as well as for the construction of diagnoses that are not yet contemplated by the taxonomy. Thus, they contribute to a safer nursing care. In this context, the present study aimed to validate the diagnosis of cerebral vascular trauma in patients submitted to antineoplastic therapy. It is noteworthy that the occurrence of venous trauma in these cases is frequent, and is mainly related to the reduction in visibility, palpation and reduction in network venous caliber during the treatment. Although an expressive amount of existing diagnoses in NANDA-International is identified, "vascular trauma" is not contemplated. It was a methodological study, launched in three stages: concept analysis, content analysis and analysis of the accuracy of clinical indicators. The first phase was operationalized through an integrative review and an analysis of 56 articles, being possible to analyze the concept with the mark of four attributes, 13 antecedents and 13 consequents. The second phase, 9 experts evaluated the content identified in previus phase, through focal group, reaching a consensus on the adequacy of each component and diagnosis definitions. As result from content expert analysis, remained three attributes, 13 related factors and 11 defined characteristics after some adjustments. In the third phase, the accuracy of the clinical indicators was analyzed. 200 subjects, most of them female, from the state of Rio Grande do Norte country area, retired or benefited, were evaluated. The analysis of the accuracy of clinical indicators was performed based on three different adjusted models from analysis of classic latent classes. The last model presented 11,17% of the patients with vascular Trauma, showing the best result. Analyzing the clinical indicators, "Decreased vascular elasticity", "Pain" and "Signs of infection at the site of catheter insertion" presented high specificity values. These Indicators are very important to confirm the diagnosis. Thus, the study supported the nursing “Vascular trauma” diagnosis is useful in patients with cancer submitted to antineoplastic therapy. The project was forwarded to the Ethics Committee of the Liga Norte Riograndense Contra Câncer, respecting the ethical aspects in human related research, according to Resolution no. 466/12 of the Conselho Nacional de Saúde. The same was approved, under the number of opinion 1.717.695 and CAAE number 57967816.3.0000.5293.

MEMBROS DA BANCA:
Presidente - 1675334 - ANA LUISA BRANDAO DE CARVALHO LIRA
Interno - 347971 - BERTHA CRUZ ENDERS
Externo à Instituição - MARCOS VENÍCIOS DE OLIVEIRA LOPES - UFC
Interno - 1863377 - MARIA ALZETE DE LIMA
Externo à Instituição - WERUSKA ALCOFORADO COSTA - EBSERH