Diagnóstico de Enfermagem Síndrome do Idoso Frágil: Revisão de Literatura

Objective: to identify, in the literature, the defining characteristics and factors related to the Frail Elderly Syndrome Nursing Diagnosis. Method: Integrative Literature Review, through the CAPES journal portal, in the LILACS, SCOPUS, BDENF, CINAHL MEDLINE, PubMed, Web Of Sciences and SciELO databases. In addition to the use of gray literature in Google Scholar and Open Grey. Result: Eight articles and one dissertation were included. All publications were Brazilian, with a predominance of cross-sectional studies. The most frequent defining characteristics were: Impaired physical mobility; Decreased activity tolerance; Imbalanced nutrition: less than body needs and impaired ambulation. Three new features were identified: Urinary Incontinence; Dysfunctional family processes and sleep pattern disturbance. Regarding related factors, the most frequent were: Decreased muscle strength; Cognitive dysfunction and impaired postural balance. Conclusion: given the results found, we suggest the inclusion of the defining characteristic Urinary Incontinence, for the nursing diagnosis Frail Elderly Syndrome. Contributions to practice: the study provides nurses with a deeper understanding of the aforementioned diagnosis, supporting clinical reasoning.Objetivo: identificar, na literatura, as características definidoras e os fatores relacionados ao Diagnóstico de Enfermagem Síndrome do Idoso Frágil. Método: Revisão Integrativa da Literatura, por meio do portal de periódicos da CAPES, nas bases de dados LILACS, SCOPUS, BDENF, CINAHL MEDLINE, PubMed, Web Of Sciences e SciELO. Além da utilização de literatura cinzenta no Google Scholar e Open Grey. Resultado: Foram incluídos oito artigos e uma dissertação. Todas as publicações eram brasileiras, com a predominância de estudos do tipo transversal. As características definidoras mais frequentes foram: Mobilidade física prejudicada; Tolerância à atividade diminuída; Nutrição desequilibrada: menor do que as necessidades corporais e Deambulação prejudicada. Três novas características foram identificadas: Incontinência Urinária; Processos familiares disfuncionais e Distúrbio no padrão de sono. Sobre os fatores relacionados, os mais frequentes foram: Força muscular diminuída; Disfunção cognitiva e Equilíbrio postural prejudicado. Conclusão: diante dos resultados encontrados, sugere-se a inclusão da característica definidora Incontinência Urinária, para o diagnóstico de enfermagem Síndrome do Idoso Frágil. Contribuições para prática: o estudo disponibiliza ao enfermeiro um aprofundamento no referido diagnóstico, subsidiando o raciocínio clínico

Effects of demographic and clinical character on differences in self‐care behavior levels with arteriovenous fistula by hemodialysis patients: An ordinal logistic regression approach

Introduction: Hemodialysis (HD) patients should be trained to develop selfcare behaviors in order to prevent and preserve their arteriovenous fistula (AVF). The aim of this study was identifying the factors that affect the levels of self-care behavior with AVF by HD patients. Methods: A cross-sectional study was conducted involving 89 patients. Results: Self-care levels were negatively affected by patients' location (Azores) and positively affected by marital status, education, employment, AVF duration, and absence of complications with the AVF. Concerning the management of signs and symptoms, self-care levels were negatively affected by patients' location. Regarding prevention of complications, self-care levels were negatively affected by age and marital status and positively affected by marital status, employment, chronic kidney disease etiology, AVF duration, and previous AVF. Conclusion: Further studies are required in order to confirm whether the considered factors affect levels of self-care behaviors with AVF, or whether other factors are needed as well.info:eu-repo/semantics/publishedVersio