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Redalyc.Nursing Care in Oncology Hospitalized Patients: Diagnosis And Revista de Pesquisa Cuidado é Fundamental Online E-ISSN: 2175-5361 [email protected] Universidade Federal do Estado do Rio de Janeiro Brasil Portella Ribeiro, Juliane; Silveira Cardoso, Letícia; Silva Pereira, Claúdia Maria; Tarouco Silva, Bárbara; Kohler Bubolz, Betania; Krüger Castro, Caroline Nursing care in oncology hospitalized patients: diagnosis and interventions related to psychosocial and psychospiritual needs Revista de Pesquisa Cuidado é Fundamental Online, vol. 8, núm. 4, octubre-diciembre, 2016, pp. 5136-5142 Universidade Federal do Estado do Rio de Janeiro Rio de Janeiro, Brasil Available in: http://www.redalyc.org/articulo.oa?id=505754107032 How to cite Complete issue Scientific Information System More information about this article Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Journal's homepage in redalyc.org Non-profit academic project, developed under the open access initiative REVISTA ONLINE DE PESQUISA CUIDADO É FUNDAMENTALREVISTA ONLINE DE PESQUISA UNIVERSIDADE FEDERAL DO ESTADO DO RIO DE JANEIRO . ESCOLA DE ENFERMAGEM ALFREDO PINTO RESEARCH CUIDADO É FUNDAMENTALDOI: 10.9789/2175-5361.2016.v8i4.5136-5142 UNIVERSIDADE FEDERAL DO ESTADO DO RIO DE JANEIRO . ESCOLA DE ENFERMAGEM ALFREDO PINTO Assistência de enfermagem ao paciente oncológico hospitalizado: diagnósticos e intervenções relacionadas às necessidades psicossociais e psicoespirituais Nursing care in oncology hospitalized patients: diagnosis and interventions related to psychosocial and psychospiritual needs Oncológico hospitalizado: diagnósticos e intervenciones relacionadas asistencia de enfermería al paciente a las necesidades psicosociales y psicoespirituales Juliane Portella Ribeiro1, Letícia Silveira Cardoso2, Claúdia Maria Silva Pereira3, Bárbara Tarouco Silva4, Betania Kohler Bubolz5, Caroline Krüger Castro6 How to quote this article: Ribeiro JP; Cardoso LS; Pereira CMS, et al. Nursing care in oncology hospitalized patients: diagnosis and interventions related to psychosocial and psychospiritual needs. Rev Fund Care Online. 2016 out/dez; 8(4):5136-5142. DOI: http://dx.doi.org/10.9789/2175-5361.2016.v8i4.5136-5142 ABSTRACT Objective: This study aims at identifying the diagnosis and nursing interventions about psychosocial and psychospiritual needs of oncology patients. Method: Qualitative research, which setting was a care oncology unit. Carried out a collecting data through a structured instrument, from information contained in nursing records. Results: The diagnosis identified is concentrated in the domains of Self-perception, roles and relationship, total confrontation to stress, comfort and Principles of life. Nursing interventions carried out it has been highlighted the following: self-perception improvement, hope promoting, confrontation improvement, presence, self-esteem strengthen, family process maintenance, socialization improvement, safety increasing, emotional support, listing actively, spiritual support, body image improvement and painkillers administration. Conclusion: Is imperative to understand the impact caused by cancer, because such understanding enables the establishment of diagnosis, as well as, proper nursing interventions at the moment experienced. Descriptors: Medical Oncology; Oncology Nursing; Patient Care; Needs Assessment; Nursing Diagnosis. 1 Doctoral Student in Nursing at the Post-Graduate Program of Nursing at the Federal University of Rio Grande Program - FURG. 2 PhD in Nursing. Professor of the Nursing Course at the Federal University of Pampa - UNIPAMPA/Uruguaiana. Nurse. Member of the Social and Environmental Process Research Laboratory and Health Collective Production - LAMSA. 3 Graduate nurse from the University of the Campaign Region (URCAMP/Bagé). 4 Nurse. PhD in Nursing. Professor at the School of Nursing at the Federal University of Rio Grande (FURG). 5 Nursing Student of the 6th semester of the Federal University of Pelotas (UFPEL). 6 Nursing Student of the 6th semester of the Federal University of Pelotas (UFPEL). DOI: 10.9789/2175-5361 . 2016.v8i4.5136-5142 | Ribeiro JP; Cardoso LS; Pereira CMS; et al. | Nursing care in oncology hospitalized patients... J. res.: fundam. care. online 2016. out./dez. 8(4): 5136-5142 5136 ISSN 2175-5361. DOI: 10.9789/2175-5361.2016.v8i4.5136-5142 Ribeiro JP; Cardoso LS; Pereira CMS, et al. Nursing care in oncology hospitalized patients... RESUMO soul and the continuity of life with the highest level of life 2 Objetivo: identificar os diagnósticos e intervenções de enfermagem acerca quality possible. Consequently, taking care of the patient das necessidades psicossociais e psico-espirituais de pacientes oncológicos. implies recognizing his/her condition of weakness and Método: pesquisa qualitativa, realizada em uma unidade de internação insecurity by using technical and scientific knowledge oncológica com dados de seis prontuários. A coleta dos dados ocorreu reflexively, thus providing effective and humanized care.3 por meio de um instrumento estruturado, a partir das informações In this perspective, the nurse is oriented to get fully contidas nos registros de enfermagem. Resultados: os diagnósticos involved with the care, paying attention not only to the identificados concentraram-se nos domínios de Auto percepção, Papéis psychobiological needs, but also to the psychosociological e relacionamento, Enfrentamento total ao estresse, Conforto e Princípios and psychospiritual needs. Psycholobiological needs refer da vida. Evidenciaram-se as intervenções de enfermagem: melhora da to oxygenation, hydration, nutrition, elimination, sleep auto percepção, promoção de esperança, melhora do enfrentamento, and rest, body care, motility, mobility, physical integrity, presença, fortalecimento da autoestima, manutenção do processo familiar, melhora da socialização, aumento da segurança, apoio emocional, cutaneous and mucous integrity, shelter, sexuality, escutar ativamente, apoio espiritual, melhoria da imagem corporal e adjustment (thermal, hormonal, neurological, hydro administração de analgésico. Conclusão: É imperativo compreender saline, electrolytic, immunological, cell growth, vascular), o impacto causado pelo câncer, pois tal entendimento possibilita o perception (visual, olfactory, gustatory, auditory, tactile and estabelecimento de diagnósticos e de intervenções de enfermagem painful), environment, and therapeutic. Psychosocial needs adequadas ao momento vivido. include safety, love, freedom, communication, creativity, Descritores: Oncologia, Enfermagem Oncológica, Assistência ao Paciente, learning (education to health), gregarious, recreation, Determinação de Necessidades de Cuidados de Saúde, Diagnóstico de leisure, space, orientation in time and space, acceptance, Enfermagem. self-realization, self-esteem, participation, self-image, and attention. Psychospiritual needs are of religious or theological RESUMEN order, ethical, or of philosophy of life.4 Objetivo: identificar los diagnósticos e intervenciones de enfermería All these needs are deeply interrelated, as they comprise acerca de las necesidades psicosociales y psicoespirituales de pacientes the human being entirely. Therefore, the assessment and oncológicos. Método: investigación cualitativa, cuyo escenario fue una identification of the needs of oncological patients translate unidad de internación oncológica en seis prontuarios. La colecta de los into a valuable tool, as they allow us to detect the diagnosis datos ocurrió por medio de un instrumento estructurado, a partir de and to establish and implement nursing interventions las informaciones contenidas en el registro de enfermería. Resultados: appropriate to the moment experienced. los diagnósticos identificados se concentran en los dominios de In practice, the tendency of professionals to prioritize Autopercepción, Papeles y relacionamiento, Enfrentamiento total al the needs related to the psycholobiological aspects is often estrés, Conforto y Principios de la vida. Evidenciaron las intervenciones de enfermería: mejoría de la autopercepción, promoción de esperanza, observed, which interferes in the patient’s body functioning. mejoría del enfrentamiento, presencia, fortalecimiento de la autoestima, Although such needs demand attention to maintain life, manutención del proceso familiar, mejoría de la socialización, aumento psychosocial and psychospiritual needs are noteworthy in de la seguridad, apoyo emocional, escuchar activamente, apoyo maintaining life quality, by considering the client entirely. In espiritual, mejoría de la imagen corporal y administración de analgésico. view of the above, this work aims to identify the diagnoses Conclusión: es imperativo comprender el impacto causado por el cáncer, and nursing interventions related to the psychosocial and pues tal entendimiento posibilita el establecimiento de diagnósticos, psychospiritual needs of hospitalized oncological patients. bien como, la realización de intervenciones de enfermería adecuadas al momento vivido. Descriptores: Oncología Médica; Enfermería Oncológica; Atención al METHOD Paciente; Evaluación de Necesidades; Diagnóstico de Enfermería. A qualitative research of an exploratory and descriptive order, derived from the project “Health and nursing for the oncological patient”, approved by the Research Ethics Committee of the Universidade da Região da Campanha, INTRODUCTION Opinion No. 25/2011. The study setting was an oncology The oncologic patient is susceptible to a psychological, in-patient unit in a small sized hospital, located in a city
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