ROSANGELA TSUKAMOTO

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SCCLMED-62, Hospital Universitário

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  • article 13 Citação(ões) na Scopus
    Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis
    (2017) TEIXEIRA, Andressa Magalhães; TSUKAMOTO, Rosangela; LOPES, Camila Takáo; SILVA, Rita de Cassia Gengo e
    ABSTRACT Objective: to identify evidence in the literature on the possible risk factors for the risk of unstable blood glucose diagnosis in individuals with type 2 diabetes mellitus, and to compare them with the risk factors described by NANDA International. Method: an integrative literature review guided by the question: what are the risk factors for unstable blood glucose level in people with type 2 diabetes mellitus? Primary studies were included whose outcomes were variations in glycemic levels, published in English, Portuguese or Spanish, in PubMed or CINAHL between 2010 and 2015. Results: altered levels of glycated hemoglobin, body mass index>31 kg/m2, previous history of hypoglycemia, cognitive deficit/dementia, autonomic cardiovascular neuropathy, comorbidities and weight loss corresponded to risk factors described in NANDA International. Other risk factors identified were: advanced age, black skin color, longer length of diabetes diagnosis, daytime sleepiness, macroalbuminuria, genetic polymorphisms, insulin therapy, use of oral antidiabetics, and use of metoclopramide, inadequate physical activity and low fasting glycemia. Conclusions: risk factors for the diagnosis, risk for unstable blood glucose level, for persons with type 2 diabetes mellitus were identified, and 42% of them corresponded to those of NANDA International. These findings may contribute to the practice of clinical nurses in preventing the deleterious effects of glycemic variation.
  • article 7 Citação(ões) na Scopus
    Assessment of an electronic system for clinical nursing documentation
    (2012) PERES, Heloisa Helena Ciqueto; LIMA, Antonio Fernandes Costa; CRUZ, Dina de Almeida Lopes Monteiro da; GAIDZINSKI, Raquel Rapone; OLIVEIRA, Neurilene Batista; ORTIZ, Diley Cardoso Franco; TRINDADE, Michelle Mendes e; TSUKAMOTO, Rosangela
    Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf-USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.