Objective: To analyze the role of nurses in antiParkinsonian pharmacotherapy based on the International Classification for Nursing Practice (ICNP®).

Background: Although it is considered an incurable disease, the medical area has been trying, for many years, the pharmacotherapy as the main strategy for improving the quality of life of patients with Parkinson’s disease. But the non-adherence to anti-Parkinsonian therapy has been much discussed by the researchers of this theme. Thus, the assumption of this research was that the studies that focus on strategies for patient adherence to drug treatment, based on standardized language diagnostics and nursing interventions, can support the role of nurses in this caring area.

Methods: We used a descriptive approach to analyzing, from March / 2009 to May / 2014, 352 records of patients with Parkinson’s disease who were participating in a rehabilitation program. Data collection and analysis were done in four steps: 1 – identifying the demographic characteristics of the patients; 2 – identification of terms related to nursing diagnoses and nursing interventions; 3 – standardization of these terms through the cross-mapping with ICNP® Version 2013; 4- validation of nursing diagnoses and nursing interventions by experts.

Results: The results from the first step of this research show that 62% of patients were male; 60% were aged between 61 and 80 years; 72% were between 1 and 10 years of the course of disease evolution; and the majority was affected by the mixed form of Parkinson’s disease (54%).

Profile of patients with Parkinson’s disease who participated in a rehabilitation program

Variables	(n=352)	%
Gender (Male/Female)+	218/134	62/38
Mean age (years)*	66±11	–
Mean duration of disease (years)*	7±5	–
Type of PD (M/AR/T)+	189/96/20	54/27/6
Mean number of ND per patient*	0.5±0.3	–
Mean number of NI per patient*	1.7±0.2	–

PD- Parkinson’s disease; M- Mixed; AR- Akinetic-rigid; T- Tremor-dominant; ND – Nursing Diagnosis NI – Nursing Interventions +categorical variables n (%); *mean ± standard deviation 164 terms of non-standardized nursing language emerged from the 352 records analyzed, which, after cross mapping with the terminology and the validation by experts, resulted in seven nursing diagnoses of ICNP® (0.5 ± 0.3).

ICNP® Nursing Diagnoses related to antiparkinsonian pharmacotherapy.

Code	Axis	Nursing Diagnosis ICNP®	n=352	%
10023937	DC	Medication Supply Deficit	37	11
10022635	DC	Impaired Ability To Manage Medication Regime	29	8
10028670	DC	Effective Response to Medication	24	7
10017043	DC	Ineffective Response To Medication	23	7
10029272	DC	Able To Manage Medication Regime	17	5
10021941	DC	Lack Of Knowledge Of Medication Regime	17	5
10021682	DC	Non Adherence To Medication Regime	17	5

As for the nursing interventions, 954 terms of the non-standardized nursing language were obtained, which resulted in five nursing interventions of the ICNP®, representing an average of 1.7 ± 0.2 nursing interventions per analyzed record.

Conclusions: The results of this research identified, through the nursing diagnoses, that patients with Parkinson’s disease have problems related to anti-Parkinson therapy. It was also observed that the nursing interventions highlighted the role of specialist nurses. However, it is considered necessary to expand this knowledge by conducting clinical research focusing nursing interventions based on nursing terminologies.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/nursing-diagnoses-and-interventions-in-rehabilitation-related-to-antiparkinsonian-pharmacotherapy/