Identificação dos diagnósticos de enfermagem da classe de respostas cardiovasculares/pulmonares em pacientes submetidos à cirurgia bariátrica

Abstract

This observational and cross-sectional study aimed to identify human responses presented by patients during the postoperative period for bariatric surgery classified into the cardiovascular/pulmonary responses class of the nursing diagnoses. The study was carried out between July 2010 and May 2011, in a reference hospital for bariatric surgery in Fortaleza, state of Ceará. The following nursing diagnoses were identified: risk for ineffective gastrointestinal perfusion (87.9 % ), risk for activity intolerance (70.7 % ), ineffective peripheral tissue perfusion (67.2 % ), risk for shock (63.8 % ), decreased cardiac output (60.3 % ), risk for decreased cardiac tissue perfusion (58.6 % ), activity intolerance (51.7 % ), risk for ineffective cerebral tissue perfusion (48.3 % ), impaired spontaneous ventilation (46.5 % ), risk for ineffective renal perfusion (43.1 % ), ineffective breathing pattern (37.9 % ) and dysfunctional ventilatory weaning response (36.2 % ). Thus, based on these results, it will be possible to direct nursing care to patients subject to bariatric surgery and consequently reduce postoperative complications.