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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

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Nursing diagnoses and interventions in children submitted to cochlear implantation

Patrícia Juliana Santos Pereira1, Natália Fernanda Higa de Souza1, Raissa Janine de Almeida1

  • 1Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Programa de Residência Multiprofissional em Saúde, Síndromes e Anomalias Craniofaciais, Bauru, SP, Brazil.

Revista Da Escola De Enfermagem Da U S P
|June 15, 2017
PubMed

Insights

This study identified key nursing diagnoses and interventions for children after cochlear implant surgery. Essential care focused on communication, wound care, infection prevention, and managing bleeding risks for optimal patient recovery.

Area of Science:

  • Pediatric Nursing
  • Surgical Recovery
  • Audiology

Background:

  • Cochlear implantation is a critical procedure for hearing restoration in children.
  • The immediate postoperative period requires specialized nursing care to address potential complications.
  • Standardized nursing diagnoses and interventions ensure consistent and effective patient management.

Purpose of the Study:

  • To identify the primary nursing diagnoses in children undergoing cochlear implant surgery.
  • To determine the essential nursing interventions for immediate postoperative care of these pediatric patients.
  • To align nursing practice with established frameworks like NANDA-I and NIC.

Main Methods:

  • A cross-sectional study was conducted between February and April 2016.
  • Nursing history, including anamnesis and physical examination, was performed.
  • Nursing diagnoses (NANDA-International) and interventions (Nursing Intervention Classification - NIC) were systematically applied and analyzed using descriptive statistics.

Main Results:

  • Nineteen pediatric patients participated in the study.
  • The most frequent nursing diagnoses were impaired verbal communication, impaired skin integrity, risk for infection, risk for falls, and risk for bleeding (100%).
  • Key nursing interventions included improving communication, skin surveillance, infection protection, fall prevention, and bleeding precautions (100%).

Conclusions:

  • Postoperative nursing care for pediatric cochlear implant patients centers on communication enhancement.
  • Interventions effectively address bleeding control, surgical wound care, and infection prevention.
  • Ensuring patient comfort and well-being are paramount in the immediate recovery phase.
Abstract

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