Banca de DEFESA: JOSÉ ANTONIO DA SILVA JÚNIOR

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : JOSÉ ANTONIO DA SILVA JÚNIOR
DATA : 22/02/2024
HORA: 15:00
LOCAL: Google Meeting - https://meet.google.com/oax-ownh-kso
TÍTULO:

ASSOCIATION BETWEEN NURSING DIAGNOSIS AND SOCIODEMOGRAPHIC, CLINICAL AND SELF-CARE FACTORS IN PEOPLE WITH CHRONIC CHAGAS DISEASE

PALAVRAS-CHAVES:

Chagas disease; Nursing care; Nursing process; Nursing diagnoses; Standardized Nursing Terminology.

PÁGINAS: 109
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
SUBÁREA: Enfermagem de Saúde Pública
RESUMO:

Introduction: Chagas disease is a neglected illness that manifests in indeterminate, cardiac, digestive, and cardio-digestive clinical forms. In Brazil, an estimated 3.2 million cases were reported in 2020. In this context, nurses play a crucial role in care, with Nursing Care Systematization being an essential tool. Scientific literature on nursing care for individuals with Chagas disease, especially focusing on Nursing Diagnoses, is scarce. Objectives: To identify the main Nursing Diagnoses present among individuals with Chronic Chagas Disease treated at the Chagas Disease Outpatient Clinic of the State University of Rio Grande do Norte (ADOC/UERN); to examine the association between Nursing Diagnoses and sociodemographic variables and lifestyle habits; and to assess the association between Nursing Diagnoses and clinical variables and aspects of self-care. Materials and methods: A cross-sectional and descriptive study with a quantitative approach was conducted in the Western Potiguar Mesoregion. The research took place at ADOC/UERN, which averages 162 appointments per year. After calculation, the sample consisted of 96 individuals with chronic Chagas disease. Nursing consultations were conducted using a data collection instrument and following Orem's Theory, including history-taking and physical examination. Nursing Diagnoses were determined based on the 12th edition of NANDA–I Nursing Diagnoses. The analysis involved descriptive statistics and statistical tests such as Pearson's chi-square and Fisher's exact test. The research was approved by the Research Ethics Committee of the State University of Rio Grande do Norte. Results: The main Nursing Diagnoses identified were Sedentary Lifestyle, Risk for Impaired Cardiovascular Function, and Deficient Knowledge. Sociodemographic and clinical variables were statistically associated with Nursing Diagnoses such as Risk for Impaired Cardiovascular Function, Impaired Swallowing, Overweight, Decreased Engagement in Leisure Activities, Impaired Urinary Elimination, Risk for Falls in Adults, Anxiety, Insomnia, and Deficient Knowledge. Discussion: Nursing Diagnoses emphasize the need to expand care beyond the physiological characteristics of the disease, identifying specific care for patients despite different contexts. There is an urgency to reconsider knowledge-building processes, promoting the inclusion of Chagas disease in health undergraduate courses, especially in endemic regions. Additionally, investing in continuous education for healthcare professionals and health education programs is essential to enhance knowledge about the disease, its cardiovascular risks, necessary lifestyle changes, and to promote self-care for affected individuals and their caregivers. Conclusion: The Nursing Diagnoses in this study address not only the clinical aspects of Chagas disease but also social, physical, behavioral, economic, spiritual, and family factors, crucial for understanding the complexity of the individual. This allows for the development of integrated care plans, highlighting the need for regional and national assistance programs for individuals with chronic diseases, including intervention strategies and health education.

MEMBROS DA BANCA:
Interno - 4902 - CLEBER DE MESQUITA ANDRADE
Interna - 4256 - ELLANY GURGEL COSME DO NASCIMENTO
Externo à Instituição - MARCOS VENÍCIOS DE OLIVEIRA LOPES - UFC
Externo à Instituição - PEDRO MIGUEL DE ALMEIDA MELO