Situation-Specific Theory from Autonomic Dysreflexia Nursing Diagnosis Based on Roy’s Adaptation Model

Judy Ximena Ramos-Garzón; Giovanny Andrés Perez-Jaimes; Leidy Johanna Rueda Díaz

doi:10.5294/aqui.2023.23.4.3

Autores

Judy Ximena Ramos-Garzón Autor Industrial University of Santander https://orcid.org/0000-0002-8459-076X
Giovanny Andrés Perez-Jaimes Autor University of São Paulo https://orcid.org/0000-0001-9468-5394
Leidy Johanna Rueda Díaz Autor Industrial University of Santander https://orcid.org/0000-0001-5549-5926

DOI:

https://doi.org/10.5294/aqui.2023.23.4.3

Palavras-chave:

Adulto, diagnóstico de enfermagem, teoria de enfermagem, disreflexia autonômica, doenças da medula espinal

Resumo

Introdução: a disreflexia autonômica (DA) é uma condição secundária à lesão da medula espinhal que se manifesta na perda de respostas autonômicas coordenadas e no controle cardiovascular. Para o atendimento ao paciente, os profissionais de enfermagem contam com o diagnóstico de DA que permite a interpretação adequada das respostas humanas do indivíduo. No entanto, há necessidade de fortalecer e atualizar o diagnóstico para o novo conhecimento disciplinar que evolui com a prática de enfermagem. Para isso, é essencial uma teoria situacional específica que explique o fenômeno de interesse e oriente a prática. Objetivo: Construir uma teoria situacional específica para o diagnóstico de enfermagem da DA derivada da adaptação do modelo de Sor Callista Roy. Materiais e método: estudo teórico desenvolvido em cinco etapas: definição da abordagem para construir a teoria, definição de conceitos-chave, desenvolvimento de um diagrama pictórico, construção de proposições e estabelecimento de relações causais e evidências para a prática. Resultados: a teoria específica da situação incluiu a definição da abordagem para a construção da teoria, a definição dos principais conceitos, o desenvolvimento de um diagrama pictórico, a construção de proposições e o estabelecimento de relações causais e evidências para a prática. Os conceitos e suas relações são descritos por meio de 7 proposições e foram identificados 19 comportamentos ineficazes e 43 estímulos ambientais. Destes, 39 são focais e 4 são contextuais. Conclusões: essa teoria específica da situação fornece uma explicação informada e abrangente da resposta humana à DA para apoiar a assistência de enfermagem.

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