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Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period

Ana Flávia Martinez1, Nayara Tomazi Batista1, Gesiane Cristina Bom1

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

Revista Da Escola De Enfermagem Da U S P
|January 10, 2022
PubMed

Insights

This study identified key nursing diagnoses and interventions for children recovering from palatoplasty surgery. Standardized nursing languages improved clinical reasoning and care organization for pediatric patients.

Area of Science:

  • Pediatric Nursing
  • Surgical Care
  • Nursing Informatics

Background:

  • Palatoplasty is a common surgical procedure in children.
  • Effective postoperative care is crucial for optimal recovery.
  • Standardized nursing languages can enhance care planning.

Purpose of the Study:

  • To identify primary nursing diagnoses and interventions for children in the immediate postoperative period following palatoplasty.
  • To analyze the application of standardized nursing languages in pediatric surgical care.

Main Methods:

  • Retrospective, documentary study conducted in a Brazilian tertiary hospital.
  • Included 126 children aged 10-24 months who underwent palatoplasty between January and December 2019.
  • Utilized the Theoretical Framework of Basic Human Needs and NANDA International and Nursing Interventions Classification Taxonomies.

Main Results:

  • Psychobiological needs, including oxygenation, hydration, nutrition, elimination, integrity, and pain management, were predominant.
  • Nine nursing diagnoses (four problem-focused, five risk-focused) and 17 nursing interventions were identified.
  • Descriptive statistical analysis was applied to the collected data.

Conclusions:

  • Standardized nursing languages facilitated the identification of affected human needs, diagnoses, and interventions.
  • The use of these languages supported clinical reasoning and organized clinical nursing practice for palatoplasty patients.
  • This approach enhances the quality and consistency of postoperative nursing care in pediatric surgery.
Abstract

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