Alteração da percepção sensorial tátil em pacientes com acidente vascular cerebral : análise de conceito

Abstract

The purpose of the study is to analyze the concept of Alteration tactile sensory perception in patients with stroke, performed with analysis of literature and opinion of experts. The study aims to update the taxonomy of nursing diagnoses (ND), considering that the ND regarding this change does not appear more in the classification of NANDA International (NANDA-I), despite the change of tactile sensory perception often be identified in patients with stroke. The study objectives are: To analyze the concept of Alteration in tactile sensory perception in patients with stroke. Identify critical attributes, antecedents and consequences of Alteration in tactile sensory perception in patients with stroke; introduced the conceptual definitions and references empirical Alteration in tactile sensory perception in patients with stroke; Validate experts with the conceptual definition (diagnostic concept), background (related factors) and the resulting (defining characteristics) of Alteration in tactile sensory perception. There were two stages, the first identified attributes, antecedents and consequences of Alteration of tactile sensory perception in people with stroke based on the literature, form the search in databases: Scopus, Pubmed and Cinahl and consulting textbooks; and the second check in the opinion of the experts, about the concept (concept diagnosis), the background ( related factors) and consequent (defining characteristics), with their definitions conceptual and empirical references this phenomenon. After, performing the steps proposed produced the following results: Identification of critical attributes, related factors and defining characteristics of the phenomenon Alteration of tactile sensory perception in patients with stroke, enabling the reformulation of the concept of this clinical condition. According to the analysis of concept and after validation by experts, the phenomenon Alteration of tactile sensory perception in patients with stroke involves three critical attributes: Stimulus ideal, Reception intact and Change in interpretation. These attributes allowed the construction of the concept: Change or inability to interpret stimuli that come into contact with the individual body surface, provided ideal conditions for reception and tactile receptors by intact skin and shallow. As for the components of the phenomenon were defined factors associated with their respective concepts and operational definitions: Severity of stroke and stroke location. Defining characteristics were determined with their respective concepts and operational definitions: Change in perception of light touch, Change in perception of pressure, Change in perception of temperature, Change in the perception of texture, Change in stereognosis, Extinction a simultaneous stimuli, Change in perception of tactile location and Discrimination somatosensory impaired. It is hoped that the results can be applied in assisting people with stroke with tactile sensory changes making the practice more extensive care and based on scientific knowledge. Moreover, it is expected that the development of this study is an initial step to a new and important inclusion of human response in the taxonomy of nursing diagnoses from NANDA-I.