Lip-palate clefts: nursing diagnoses in the pre and post-operatory phases. / Fissuras Lábio-Palatais: Diagnósticos de Enfermagem no Pré e Pós-Operatório

AUTOR(ES)
DATA DE PUBLICAÇÃO

2001

RESUMO

The study was performed at the Hospital de Reabilitação de Anomalias Craniofaciais – São Paulo University, Brazil, with the objective of identifying the nursing diagnoses and their frequency in the pre and post-operatory phase of the elective surgery in 40 patients (52,5% female and mean age of 22,4 years old). The evaluation was based on the Functional Health Patterns, by interview and physical examination. Four hundred and fifty four nursing diagnoses were identified for the 40 patients of the sample, being 187 in pre-operatory phase and 267 diagnoses in the post-peratory phase. 29 diagnostic categories werw identified in the pre-operatory phase and 26 in the post-operatory phase. The mean of diagnoses per patient in the pre-operatory phase was 4,7 ( 1,9) and in the post-operatory phase was 6,7 (2,3). The t Student test showed that was significant difference between the operatory phases (p<0,0001). The McNemar test showed that there was significant difference in 9 out of 35 diagnosed categories between the operatory phases. Alterations in 10 out of 11 Functional Health Patterns were identified and there was no alteration in the Value-Belief Pattern. The three most frequent altered Functional Patterns in the pre-operatory phase were: Self-Perception and Self-Concept (27,8%), Congnitive-Perceptual (22,9%), and Nutricional-Metabolic (21,9%). In the post-operatory phase: Nutricional-Metabolic Pattern (50,8%), Perception and health Control Pattern (16,3%) and Cognitive-Perceptual Pattern (14,2%).

ASSUNTO(S)

diagnóstico de enfermagem lip-palate cleft fissura lábio-palatal nursing diagnosis

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