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Neuman Systems Model in perioperative nursing care for adolescents with juvenile idiopathic scoliosis
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Orientador(es)
Resumo(s)
Objective: To implement the nursing process, based on the Neuman Systems Model
and the International Classification of Nursing Practice terminology, in the care of
an adolescent who underwent corrective surgery for juvenile idiopathic scoliosis.
Method: This is a qualitative study of the type of single case, with triangulation of data
collection techniques (formal clinical interview, notes in a field diary and medical record
information), developed with a 17-year-old adolescent and indication for corrective
surgery. The empirical materials generated with the interviews carried out at admission
and at discharge, observation and medical record information were treated with
categorical content analysis. Results: The categories of personal condition, anxiety, selfconcept,
meaningful people, facilitating health resources, school, free time and leisure
were recurrent. Diagnoses were defined with a focus on Anxiety, Knowledge on pain
management (control) and Willingness (or readiness) to learn, associating them with
the respective nursing interventions. Conclusion: The Model contributed to assess
and recognize surgery stressors for the adolescent and to theoretically base the nursing
process. The classification allowed systematizing nursing care records, elements of clinical
practice, unifying vocabulary and codes.
Descrição
Palavras-chave
Adolescent Scoliosis Anxiety Perioperative Period
Contexto Educativo
Citação
Rev Esc Enferm USP · 2021;55:e03711
Editora
Universidade de São Paulo, Escola de Enfermagem