Aplicabilidade clínica das Intervenções de Enfermagem de um subconjunto terminológico da CIPE no cuidado a indígenas acometidos por Doença Renal Crônica

Abstract

Introduction: Chronic kidney disease (CKD) is a syndrome characterized by progressive and irreversible kidney dysfunction, considered a serious public health problem. Over the years, several factors have contributed to the development of CKD in the indigenous population. In caring for these peoples, nursing plays a fundamental role in applying standardized interventions for chronic kidney patients, considering the specificities of the indigenous setting. Objective: To evaluate the clinical applicability of Nursing Interventions included in a CIPE® terminological subset for people affected by Chronic Kidney Disease, in the practice of nurses working at the Indigenous Health Center (CASAi) in the municipality of Manaus/Amazonas. Methodology: This is a descriptive and exploratory study, conducted from January to March 2025. The study followed three phases: integrative literature review (ILR), professional characterization of nurses, and evaluation of the applicability of interventions from the CIPE terminological subset, where the Delphi technique was used to systematize the participants' consensus on nursing interventions applicable or not in the indigenous context. The data collected were categorized and discussed according to the literature and the dimensions of transition theory, the same theory used in the construction of the subset. Results: Of the 119 nursing interventions present in the subset, more than 95% (n=114) were considered applicable, and only 5 were considered inapplicable, demonstrating that nursing professionals are successful in adapting and performing the necessary actions in patient care in the indigenous setting. Regarding the non-applicable NIs, the reasons for not performing these interventions are related to structural and organizational issues. Conclusion: Nurses considered most of the interventions in the CIPE® terminology subset applicable to clinical practice at CASAi-Manaus, highlighting the ability of professionals to adapt care practices to the specificities of the local context and emphasizing the relevance of tools such as standardized terminologies in the care of indigenous people with Chronic Kidney Disease. However, structural and organizational adjustments are necessary for a more effective implementation of nursing practices in this setting.