Clinical characteristics of COVID-19 patients and the main nursing diagnoses

  • Laurindo Pereira de Souza Institute of Medical Assistance to Public Servants of the State of São Paulo -IAMSPE/SP, Health Sciences Research and Postgraduate, São Paulo, SP, Brazil. http://orcid.org/0000-0002-9890-2621
  • Cidia Vasconcellos Institute of Medical Assistance to Public Servants of the State of São Paulo -IAMSPE/SP, Health Sciences Research and Postgraduate, São Paulo, SP, Brazil. / University of São Paulo, Medical School - FMUSP, São Paulo, SP, Brazil. http://orcid.org/0000-0003-3055-1084
  • Marcia Guerino de Lima Faculty of Biomedical Sciences of Cacoal (FACIMED), Department of Nursing, Cacoal, RO, Brazil. http://orcid.org/0000-0002-8303-1480
  • Rafael Ayres Romanholo Federal Institute of Education, Science and Technology of Rondônia (IFRO), Cacoal, RO, Brazil. http://orcid.org/0000-0002-3210-3448
Keywords: Coronavirus, COVID-19, SARS-CoV-2, nursing, nursing diagnosis

Abstract

AIMS: to present a reflection on the clinic of patients infected by COVID-19 and to propose the main nursing diagnoses based on International Classification for Nursing Practice (ICNP©).

METHOD: this is a reflection study, in which the selection criteria used were articles indexed in the MEDLINE, LILACS and BDENF databases published between December 2019 and April 2020, in English and Portuguese.

RESULTS: 10 scientific articles were part of the study, which made it possible to know the symptomatologic profile of the disease, with emphasis on the classic triad of COVID-19, which is cough, shortness of breath and fever. It revealed that the basic human need most affected in this patient profile is oxygenation in view of hypoxemia being the main complication, for which the clinical outcome was negative, especially in elderly patients.

CONCLUSION: there was a shortage and studies related to nursing in the face of this pandemic, but it was possible to conclude that ICNP© is one of the taxonomies that can be used to implement nursing diagnoses and intervention, the most frequent nursing diagnoses are related to the basic human and social need for oxygenation and vascular regulation.

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References

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al., Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020; 382:1708-20. doi/full/10.1056/nejmoa2002032

Ruan S. Likelihood of survival of coronavirus disease 2019. Lancet Infect Dis. 2020; 20(6):630-1. https://doi.org/10.1016/S1473-3099(20)30257-7

World Health Organization. Infection Prevention and Control for the safe management of a dead body in the context of COVID-19: Interim guidance [Internet]. 2020 Mar [Cited 2020 Aug 03]. 6p. Available from:

https://apps.who.int/iris/bitstream/handle/10665/331538/WHO-COVID-19-lPC_DBMgmt-2020.1-eng.pdf?sequence=1&isAllowed=y

Arentz M, Yim E, Klaff L, Lokhandwala S, Riedo FX, Chong M, et al,. Characteristics and Outcomes of 21 Critically Ill Patients With COVID-19 in Washington State. JAMA. 2020;323(16):1612-4 http://jamanetwork.com/article.aspx?doi=10.1001/jama.2020.4326

Chung JP, Yeung W. Staff Mental Health Self-Assessment During the COVID-19 Outbreak. East Asian Arch Psychiatry. 2020;30(1):34 https://doi.org/10.12809/eaap2014

Newby JC, Mabry MC, Carlisle BA, Olson DM, Lane BE. Reflections on Nursing Ingenuity During the COVID-19 Pandemic. J. Neurosci Nurs. 2020;52(5):E13 https://dx.doi.org/10.1097/JNN.0000000000000525

Tannure MC; Pinheiro AM. Sistematização da Assistência de Enfermagem SAE. 2ª ed. Rio de Janeiro. Guanabara Koogan; 2010.

Conselho Federal de Enfermagem (COFEN). Resolução COFEN-358/2009. Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem em ambientes, públicos ou privados, em que ocorre o cuidado profissional de Enfermagem, e dá outras providências [Internet]. Conselho Federal de Enfermagem [Cited 2020 Aug 03]. Available from: http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html

Horta WA. Processo de Enfermagem. São Paulo: EPU; 1979.

Nóbrega MML, Gutiérrez MGR. Classificação internacional de práticas de enfermagem-CIPE®: uma visão geral da Versão Alfa e considerações sobre a construção da Versão Beta. In: Chianca TCM, Antunes MJM (organizadores). A Classificação Internacional das Práticas de Enfermagem em Saúde Coletiva - CIPESC. Brasília: ABEn; 1999. P. 8-33.

Coenen A, Kim TY. Development of terminology subsets using ICNP®. Int. J. Med. Inform.2010.79(7):530-8.

https://doi.org/10.1016/j.ijmedinf.2010.03.005

Nóbrega MML. (Org.). Nomenclatura de diagnósticos, resultados e intervenções de enfermagem: para pacientes hospitalizados em unidades clínicas, utilizando a CIPE®. 1ª Ed. João Pessoa: Idéia; 2018.

Nóbrega MML, Gutiérrez MGR. Taxonomias e sistemas de classificação. Versão Alfa. João Pessoa: Idéia; 2000.

Conselho Internacional de Enfermeiros (CIE). Classificação Internacional para a Prática de Enfermagem - CIPE® -Versão 1.0. São Paulo: Algol. 2007.

Garcia TR (Org). Classificação Internacional para a Prática de Enfermagem- CIPE®: Versão 2017. Porto Alegre: Artmed; 2018.

Bavishi MF, Maddox CTM, Messserli FH. Coronavirus Disease 2019 (COVID-19) Infection and Renin Angiotensin System Blockers. JAMA Cardiol. 2020;5(7):745-7. https://jamanetwork.com/journals/jamacardiology/fullarticle/2764299.

Pavan K, Bhatraju PK, Bijan J, Ghassemieh BJ, Nichols M, Kim.M,et al,. Covid-19 in Critically Ill Patients in the Seattle Region-Case Series. N Engl J Med. 2020;382:2012-22. https://www.nejm.org/doi/full/10.1056/nejmoa2004500.

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al., Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. https://doi.org/10.1016/S0140-6736(20)30566-3

Huang C, Wang Y, Li X, Ren L, Zhão J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. https://doi.org/10.1016/S0140-6736(20)30183-5

Mao L, Wang M, Chen S, Wang M, Hu Y, He Q, et al. Neurological Manifestations of Hospitalized Patients with COVID-19 in Wuhan, China: a retrospective case series study. medRxiv. 2020.02.22.20026500. https://doi.org/10.1101/2020.02.22.20026500

Farias LMR, Farias CVS, Farias AMN. Assistência de enfermagem em pacientes acometidos por acidente vascular encefálico. In: 10o SINADEN - Simpósio Nacional Diagnóstico em Enfermagem [Internet]. 2010 ago 4-7 [Cited 2020 Aug 03]. Brasília, Brazil. Brasília: ABEn; 2010. p. 74–8. Available from: http://www.abeneventos.com.br/10sinaden/anais/files/completo.pdf

Published
2020-11-03
How to Cite
de Souza, L. P., Vasconcellos, C., de Lima, M. G., & Romanholo, R. A. (2020). Clinical characteristics of COVID-19 patients and the main nursing diagnoses. Scientia Medica, 30(1), e38509. https://doi.org/10.15448/1980-6108.2020.1.38509
Section
Review Articles