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Nursing diagnoses in septic patients: Association with signs, symptoms and SOFA score

Bubols JP;
Michielin FC;
Machado EO;
Nemetz B;
Silva FV;
Wachter DA;
Vizini ST;
Santos S;
Chassot MD

Jessica Pinheiro Bubols

Fabiano da Costa Michielin

Elisiane de Oliveira Machado

Betina Nemetz

Fabio Viegas da Silva

Djulia Andriele Wachter

Simone Thais Vizini

Suimara Santos

Maicon Daniel Chassot


Keywords

Nursing Diagnoses
Sepsis
Intensive care unit
SOFA

Abstract

Objective: To associate nursing diagnoses (ND) with signs/symptoms and SOFA score in septic patients. Methods: Retrospective cross-sectional study that analyzed 242 medical records. Results: The most prevalent sign was leukocytosis (42%). The average SOFA score was 7 (53.3%). The prevalent NDs with a significant association were: Risk of Infection (IR) (86%); Self-Care Deficit Syndrome (SDA) (68%) and Impaired Spontaneous Ventilation (EPV) (54.1%). SOFA >7 was associated with IR (p=0.002); SDA (p<0.001) and VEP (p<0.001). Regarding signs/symptoms, IR with leukocytosis, confusion, drowsiness and agitation (all p<0.001); DAS with leukocytosis (p=0.002), confusion (p<0.001), drowsiness (p<0.001) and agitation (p<0.001); and VEP with leukocytosis (p=0.016) and agitation (p<0.001). Conclusion: Prevalent EDs had a significant association with predominant signs/symptoms and SOFA >7.

 

DOI:https://doi.org/10.56238/sevened2024.001-002


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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2024 Jessica Pinheiro Bubols , Fabiano da Costa Michielin, Elisiane de Oliveira Machado , Betina Nemetz, Fabio Viegas da Silva , Djulia Andriele Wachter , Simone Thais Vizini , Suimara Santos, Maicon Daniel Chassot

Author(s)

  • Jessica Pinheiro Bubols
  • Fabiano da Costa Michielin
  • Elisiane de Oliveira Machado
  • Betina Nemetz
  • Fabio Viegas da Silva
  • Djulia Andriele Wachter
  • Simone Thais Vizini
  • Suimara Santos
  • Maicon Daniel Chassot