Loading...
Publication
Análise dos registros produzidos pela equipe de saúde e da percepção dos enfermeiros sobre os sinais e sintomas de delirium
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 423.4 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Esta pesquisa pretendeu conhecer a dimensão do subdiagnóstico da confusão aguda/delirium,
ao analisar os registros produzidos pela equipe de saúde e percepção dos enfermeiros
sobre esse fenômeno. Foi desenvolvido em um hospital universitário central, de Portugal,
delineada dentro do paradigma quantitativo, utilizando a técnica documental e entrevista.
A amostra obtida, pela aplicação da Escala de Confusão NeeCham, foi de 111 doentes com
diagnóstico de confusão aguda/delirium, internados em unidades de cuidados agudos médicos
e cirúrgicos. Identificou-se taxa de subdiagnóstico do fenômeno de 12,6% nos registros e
de 30,6% tendo em conta a percepção dos enfermeiros. Em 8,1%, dos 111 casos, não foi
identificado qualquer indicador de confusão aguda/delirium. Somente 4,5% dos doentes tinha
o fenômeno diagnosticado. Os resultados apontam dificuldade para se identificar a confusão
aguda/delirium, com implicações para a qualidade dos cuidados, sugerindo a necessidade de
medidas formativas dirigidas às equipes de saúde.
This study investigates the extent of under-diagnosis of acute confusion/delirium by analyzing the records of a health team and the perception of nurses concerning this phenomenon. This quantitative study was developed in a central university hospital in Portugal and used the documentary and interview techniques. The sample obtained through the application of the NeeCham’s scale was composed of 111 patients with the diagnosis of acute confusion/ delirium hospitalized in the medical and surgical acute care units. A rate of 12.6% of underdiagnosis was identified in the records and a rate of 30.6% was found taking into account the perception of nurses. No indicators of acute confusion/delirium were found in 8.1% of the 111 cases and only 4.5% of the patients were diagnosed with acute confusion/delirium. The results indicate there is difficulty in identifying acute confusion/delirium, with implications for the quality of care, suggesting the need to implement training measures directed to health teams.
This study investigates the extent of under-diagnosis of acute confusion/delirium by analyzing the records of a health team and the perception of nurses concerning this phenomenon. This quantitative study was developed in a central university hospital in Portugal and used the documentary and interview techniques. The sample obtained through the application of the NeeCham’s scale was composed of 111 patients with the diagnosis of acute confusion/ delirium hospitalized in the medical and surgical acute care units. A rate of 12.6% of underdiagnosis was identified in the records and a rate of 30.6% was found taking into account the perception of nurses. No indicators of acute confusion/delirium were found in 8.1% of the 111 cases and only 4.5% of the patients were diagnosed with acute confusion/delirium. The results indicate there is difficulty in identifying acute confusion/delirium, with implications for the quality of care, suggesting the need to implement training measures directed to health teams.
Description
Keywords
Enfermagem Idosos Demência
Citation
Publisher
Escola de Enfermagem de Ribeirão Preto