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      Pacientes transplantados renais: análise de associação dos diagnósticos de enfermagem Translated title: Kidney transplanted patients: nursing diagnoses association analysis Translated title: Pacientes trasplantados renales: análisis de asociación de los diagnósticos enfermeros

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          Abstract

          A insuficiência renal crônica é uma doença com sérias implicações físicas, psicológicas e sócio-econômicas para o paciente. O transplante renal proporciona qualidade de vida aos renais crônicos. O objetivo desse estudo é analisar as associações entre os diagnósticos de enfermagem, os fatores relacionados e as características definidoras presentes em pacientes transplantados renais de um hospital universitário. Um estudo transversal de caráter exploratório e descritivo foi desenvolvido com 58 pacientes entre os meses de dezembro de 2004 e abril de 2005. Os instrumentos de coleta de dados foram: roteiros de entrevista e exame físico. Os resultados mostraram associações entre Padrão de sono perturbado e Disfunção sexual, Padrão de sono perturbado e Padrões de sexualidade ineficazes, Disfunção sexual e Padrões de sexualidade ineficazes. Conclui-se que o estudo contribuiu para a identificação de diagnósticos de enfermagem relacionados a características específicas destes pacientes.

          Translated abstract

          Chronic kidney inadequacy is a disease with serious physical, psychological and socioeconomic implications for the patient. The renal transplant provides life quality to chronic renal patients. The purpose of this study is to analyze associations among nursing diagnoses, related factors and defining characteristics present in renal transplanted patients of a university hospital. A descriptive, exploratory, cross sectional study was performed with 58 patients from December, 2004 to April, 2005. Data collection instruments were: interview scripts and physical exams. Results showed associations between Sleep pattern disturbance and Sexual dysfunction, Sleep pattern disturbance and Altered sexuality pattern, Sexual dysfunction and Altered sexuality pattern. The study contributes for the identification of nursing diagnoses related to specific characteristics of these patients.

          Translated abstract

          La insuficiencia renal crónica es una enfermedad con serias implicaciones físicas, psicológicas y socio-económicas para el paciente. El trasplante renal proporciona calidad de vida a los renales crónicos. El objetivo de ese estudio es analizar las asociaciones entre los diagnósticos enfermeros, los factores relacionados y las características definitorias presentes en pacientes trasplantados renales de un hospital universitario. Un estudio transversal de carácter exploratorio y descriptivo ha sido performado con 58 pacientes entre los meses de diciembre de 2004 y abril de 2005. Los instrumentos de recogida de datos fueron: guión de entrevista y examen físico. Los resultados mostraron asociaciones entre Deterioro del patrón de sueño y Disfunción sexual, Deterioro del patrón de sueño y Patrones sexuales inefectivos, Disfunción sexual y Patrones sexuales inefectivos. Se concluye que el estudio aportó para la identificación de diagnósticos enfermeros relacionados a características específicas de estos pacientes.

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          Most cited references16

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          Diagnósticos de enfermagem da NANDA: definição e classificação 2007-2008

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            Chronic renal failure: assessing the Fatigue Severity Scale for use among caregivers

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              Quality of life after renal transplantation.

              End stage renal disease (ESRD) inevitably reduces the life-span of its victims. The treatment of choice for many patients is transplantation but this does not effect a cure. Its aim is to improve renal function and thus to enhance the patient's ability to enjoy as full a life as possible. However, surprisingly little research has been concerned with quality of life after transplantation. A small-scale, exploratory study employing a qualitative design was undertaken to compare stress and quality of life between five patients with ESRD awaiting transplantation and five patients who had received a graft within the previous 6 months. The desire to undergo transplantation was fuelled by patients' perceived need to 'get off dialysis' and to 'lead a normal life'. All patients had received abundant technical information about renal transplantation and pre-operative preparation but information concerning the negative effects of transplantation, including the side-effects of medication appeared lacking. It was not possible to determine whether this information had not been supplied or had been offered but forgotten or denied. For pre-transplantation patients the main sources of stress were the need to undergo dialysis, awaiting the summons to hospital and the social isolation imposed by having a chronic condition such as constant fatigue. Post-transplantation patients were remarkably free of anxiety considering the impositions placed upon them by frequent clinic attendance to monitor their condition. Quality of life improved dramatically after transplantation despite the persistence of renal symptoms and patients felt privileged to have been offered this treatment option.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                rgenf
                Revista Gaúcha de Enfermagem
                Rev. Gaúcha Enferm.
                Universidade Federal do Rio Grande do Sul. Escola de Enfermagem (Porto Alegre )
                1983-1447
                March 2010
                : 31
                : 1
                : 108-114
                Affiliations
                [1 ] Universidade Federal do Rio Grande do Norte Brazil
                [2 ] Universidade Federal do Ceará Brazil
                Article
                S1983-14472010000100015
                10.1590/S1983-14472010000100015
                20839544
                454886e4-66cd-452f-b78f-37723877538e

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1983-1447&lng=en
                Categories
                NURSING

                Nursing
                Nursing diagnosis,Kidney transplantation,Nursing care,Diagnóstico de enfermería,Trasplante de riñón,Atención de enfermería,Diagnóstico de enfermagem,Transplante de rim,Cuidados de enfermagem

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