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Enfermería Global
On-line version ISSN 1695-6141
Abstract
AGUIAR, Letícia Lima et al. Clinical judgment in nursing diagnoses of chronic kidney patients on hemodialysis. Enferm. glob. [online]. 2020, vol.19, n.58, pp.162-197. Epub May 18, 2020. ISSN 1695-6141. https://dx.doi.org/eglobal.373931.
Objective
To analyze the result of the current state in chronic kidney patients on hemodialysis.
Method
quantitative study performed with 25 patients undergoing dialysis therapy in a tertiary hospital through the accomplishment of semi-structured interviews, physical examination and analysis of laboratory test results. In order to analyze the diagnostic inferences, we used the clinical reasoning of Alfaro-LeFevre and then applied the Outcome-Present State Test Model.
Results
We inferred 12 nursing diagnoses found in 70% of the sample, where anxiety was the priority diagnosis. In order to minimize changes in the health of the patient, the interventions chosen were: teaching: procedure/treatment; exercise promotion; progressive muscle relaxation; distraction/inattention; emotional support; nutrition control; and improved socialization.
Conclusion
the clinical reasoning technique used by this model can contribute to the agility and execution of the nursing process.
Keywords : Renal Dialysis; Nursing; Nursing Process; Nursing Diagnosis; Health Priorities.