Relação entre escala ecpicid-avc e diagnósticos de enfermagem da NANDA-I

Estudo de mapeamento cruzado entre os oito fatores da escala ECPICID-AVC e os 13 domínios da taxonomia NANDA-I. Realizou-se análise descritiva para apresentar os elementos mapeados.

Resultados:

Identificadas áreas de similaridade e interseção entre os oito fatores da escala e os nove domínios da NANDA-I, bem como entre esses fatores e 19 classes e 72 DEs. Todos os fatores da escala foram mapeados com o Domínio 1/Promoção da Saúde, Classe 2/Controle da Saúde, e o DE “Síndrome do idoso frágil”.

Considerações finais:

Os fatores da escala ECPICID-AVC foram mapeados de acordo com os nove domínios da NANDA-I, respectivas classes e diagnósticos. Este estudo demonstra ser importante que os enfermeiros compreendam como os DEs se relacionam com os fatores que avaliam a capacidade de cuidar de um idoso dependente por acidente vascular cerebral, pois isso permitirá o estabelecimento de diagnósticos mais adequados às necessidades do cuidador e condizentes com sua capacidade de oferecer este cuidado.

Descritores:
Diagnóstico de Enfermagem; Cuidadores; Serviços de Assistência Domiciliar; Idoso; Acidente Vascular Cerebral

ECPICID-AVC factor	Domains, classes and nursing diagnoses mapped with similarity
Capacity to feed/ hydrate via nasogastric/ gastrostomy tube	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) -Ineffective protection (00043)	-Dysfunctional gastrointestinal motility (00196) -Risk for dysfunctional gastrointestinal motility (00197) DOMAIN 4: Activity/Rest Class 2: Activity/Exercise -Impaired wheelchair mobility (00089) -Impaired standing (00238) -Impaired physical mobility (00085) -Impaired bed mobility (00091) Class 3: Energy Balance -Fatigue (00093) Class 4: Cardio -Pulmonary Responses -Risk of ineffective renal perfusion (00203) -Risk of decreased cardiac tissue perfusion (00200) Class 5: Self -care -Feeding self -care deficit (00102)	DOMAIN 11: Safety/Protection Class 1: Infection -Risk of infection (00004) Class 2: Physical Injury -Risk of aspiration (00039) -Risk of injury (00035) -Risk of shock (00205) -Impaired skin integrity (00046) -Risk of impaired tissue integrity (00248) -Risk of impaired skin integrity (00047) -Risk of pressure ulcer (00249) -Impaired oral mucous membrane (00045) -Impaired dentition (00048) -Risk of impaired oral mucous membrane (00247) -Risk of falls (00155) Class 6: Thermoregulation -Hyperthermia (00007) -Risk of imbalanced body temperature (00005)
	DOMAIN 2: Nutrition Class 1: Ingestion -Imbalanced nutrition, less than body requirements (00002) -Readiness for enhanced nutrition (00163) -Obesity (00232) -Overweight (00233) -Risk for overweight (00234) -Impaired swallowing (00103)
	DOMAIN 3: Elimination/Exchange Class 2: Gastrointestinal System -Diarrhea (00013) -Constipation (00011) -Chronic functional constipation (00235) -Risk of chronic functional constipation (00236)
		DOMAIN 5: Perception/Cognition Class 4: Cognition -Risk of acute confusion (00173)
Capacity to assist with personal hygiene	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) DOMAIN 3: Elimination/ExchangeClass 2: Gastrointestinal System -Bowel incontinence (00014)	DOMAIN 4: Activity/Rest Class 5: Self -Care -Bathing self -care deficit (00108) -Self -neglect (00193) -Toileting self -care deficit (00110) DOMAIN 11: Safety/Protection Class 4: Environmental Hazards -Risk of contamination (00180)
Capacity to assist with transfers	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) -Risk of frail elderly syndrome (00231) DOMAIN 4: Activity/Rest Class 2: Activity/Exercise -Impaired wheelchair mobility (00089) -Impaired transfer ability (00090) -Impaired walking (00088)	-Impaired physical mobility (00085) -Impaired bed mobility (00091) Class 4: Cardio -Pulmonary Responses -Activity intolerance (00092) DOMAIN 5: Perception/Cognition Class 4: Cognition -Risk of acute confusion (00173) DOMAIN 7: Role Relationships Class 3: Role Performance -Impaired social interaction (00052)		DOMAIN 11: Safety/ProtectionClass 2: Physical Injury -Impaired skin integrity (00046) -Impaired tissue integrity (00044) -Risk of impaired tissue integrity (00248) -Risk of impaired skin integrity (00047) -Risk of pressure ulcer (00249) -Risk of falls (00155)
Capacity to assist with positioning	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) DOMAIN 4: Activity/Rest Class 2: Activity/Exercise -Impaired physical mobility (00085) -Impaired sitting (00237)	DOMAIN 11: Safety/Protection Class 2: Physical Injury -Impaired skin integrity (00046) -Impaired tissue integrity (00044) -Risk of impaired tissue integrity (00248) -Risk of impaired skin integrity (00047) -Risk of pressure ulcer (00249) DOMAIN 12: Comfort Class 1: Physical Comfort -Acute pain (00132)
Capacity to provide technical assistance	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) -Ineffective health maintenance (00099) -Ineffective health management (00078) DOMAIN 4: Activity/Rest Class 2: Activity/Exercise -Impaired walking (00088)	DOMAIN 7: Role Relationships Class 1: Caregiving Roles -Caregiver role strain (00061) -Risk of caregiver role strain (00062) DOMAIN 9: Coping/Stress Tolerance Class 2: Coping Responses -Disabled family coping (00073)
Capacity to assist with bathroom use	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) DOMAIN 3: Elimination/Exchange Class 1: Urinary System -Impaired urinary elimination (00016) -Urge urinary incontinence (00019) -Risk of urge urinary incontinence (00022)	-Functional urinary incontinence (00020) Class 2: Gastrointestinal System -Bowel incontinence (00014) DOMAIN 4: Activity/Rest Class 5: Self -Care -Toileting self -care deficit (00110) DOMAIN 9: Coping/Stress Tolerance Class 2: Coping Responses -Ineffective coping (00069)
Capacity to feed/ hydrate	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) -Risk of frail elderly syndrome (00231) DOMAIN 2: Nutrition Class 4: Metabolism -Risk of unstable blood glucose level (00179) Class 5: Hydration -Risk of electrolyte imbalance (00195) -Readiness for enhanced fluid balance (00160) -Risk of imbalanced fluid volume (00025) -Excess fluid volume (00026) DOMAIN 3: Elimination/Exchange Class 2: Gastrointestinal System -Constipation (00011) -Chronic functional constipation (00235)	-Risk of chronic functional constipation (00236) -Dysfunctional gastrointestinal motility (00196) DOMAIN 4: Activity/Rest Class 2: Activity/Exercise -Impaired wheelchair mobility (00089) -Impaired physical mobility (00085) -Impaired sitting (00237) Class 4: Cardio -Pulmonary Responses -Risk of decreased cardiac tissue perfusion (00200) -Risk of impaired cardiovascular function (00239) Class 5: Self -Care -Feeding self -care deficit (00102) DOMAIN 5: Perception/Cognition Class 4: Cognition -Impaired memory (00131)		DOMAIN 11: Safety/Protection Class 2: Physical Injury -Risk of injury (00035) -Risk of pressure ulcer (00249) -Risk of shock (00205) -Impaired dentition (00048) -Risk of impaired skin integrity (00047) -Impaired oral mucous membrane (00045) -Risk of impaired oral mucous membrane (00247) Class 6: Thermoregulation -Hyperthermia (00007) -Hypothermia (00006) -Risk of imbalanced body temperature (00005) DOMAIN 12: Comfort Class 1: Physical Comfort -Acute pain (00132) -Chronic pain (0133)
Capacity to assist with dressing/undressing	DOMAIN 1: Health Promotion Class 2: Health Management -Frail elderly syndrome (00257) DOMAIN 4: Activity/Rest Class 5: Self -Care -Dressing self -care deficit (00109)

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding Author: Fernanda Laís Fengler Dal Pizzol. E-mail: fenglerfernanda@gmail.com