Identification of nursing diagnoses in rooming maternity of a tertiary hospital

Abstract

As part of the nursing process in puerperium, the survey of nursing diagnoses provides the basis for a selection of interventions to assist postpartum women in their real needs and to provide a qualified care. Objective: To list the main nursing diagnoses identified in postpartum nursing consultation in the maternity rooming of Maternidade Santa Lucinda, Sorocaba, São Paulo, Brazil. Method: This was a descriptive clinical study with quantitative approach, conducted with 60 mothers admitted to the institution. All of them attended the nursing consultation. Data about socio-demographic, obstetric and nursing diagnoses were collected. Results: The group studied was predominantly composed of young women, who had finished high school, were in a stable union, unemployed, mothers of a single child by normal birth. A total of 21 different diagnostic categories were identified. Among diagnoses identified, we mention: risk of infection; anxiety; disposition for improved family processes; disposition for improved paternity or maternity; disposition for improved breastfeeding; impaired tissue integrity; impaired sleep pattern, and risk of bleeding. Conclusion: The study allowed us to verify that, with the nursing diagnoses survey, one can properly apply the plan of care and educational actions to reduce risks or damages, as well as to improve nursing process. Among the most evidenced nursing diagnoses risk of infection and anxiety stand out. The findings contribute to further research on this subject, for a better understanding of the postpartum period.