Diagnosis, results, and nursing interventions for patients with acute renal injury

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dc.contributor.authorGrassi, Mariana de Freitas [UNESP]
dc.contributor.authorQueiroz Dell'Acqua, Magda Cristina [UNESP]
dc.contributor.authorJensen, Rodrigo [UNESP]
dc.contributor.authorBertoncello Fontes, Cassiana Mendes [UNESP]
dc.contributor.authorCarvalho Passos Guimaraes, Heloisa Cristina Quatrini
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionInst Lauro de Souza Lima
dc.date.accessioned2018-11-26T15:46:10Z
dc.date.available2018-11-26T15:46:10Z
dc.date.issued2017-09-01
dc.description.abstractObjective: To identify prevalence and correlate diagnosis, results, and nursing interventions in patients with acute renal injury (ARI) who were hospitalized in an intensive care unit (ICU). Methods: This was a cross-sectional study including 98 patients older than 18 years old with ARI who were undergoing hemodialysis treatment in the ICU. The study was carried out in an ICU a large public hospital located in the city of Sao Paulo, Brazil. For statistics analysis we used the SPSS v21.0 to estimate prevalence, the 95% of confidence interval and sample error of 0.05. Data were collected from March to July 2016 using structured interviews, anamnesis and physical exam of patients using an instrument designed by this study researchers. The main instrument was completed by the principal researcher. Nursing consultation lasted for approximately 30 minutes. Of the total sample, 10% was selected and checked randomly in order to evaluate data quality and atypical values. Two patients previously did a pilot test to verify whether information in the instrument achieved the objective of the study. Results: The 98 participatns were aged >= 60 years (33%), men (60%), and classified as pre-renal injury (54%). Prevalent diagnosis was (100%) risk of infection, risk of inefficient gastrointestinal perfusion, risk of ineffective renal perfusion, risk of electrolyte imbalance, excessive fluid volume, and risk of imbalanced fluid volume. Results (100%) were: severity of infection, access for hemodialysis, tissue perfusion abdominal organs, hydric balance, mobility, removal of toxins and renal function. Prevalent nursing interventions (100%) were: promotion against infection, control of infection, maintenance of access for dialysis, hydroeletrolitic control, urinary elimination control, acid-base control, electrolytic control, hypervolemia control, hydric control, hydric monitoring, respiratory physiotherapy, respiratory and positioning monitoring. Correlations were significant (p<0.001) between diagnosis and nursing interventions and between nursing interventions and results. Conclusion: Main diagnosis, results and nursing interventions related with loss of renal function originated from changes of renal perfusion, volemia, hydroelectrolytic dysfunctions, and risk of infection. The number of diagnosis showed to be correlated with number of nursing interventions and nursing interventions was correlated with results.en
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Botucatu, SP, Brazil
dc.description.affiliationInst Lauro de Souza Lima, Bauru, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Botucatu, SP, Brazil
dc.format.extent538-545
dc.identifierhttp://dx.doi.org/10.1590/1982-0194201700078
dc.identifier.citationActa Paulista De Enfermagem. Sao Paulo: Univ Fed Sao Paulo, Dept Enfermagen, v. 30, n. 5, p. 538-545, 2017.
dc.identifier.doi10.1590/1982-0194201700078
dc.identifier.fileS0103-21002017000500538.pdf
dc.identifier.issn0103-2100
dc.identifier.lattes4173686314328981
dc.identifier.orcid0000-0001-6191-2001
dc.identifier.scieloS0103-21002017000500538
dc.identifier.urihttp://hdl.handle.net/11449/160027
dc.identifier.wosWOS:000422882200012
dc.language.isoeng
dc.publisherUniv Fed Sao Paulo, Dept Enfermagen
dc.relation.ispartofActa Paulista De Enfermagem
dc.relation.ispartofsjr0,275
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectNursing diagnosis
dc.subjectNursing process
dc.subjectAcute kidney injury
dc.subjectRenal dialysis
dc.subjectCritical care
dc.titleDiagnosis, results, and nursing interventions for patients with acute renal injuryen
dc.typeArtigo
dcterms.rightsHolderUniv Fed Sao Paulo, Dept Enfermagen
unesp.author.lattes4173686314328981[3]
unesp.author.lattes5572124464069476[4]
unesp.author.orcid0000-0001-6191-2001[3]
unesp.author.orcid0000-0002-6579-8637[4]

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