Terminología especializada de enfermería para el cuidado a la persona con COVID-19

Araújo, Diego Dias de; Nascimento, Maria Naiane Rolim; Mota, Écila Campos; Ribeiro, Maíra Marques; Gonçalves, Renata Patricia Fonseca; Gusmão, Ricardo Otávio Maia; Félix, Nuno Damácio de Carvalho

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Brasil

Revista Brasileira de Enfermagem

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (Suppl 1) • 2021 • https://doi.org/10.1590/0034-7167-2020-0741 copiar

Terminología especializada de enfermería para el cuidado a la persona con COVID-19

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Construir una terminología especializada de enfermería para el cuidado a la persona con COVID-19.

Métodos:

Estudio metodológico, realizado basado en la identificación de conceptos relativos al cuidado a la persona con la infección, presentes en las directrices oficiales del Ministerio de Salud de Brasil; la validez de los conceptos realizada por tres enfermeras especialistas; y hecho mapeo cruzado de los conceptos extraídos con los conceptos primitivos de la CIPE® 2019.

Resultados:

Del total de 436 conceptos únicos, 399 validados; de estos, 70,9% constaban en la Clasificación y se referían al cuidado de enfermería a la persona con COVID-19. En los Ejes, destacaron los conceptos relacionados al Foco, Acción y Medio. Cuanto a los conceptos no validados, 78,4% no constaban en la versión 2019 de la CIPE®.

Conclusión:

Estructuró una terminología especializada de la CIPE® con potencial para generación de indicadores del cuidado de enfermería a la persona con COVID-19.

Descriptores:
Enfermería; Terminología Estandarizada en Enfermería; Infecciones por Coronavirus; Cuidados de Enfermería; Investigación Metodológica en Enfermería

AXIS	n^* * n: absolute number.	CONSTANT CONCEPTS
Focus	n = 141	Abandonment (10041692), Abstinence (Distancing or Withdrawal of Something) (10035422), Acceptance (10000329), Access (10000340), Screening Monitoring (10037173), Adaptation (10001741), Adherence (10030298), Agitation (10025705), Water (10020957), Allergy (10041119), Self-feeding (10017730), Breastfeeding (10003645), Sample (or Specimen) (10018531), Anguish (10006118), Anxiety (10002429), Air (10002061), Arrhythmia (10002536), Aspiration (10002656), Autonomy (10003054), Capacity (10000034), Sensory Capacity (10024035), Shock (10018050), Septic Shock (10017898), Cognition (10004485), Coma (10004629), Complication (10025459), Behavior (10003217), Resting Behavior ( 10017129), Communication (10004705), Hemodynamic Condition (10051564), Neurological Condition (10013141), Respiratory Condition (10016962), Confusion (10004947), Congestion (10004952), Knowledge (10011042), Consciousness (10004975), Consciousness, Impaired (10012634), Contamination (10025369), Control (10005135), Seizure (10046505), Cardiac Output (10003887), Discomfort (10023835), Dehydration (10041876), Diabetes (10005876), Diarrhea (10005933), Dyspnea (10006461), Willingness (or Readiness) (10016414), Pain (10013950), Arthritic Pain (10047104), Muscle Pain (10012316), Edema (10041951), Medication Effect (10006333), Elimination (10006720), Coping (10005208), Sputum (10018717), Stress (10018888), Physical Examination (10032243), Physical Exercise (10007315), Expectation (10023679), Contagion Exposure (10044009), Contamination Exposure (10025324), Fatigue (10007717), Fever (10007916), Weakness (10024897), Heart Rate (10008833), Respiratory Rate (10016904), Hand Hygiene (10041190), Self-Hygiene (10017769), Hypertension (10009394), Hyperthermia (10009409), Hypotension (10009534), Hypothermia (10009547), Hypoxia (10009608), Body Image (10003405), Disability (or Limitation) (10005980), Infection (10010104), Fluid Intake (10006276), Integrity (10010416), Activity Intolerance (10000408), Injury (10010284), Management (Self Control), (10046837), Fear (10007738), Metabolism (10012005), Microorganism (10012014), Death (10005560), Movement (10012274), Nausea (10012453), Necessity (10012495), Necrosis (10012482), Obesity (10013457), Obstruction (10013555), Organism (10013783), Orientation (10013810), Hygiene Standard (10009292), Paper (10017321), Sensory Perception (10024042), Weight (10021034), Weight, Impaired (10013016), Worry (10015466), Pressure (10015608), Blood Pressure (10003335), Procedure (10034409), Impaired Immune System Process (10041093), Pathological Process (10014121), Recovery (10016507), Regimen (10016609), Resistance (10006875), Panting (10033334), Result (10017186), Laboratory Result (10011074), Respiratory Rhythm (10016915), Routine (10017384), Bleeding (10003303), Blood (10003319), Blood Oxygen Saturation (10030845), Secretion (10017635), Sign (10018130), Discomfort Sign (10037282), Vital Sign (10020829), Symptom (10019368), Cardiovascular System (10003936), Respiratory System (10016970), Suffering (10025588), Solitude (10011417), Solution (10018499), Sleep (10041399), Susceptibility (10019296), Suspicious (10019310), Tachycardia (10019415), Temperature (10019556), Temperature (Temperature) Body (10003507), Thermoregulation (10019644), Diagnostic Test (10031138), Cough (10005249), Ulcer (10020237), Pressure Ulcer (Injury) (10015612), Urine (10020478), Ventilation (10020704), Postural Vertigo (Dizziness) (10006160), Surveillance (10002144), Vomiting (10020864)
Judgment	n = 14	High (10009007), Abnormal (10013269), Delayed (or Slow) (10022089), Low (10011438), Continuous (10005086), Dependency (10026671), Diagnosis and Result, Positive (10016479), Degree (10005663), Severity (10025849), Light (10025854), Moderate (10025865), Small (10018315), Presence (10046624), Risk (10015007)
Action	n = 57	Follow (10042609), Advise (10005254), Relieve (10002171), Change (10002185), Analyze (10002298), Apply (10002464), Aspirate (10002641), Increase (10009961), Hear (10003012), Auxiliary (10002850), Evaluate (10007066), Collaborate (10004542), Collect (10004574), Place (or Put) (10016201), Confirm (or Check) (10020727), Contain (or Limit) (10017155), Discard (10006063), Develop (10005848), Disinfect (10006044), Decrease (10005600), Raise (10006691), Stage (10018738), Stimulate (10018842), Avoid (10003077), Examine (10007256), Explain (10007370), Facilitate (10007499), Sanitize (or Caring for Hygiene) (10009285), Identify (10009631), Implement (10009840), Induce (10010039), Inform (10010162), Insert (10010324), Interrupt (10010526), Isolate (10010906), Wash (10020935), Clean (10004444), Manipulate (10011710), Mediate (10011845), Measure (or Check) (10011813), Monitor (10012154), Notify (10001917), Observe (10013474), Offer (10013636), Guide (10019502), Prioritize (10015736), Protect (10015864), Provide (Supply) (10015935), Reinforce (10016650), Register (10016498), Report (10016771), Remove (10016763), Trace (or Track) (10019967), Transfuse (10051670), Vaccinate (10020552), Measure (or Check) (10011813), Watch (or Investigate) (10019283)
Medium	n = 28	Aerosol (or Spray) (10001940), Analgesic (10002279), Antibiotic (10002383), Cannula (10003856), Catheter (10004087), Surgery (10019212), Clinical Management (10004463), Peritoneal Dialysis (10014393), Respiratory Device (10016958), Drugs (10006314), Inter-professional Team (10039400), Hemotherapy (10003361), Mask (10011752), Medication (10011866), Oxygen Therapy (10013921), Pulse Oximeter (10032551), Plan (10014630), Protocol (10015926), Restrict (or Contain) (10017172), Soap (10018358), Emergency Service (10031206), Nutritional Supplement (10037016), Technique (10019525), Therapy (10019628), Inhalation Therapy (or Nebulization) (10010213), Respiratory Therapy (10037085), Tube (10020216), Vaccine (10020568)
Location	n = 29	Abdomen (10000023), Forearm (10008164), Arm (10002504), Head (10008688), Heart (10008822), Body (10003388), Face (10007481), Hospital (10009114), Lower (10011440), Intestine (10010557), Lip (10011377), Tongue (10019824), Workplace (10021145), Hand (10008661), Mucous Membrane (10012288), Muscle (10012290), Nose (10013314), Eyes (10007452), Foot (10008155), Skin (10018239), Lung (10011486), Kidney (10022439), Upper (10020325), Thorax (10019692), Trachea (10019922), Tracheostomy (10019933), Intensive Care Unit (10010444), Nasal Pathway (10012430), Ocular Way (10013615)
Time Period	n = 07	Admission (10001843), Acute (10001739), Chronic (10004395), Exam (10007241), Frequency (10008234), Visit (10020817), Home Visit (10009082)
Client	n = 07	Community (10004733), Caregiver (10003958), Family (10007554), Group (10008544), Individual (10010018), Family Member (10007596), Patient (10014132)

AXIS	n^* * n: absolute number.	NON CONSTANT CONCEPTS
Focus	n = 53	Blood sample, Secretion sample, Anorexia, Asymptomatic, Atrophy, Venous catheter, Headache, Cyanosis, Understanding, Direct contact, Home contact, Runny nose, Decision, Acid-Base Imbalance, Dissemination, Health Education, Effort, Rattle, Stridor, Adverse Event, Blood Flow, Lung Function, Arterial Gasometry, Blood Glucose, Hemodynamics, Hemoptysis, Nasal Hygiene, Oral Hygiene, Hypoxemia, Immunity, Inappetence, Incontinence, Infrastructure, Mobility, Level of Consciousness, Nutrition, Death, Nasal Obstruction, Respiratory Pattern, Precaution of Contact, Prevention, Pulse, Therapeutic Regime, Rest, Wheezing, Emotional Suffering, Mental Suffering, Transmission, Community Transmission, Vertical Transmission, Thromboembolism, Mechanical Ventilation, Viruses
Judgment	n = 10	Active, Critical, Deficit, Difficulty, High, Unstable, Insufficient, Minor, Prophylactic, Reduced
Action	n = 16	Approach, Welcome, Adopt, Present, Classify, Stratify, Encourage, Indicate, Intervene, Modify, Enable, Prevent, Accomplish, Recommend, Recognize, Request
Medium	n = 24	Drug administration, Alcohol, Antiretroviral, Barrier, Coagulation, Contact, Equipment, Scale, Radiographic examination, Serological examination, Cold, Respiratory droplet, Blood culture, Hemogram, History, Isolation, Home isolation, Surgical mask, Fabric mask, Disinfectant solution, Saline Solution, Transport, Treatment, Screening
Location	n = 08	Mouth, Domicile, Endotracheal, Gastrointestinal, Bed, Nasopharynx, Oropharynx, Orotracheal
Time Period	n = 01	Quarantine
Client	n = 04	Client, Pregnant Woman, Population, Visitor

CIPE® 2019	n^* * n: absolute number.	NON VALIDATED CONCEPTS
Constant	n = 08	Characteristic (10004170), Fetus (10007900), Gloves (10007900), Material (10011775), Meditation (10011897), Medium (10012022), Situation (10018202), Rate (10016390)
Not Constant	n = 29	Absenteeism, Anemia, Angina, Antiviral, Refresh, Disposable apron, Communicable Disease, Space, Inspiratory Rattle, Experience, Hyperinflation, Impermeable, Acquired Immunity, Interval, Intubate, Contact Isolation, Respiratory Isolation, Procedure Glove, Protective Mask, Facial Mask, Goggles, Community Paper, Sensory, Hypotonic Solution, Serology, Afternoon, Environmental Therapy, Invasive Ventilation, Manual Ventilation

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E-mail: reben@abennacional.org.br

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[1] Corresponding author: Diego Dias de Araújo E-mail: diego.araujo@unimontes.br