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Abstract(s)
Introdução: O diagnóstico de enfermagem impaired walking integra a NANDA Internacional desde 1998. A sua natureza é física. É caracterizado pela objetividade e complexidade do fenómeno que representa e pela importância nos cuidados de enfermagem no que se refere ao risco de quedas, em particular no idoso.
Objetivo: Validar o diagnóstico de enfermagem impaired walking em idosos.
Método: Estudo observacional, transversal e quantitativo. Decorreu em três fases, sendo a primeira de revisão sistemática da literatura que identificou as características definidoras e fatores relacionados do diagnóstico de impaired walking e fatores de risco de risk for falls. A segunda, de tradução e adaptação do diagnóstico de enfermagem. A terceira, de validação clínica dos diagnósticos, através do modelo de Richard Fehring. Nesta fase, procedeu-se também à validação da Falls Efficacy Scale Internacional.
Resultados: Da revisão sistemática de literatura obteve-se 17 características definidoras, 34 fatores etiológicos de impaired walking e 48 de fatores de risco de risk for falls. Obteve-se uma versão em português europeu que precedeu a validação clínica, numa amostra de 126 idosos, cuja média de idades foi de 73,86 anos, maioritariamente do sexo feminino, com o 1º ciclo de escolaridade, em situação de reforma, viuvez e com história de quedas. A prevalência de “andar comprometido” e de “risco de quedas” foi de 64,3% e 68,3% na opinião do perito e de 67,5% e 63,5% na opinião do idoso, respetivamente. Todas as características definidoras, fatores relacionados e fatores de risco foram validados. A FES-I Portugal foi validada para a amostra considerada e revelou-se fiável e sensível para avaliar ambos os diagnósticos.
Conclusões: Este estudo permitiu fundamentar a necessidade de revisão do diagnóstico andar comprometido e risco de quedas. A identificação das características definidoras e fatores de risco mais sensíveis e específicos permitirá apoiar o enfermeiro na adequação das intervenções que possam promover resultados efetivos.
Introduction: The nursing diagnosis impaired walking is part of NANDA International since 1998. It is a diagnosis of a physical nature, characterized by the objectivity, by the complexity of the phenomenon it represents, and by the importance in nursing care in relation to the risk of falls, particularly in the elderly. Objective: Validate the nursing diagnosis impaired walking in the elderly. Method: Observational, cross-sectional and quantitative study. The first phase, a systematic literature review to identify the defining characteristics and related factors of impaired walking and risk factors of risk for falls. The second phase, of translation, linguistic and cultural adaptation of the nursing diagnosis. The third, of clinical validation of the diagnoses using the clinical validation model of Richard Fehring. At this stage, the validation of the Falls Efficacy Scale International was also performed. Results: In the systematic literature review 17 defining characteristics, 34 etiological factors of impaired walking and 48 risk of risk factors for falls have been identified. A European Portuguese version was obtained, and submitted to the clinical validation in a sample of 126 elderly, whose average age was 73.86 years, mostly female, with the 1st cycle of schooling, in a situation of retirement, widowed and with history of falls. The prevalence of "impaired walk" was 64,3% in the expert's opinion and 67,5% in the opinion of the elderly, and the prevalence of "risk of falls" was 68,3% in the expert's opinion, and 63,5% in the opinion of the elderly. All defining characteristics, related factors and risk factors have been validated. The FES-I Portugal was validated for the sample and seems to be a reliable and sensitive measure to evaluate both nursing diagnoses. Conclusions: This study justifies the need to review the nursing diagnoses impaired walking and risk of falls. The identification of the most sensitive defining characteristics and the most specific risk factors may support nurses’ clinical reasoning and interventions towards effective nursing outcomes.
Introduction: The nursing diagnosis impaired walking is part of NANDA International since 1998. It is a diagnosis of a physical nature, characterized by the objectivity, by the complexity of the phenomenon it represents, and by the importance in nursing care in relation to the risk of falls, particularly in the elderly. Objective: Validate the nursing diagnosis impaired walking in the elderly. Method: Observational, cross-sectional and quantitative study. The first phase, a systematic literature review to identify the defining characteristics and related factors of impaired walking and risk factors of risk for falls. The second phase, of translation, linguistic and cultural adaptation of the nursing diagnosis. The third, of clinical validation of the diagnoses using the clinical validation model of Richard Fehring. At this stage, the validation of the Falls Efficacy Scale International was also performed. Results: In the systematic literature review 17 defining characteristics, 34 etiological factors of impaired walking and 48 risk of risk factors for falls have been identified. A European Portuguese version was obtained, and submitted to the clinical validation in a sample of 126 elderly, whose average age was 73.86 years, mostly female, with the 1st cycle of schooling, in a situation of retirement, widowed and with history of falls. The prevalence of "impaired walk" was 64,3% in the expert's opinion and 67,5% in the opinion of the elderly, and the prevalence of "risk of falls" was 68,3% in the expert's opinion, and 63,5% in the opinion of the elderly. All defining characteristics, related factors and risk factors have been validated. The FES-I Portugal was validated for the sample and seems to be a reliable and sensitive measure to evaluate both nursing diagnoses. Conclusions: This study justifies the need to review the nursing diagnoses impaired walking and risk of falls. The identification of the most sensitive defining characteristics and the most specific risk factors may support nurses’ clinical reasoning and interventions towards effective nursing outcomes.
Description
Keywords
Enfermagem Diagnósticos de enfermagem Estudos de validação Marcha Deambular Caminhar Idosos Nursing Nursing diagnosis Walking Gait Validation studies