Einstein (São Paulo) (Jun 2007)
Renal transplantation: diagnosis and nursing intervention in patients during immediate postoperative period
Abstract
Objectives: To identify the nursing diagnosis in the immediatepostoperative period of patients undergoing renal transplantation andto register the nursing actions proposed by the Nursing InterventionsClassification, for nursing diagnoses identified in patients undergoingrenal transplantation. Methods: A descriptive study performed byinvestigation of computerized hospital records from patients undergoingrenal transplantation between July and December, 2004, in a largeprivate general hospital in the city of Sao Paulo. Collection of datawas carried out by means of an instrument that contains patientidentification data and a list of defining characteristics and relatedfactors/risk factors of nursing diagnosis, based on the most frequentcomplications reported in the literature, for patients in the immediatepostoperative period of renal transplantation. Results: Incidenceof 100% of the following diagnoses: risk of fluid volume imbalance,risk of falls, risk of infection, risk of aspiration, inefficient protection,impaired bed mobility, impaired skin integrity, self-care deficit forbathing/hygiene. The major nursing interventions for the diagnosesfound were control and monitoring of fluids and electrolytes, preventionof falls, protection against infection, post-anesthesia care, precautionsagainst aspiration, bed rest care, skin supervision, care of lesions, andassistance on self-care and temperature control. Conclusion: Theresults obtained help to systemize nursing assistance aiming to improvecare provided to patients undergoing renal transplantation.
