Main nursing diagnoses and interventions for Hellp Syndrome
DOI:
https://doi.org/10.56294/saludcyt2022106Keywords:
Nursing Diagnosis, HELLP Syndrome, ObstetricsAbstract
Introduction: HELLP Syndrome is one of the most severe forms of preeclampsia, worsening the maternal prognosis. Generally it affects multiparous women, with more advanced age, and the difficult diagnosis to be accomplished, it is important that these pregnancies be identified early by the health professionals for an adequate assistance, in order to avoid deaths and complications.
Objective: to identify the main nursing diagnoses and nursing interventions for HELLP syndrome carriers.
Method: a cross-sectional, descriptive and prospective data analysis study. In conducting this method, four steps were followed: identification of the problem, literature search of primary studies, identification of nursing diagnoses and nursing interventions. To proceed with the search, we used descriptors in Health Sciences (DeCS): Nursing Diagnosis, HELLP Syndrome, Obstetrics and in the Portuguese language.
Results: 11 nursing diagnoses specific to the Hellp Syndrome were described, diagnosed by the book: North American Nursing Diagnosis Association (NANDA), edition 2021-2023 and 55 nursing interventions related by the book: Nursing Interventions Classification (NIC).
Conclusion: HELLP Syndrome is a serious complication of pregnancy, and it can be one of the aggravations of preeclampsia, presenting a great maternal and perinatal mortality, with difficult diagnosis. The nursing diagnoses and interventions for this disease provide nurses with effective decision making in their assistance to women with this obstetric emergency
References
1. Couto SI da S, Pacheco ICO, Santos ARB, Silva RM da, Lima M da CF de, Silva P de O, et al. Enfermagem no diagnóstico da Síndrome HELLP na Atenção Básica. Research, Society and Development 2022;11:e46911225950–e46911225950. https://doi.org/10.33448/rsd-v11i2.25950.
2. Abrahão ÂCM, Santos RFS, Viana SR de G, Viana SM, Costa CSC. Atuação do enfermeiro a pacientes portadoras de Síndrome Hipertensiva Específica da Gestação. REVISTA CIENTÍFICA DA ESCOLA ESTADUAL DE SAÚDE PÚBLICA DE GOIÁS “CÂNDIDO SANTIAGO” 2020;6:51–63.
3. Nunez NAH, Santos WA. Saúde da mulher: patologias obstétricas e diagnósticos de enfermagem. São Paulo: Publit; 2017.
4. Vanelli CM, Camargo IT de, Ribas JLC. Síndrome HELLP: fisiopatologia e acompanhamento laboratorial. Revista Saúde e Desenvolvimento 2017;11:242–57.
5. Krebs VA, Silva MR da, Bellotto PCB. Síndrome de Hellp e Mortalidade Materna: Uma revisão integrativa / Hellp Syndrome and Maternal Mortality: An Integrative Review. Brazilian Journal of Health Review 2021;4:6297–311. https://doi.org/10.34119/bjhrv4n2-184.
6. Alves AKR, Silva BBL da, Alves FR de O, Silva L dos S, Machado LFCB, Pinho AM, et al. O perfil clínico e o manejo terapêutico da síndrome HELLP: revisão integrativa. Research, Society and Development 2021;10:e450101422194–e450101422194. https://doi.org/10.33448/rsd-v10i14.22194.
7. Fialho LA, Ferreira BAS, Galvani FB, Queiroz GRS, Almeida GC de, Vasconcelos ÍTT, et al. Identificação do perfil epidemiológico e dos fatores de risco pré-gestacionais e gestacionais relacionados ao desenvolvimento da síndrome hellp / identification of the epidemiological profile and pre-gestional and gestational risk factors related to the development of hellp syndrome. Brazilian Journal of Health Review 2021;4:7965–77. https://doi.org/10.34119/bjhrv4n2-330.
8. Doenges ME, Moorhouse MF, Murr AC. Nursing diagnosis manual: planning, individualizing, and documenting client care. 7th edition. Philadelphia: F.A. Davis; 2022.
9. Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Clasificación de intervenciones de enfermería (NIC). Séptima edición. Barcelona, España: Elsevier; 2019.
10. Oliveira RS de, Matos IC de, Silva TBP da, Azevedo NM de, Andrade M, Santo FH do E. Síndrome Hellp: estudio de revisión para la atención de enfermería. Enfermería Global 2012;11:337–45. https://doi.org/10.6018/eglobal.11.4.159241.
11. de Brito KKG, de Moura JRP, de Sousa MJ, de Brito JV, dos Santos Oliveira SH, Soares MJGO. Prevalência das síndromes hipertensivas específicas da gestação (SHEG). Revista de pesquisa Cuidado é fundamental online 2015;7:2717–25. https://doi.org/10.9789/2175-5361.2015.v7i3.2717-2725.
12. Mariano MSB, Belarmino A da C, Vasconcelos JMS, Holanda LCA de, Siqueira DD, Junior ARF. Mulheres com síndromes hipertensivas. Revista de Enfermagem UFPE on line 2018;12:1618–24. https://doi.org/10.5205/1981-8963-v12i6a230780p1618-1624-2018.
13. Vitorino PG da S, Flauzino VH de P, Gomes DM, Hernandes L de O, Cesário JM dos S. Assistência de enfermagem em pacientes com síndrome de HELLP. Research, Society and Development 2021;10:e47810817669–e47810817669. https://doi.org/10.33448/rsd-v10i8.17669.
14. Sampaio TAF, Santana TD, Hanzelmann R da S, Santos LF de M dos, Montenegro HR do A, Martins JS de A, et al. Cuidados de enfermagem prestados a mulheres com hipertensão gestacional e pré-eclampsia. Revista Saúde Física & Mental- ISSN 2317-1790 2013;2:36–45.
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Copyright (c) 2022 Hyona Brazolin Beltrão, Cristina Gonçalves Reis Brito, Daniele Costa Sousa, Maria Eduarda Ferreira da Silva, Patrícia Facina Brandão, William Alves dos Santos (Author)
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