TRANSPLANTADOS CARDÍACOS EM PÓS-OPERATÓRIO MEDIATO: DIAGNÓSTICOS DE ENFERMAGEM SEGUNDO PRESSUPOSTOS DE HORTA* Heart transplanted patients in mediate postoperative period: Nursing diagnoses based on Horta assumptions Trasplantados cardíacos en el pos‑operatorio mediato: diagnósticos de Enfermería según los supuestos de Horta
2015
Objective: To identify the profile of Nursing diagnoses in heart‑transplanted patients in the postoperative period from the Taxonomy II of the North‑American Nursing Diagnosis Association, and to discuss them using Horta's assumptions and scientific literature. Method: A retrospective, des‑ criptive, exploratory study performed in Belo Horizonte, Minas Gerais State, Brazil, in a large‑sized general hospital. The sample consisted of 49 adult patients, aged ≥18 and <60 years, of both genders, heart‑transplanted subjects in the postoperative period. Data were collected from patient records. Results: We identified 12 Nursing diagnoses, divided into 10 real and two potential ones, 100% belonging to the psychobiological basic human need. Conclusion: There was not a diagnostic identification for psychosocial and psychospiritual needs. According to Horta, the biologicist paradigm moves Nursing career to the patient's fragmentation, keeps nurse in alienation, and is opposed to the pragmatic focused on holism.
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