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Assessing nursing diagnoses and interventions in labour and high-risk pregnancies
Ana Lúcia de Medeiros1, Sérgio Ribeiro Dos Santos1, Rômulo Wanderley de Lima Cabral2
1Universidade Federal da Paraíba (UFPB). João Pessoa, Paraíba, Brasil.
Objective:
To evaluate the use of nursing diagnoses and interventions proposed for women in labour and high-risk pregnancies.
Method:
This is a descriptive, retrospective study with documentary analysis of 1000 medical records and a checklist conducted from July to September 2014, at a maternity hospital in Paraiba, Brazil. It consisted of analysing descriptive measures and comparing the relationship between nursing diagnoses and interventions using NANDA - International and the Nursing Interventions Classification.
Results:
The most common diagnoses in labour were acute pain (62%), fatigue (24.7%), and anxiety (22%). For high-risk pregnant women they were impaired sleep and rest (100%), risk of infection (81.8%), and anxiety (77.2%). The interventions were hand washing (80.8%) and identify and accommodate patient in the bed (78%).
Conclusion:
The diagnoses express needs during parturition and the psychobiological changes in high-risk pregnancy. The interventions are disconnected from the diagnoses and should therefore be reviewed and altered.
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