Loading...
Publication
Perceção dos enfermeiros sobre o cuidado à pessoa com delirium no serviço de urgência
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 532.89 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O Delirium é uma síndrome orgânica com alterações da consciência e do domínio
cognitivo, com alta prevalência nos idosos admitidos no Serviço de Urgência, sendo
muitas vezes subdiagnosticado e confundido com outras doenças mentais.
Para este estudo definimos como objetivo geral: conhecer a perceção dos enfermeiros
sobre o cuidado à pessoa com delirium no SU; e como objetivos específicos: identificar
os conhecimentos dos enfermeiros que exercem funções num SU sobre os fatores
predisponentes, manifestações e instrumentos de avaliação do delirium, bem como,
identificar as intervenções de enfermagem não farmacológicas prestadas pelos
enfermeiros no SU à pessoa para a prevenção e controlo do delirium. Pretendemos assim
contribuir para a melhoria dos cuidados de enfermagem à pessoa com delirium no SU.
Foi realizada uma pesquisa exploratória, qualitativa com análise de conteúdo segundo
Bardin, através de entrevistas semiestruturadas a quatorze enfermeiros que exercem ou
exerceram funções no SU e realizaram ou estão em formação em uma instituição de
ensino superior privada. Após o consentimento as entrevistas foram realizadas através da
plataforma digital zoom.
Da análise, emergiram seis categorias, uma primeira relacionada com a 1) definição de
delirium; e cinco relacionadas com a perceção dos participantes sobre: 2) fatores
predisponentes para a ocorrência do delirium; 3) sinais e sintomas do delirium; 4)
utilização de instrumentos para a deteção precoce do delirium em contexto de SU; 5)
intervenções de enfermagem na prevenção do delirium e 6) intervenções de enfermagem
no controlo do delirium.
Concluímos que os enfermeiros devem reconhecer esta síndrome e identificar suas
características, bem como, monitorizá-lo através de instrumentos de avaliação e adotar
intervenções autónomas que garantam os cuidados centrados na pessoa com delirium.
Delirium is an organic syndrome with alterations in consciousness and cognitive domain, with high prevalence in elderly people admitted to the Emergency Department and is often underdiagnosed and confused with other mental illnesses. For this study, we defined the following as a general objective: to understand nurses' perceptions about the care of people with delirium in the ED; and as specific objectives: to identify the knowledge of nurses working in an ED about the predisposing factors, manifestations and assessment instruments for delirium, as well as to identify the nonpharmacological nursing interventions provided by nurses in the ED to people for the prevention and control of delirium. We thus intend to contribute to the improvement of nursing care for people with delirium in the ED. An exploratory, qualitative research was carried out with content analysis according to Bardin, through semi-structured interviews with fourteen nurses who work or have worked in the ED and have completed or are in training at a private higher education institution. After consent, the interviews were conducted through the digital platform Zoom. From the analysis, six categories emerged, the first one related to 1) the definition of delirium; and five related to the participants' perception of: 2) predisposing factors for the occurrence of delirium; 3) signs and symptoms of delirium; 4) use of instruments for the early detection of delirium in the context of ED; 5) nursing interventions in the prevention of delirium and 6) nursing interventions in the control of delirium. We conclude that nurses should recognize this syndrome and identify its characteristics, as well as monitor it through assessment instruments and adopt autonomous interventions that ensure care centered on the person with delirium.
Delirium is an organic syndrome with alterations in consciousness and cognitive domain, with high prevalence in elderly people admitted to the Emergency Department and is often underdiagnosed and confused with other mental illnesses. For this study, we defined the following as a general objective: to understand nurses' perceptions about the care of people with delirium in the ED; and as specific objectives: to identify the knowledge of nurses working in an ED about the predisposing factors, manifestations and assessment instruments for delirium, as well as to identify the nonpharmacological nursing interventions provided by nurses in the ED to people for the prevention and control of delirium. We thus intend to contribute to the improvement of nursing care for people with delirium in the ED. An exploratory, qualitative research was carried out with content analysis according to Bardin, through semi-structured interviews with fourteen nurses who work or have worked in the ED and have completed or are in training at a private higher education institution. After consent, the interviews were conducted through the digital platform Zoom. From the analysis, six categories emerged, the first one related to 1) the definition of delirium; and five related to the participants' perception of: 2) predisposing factors for the occurrence of delirium; 3) signs and symptoms of delirium; 4) use of instruments for the early detection of delirium in the context of ED; 5) nursing interventions in the prevention of delirium and 6) nursing interventions in the control of delirium. We conclude that nurses should recognize this syndrome and identify its characteristics, as well as monitor it through assessment instruments and adopt autonomous interventions that ensure care centered on the person with delirium.
Description
Keywords
delirium enfermagem assistência de enfermagem intervenções de enfermagem serviço de emergência nursing nursing care nursing interventions emergency service