| dc.description.abstract | Intestinal constipation presents several unpleasant and distressing symptoms. It greatly affects
cancer patients, especially those with advanced disease. Thus, nursing diagnosis constipation
is prevalent in cancer patients and can decrease their quality of life. The inference of nursing
diagnoses, through sensitive and specific clinical indicators, allows rapid and effective
interventions to obtain results which the nurse is responsible. Thus, the present study aims to
analyze the accuracy of the clinical indicators of the nursing diagnosis constipation in cancer
patients on antineoplastic chemotherapy. Diagnostic accuracy study, of the transversal type,
developed at the chemotherapy outpatient clinic of the Norteriograndense Hospital League
against Cancer. The population was composed of patients undergoing antineoplastic therapy
attended at the outpatient clinic of said hospital. The sample was 240 individuals. Data
collection took place from February to September 2018, through a form containing questions
related to sociodemographic, clinical data and diagnosis indicators. The data obtained were
analyzed with the aid of IBM SPSS Statistic version 19.0 for Windows. In the analysis of
socioeconomic and clinical data, descriptive statistics were used, and the relative and absolute
frequencies, the mean, the median, the minimum, the maximum and the standard deviation
were calculated, and the Kolmogorov-Smirnov test was applied to verify the normality of the
data (p <0.05). The project was approved by the Research Ethics Committee of the institution
responsible, under the number of opinion: 2,417,240. The results showed that the majority of
the interviewees were female, with a mean of 55.62 years, with a partner, practicing some
religion, coming from the capital and retired or pensioners. The prevalence of constipation
was 86.6%. The sensitive clinical indicators of the diagnosis were: effort to evacuate,
hypoactive bowel sounds. The specific clinical indicators were: headache, abdominal pain,
pain when evacuating, exertion when evacuating and liquid stools. Thus, it is concluded that
constipation is a prevalent nursing diagnosis in cancer patients on antineoplastic
chemotherapy. Also, there are clinical indicators that accurately predict their occurrence in
this clientele. Thus, nursing interventions should be directed to this diagnosis, in order to
prevent side effects, promote support and contribute positively to the quality of life of patients
submitted to antineoplastic chemotherapy. | |
