TITLE:
Nursing Diagnostics of Nutrition Domain of NANDA International in Hemodialysis Patients
AUTHORS:
Érida Maria Diniz Leite, Sama Mikaella de Oliveira, Maria Isabel da Conceição Dias Fernandes, Maria das Graças Mariano Nunes, Cyndi Fernandes de Lima, Ana Luisa Brandão de Carvalho Lira
KEYWORDS:
Nursing, Nursing Diagnosis, Risk Groups Nutrition, Renal Dialysis
JOURNAL NAME:
Open Journal of Nursing,
Vol.6 No.3,
March
17,
2016
ABSTRACT: Introduction: The dialysis causes the loss of the nutrients and the elevation of catabolism, thus, patients in dialysis have at high risk for the loss of body reserves of protein and energy. Objective: To identify nursing diagnoses of nutrition domain of NANDA International in hemodialysis patients and to correlate them to the socioeconomic and clinical data. Design: Cross-sectional study. Setting: Performed in a large university hospital in northeastern Brazil. Participants: The first stage was carried out with 50 patients, selected with the following inclusion criteria: Being hospitalized and undergoing hemodialysis in that hospital; aged 18 years old or over; being conscious and oriented. Exclusion criteria were patients undergoing hemodialysis in that hospital with external service, pregnant women and patients being treated by plasmapheresis. In the second stage, participants were three nursing specialists in nephrology and nursing diagnoses. Methods: The defining characteristics of the nursing diagnoses inserted in the nutrition domain were observed in patients and then these data were judged by nurses, in order to identify diagnoses present in each patient. The Chi-square, Fisher’s exact and Mann-Whitney tests were used in the analysis of the relationship of socioeconomic and clinical data, with an adopted p value of p = 0.001), origin (p = 0.014), religion (p = 0.046) and income (p = 0.039), respectively. Conclusion: The variables that showed significant association were risk of impaired liver function and gender; imbalanced nutrition: More than body requirements and origin requirements; risk for deficient fluid volume and religion; and deficient fluid volume and income.