Diagnósticos e intervenções de enfermagem para pacientes portadores de insuficiência cardíaca congestiva utilizando a CIPE®

Abstract

Estudo exploratório-descritivo, desenvolvido com o objetivo de construir afirmativas de diagnósticos e intervenções de enfermagem para pacientes portadores de insuficiência cardíaca congestiva. Para tanto, foram identificados na CIPE® 53 termos do eixo foco, que nortearam a construção dessas afirmativas utilizando as diretrizes do Conselho Internacional de Enfermeiros e a ISO 18.104. Foram construídas 92 afirmativas de diagnósticos de enfermagem, que depois de normalizadas, passaram a 66 e foram separadas de acordo com o modelo fisiopatológico, assim distribuídas: 13 para taquicardia, 20 para dispneia, 19 para edema e 14 para congestão. Para essas afirmativas construíram-se 234 intervenções, levando em consideração os termos do Modelo de Sete Eixos da CIPE®, a literatura da área e a experiência clínica das autoras. Espera-se que as afirmativas de diagnósticos e intervenções de enfermagem elaboradas possam favorecer a avaliação de indivíduos portadores de ICC e a construção de um subconjunto terminológico da CIPE®.

Profile of nursing diagnoses of hospitalized patients in an infectious disease unit

“…The causes of this irregularity are linked to a range of factors, such as drugs, excess fl uid in the cellular spaces and heart diseases. Irregular heart rate is translated as arrhythmias, where the heart rate in adults is above 60-100 bpm, leading to tachycardia, and below 60 bpm, leading to bradycardia (6) . The diagnosis of drug, alcohol and tobacco abuse, defi ned as the excessive or improper use of these substances (14) , was prevalent among the research subjects.…”

“…However, to implement any kind of systematic mechanism for IPD, such as the creation of nursing diagnoses, there must be a common terminology. The documentation of care, according to the nursing process, is only possible with the use of terminology (6) . The CIPE ® is considered the system that unifi es nursing language.…”

Diagnósticos e intervenções de enfermagem para a pessoa com insuficiência cardíaca descompensada Nursing diagnoses and interventions for people with decompensated heart failure

“…8 Still on this approach, a Brazilian study that aimed to build diagnostic statements and nursing interventions using the nomenclature of the ICNP® from pathophysiological model and clinical signs and symptoms of HF demonstrated the diagnoses inferred in this study, such as dyspnea, edema, fatigue, decreased cardiac output as well as the nursing interventions proposed in the management of patients with HF. 2 An integrative review aimed to identify in the national and international literature the knowledge produced about the nursing diagnoses of patients hospitalized with heart failure identified as the main diagnoses the decreased cardiac output, as well as the fluid overload, which meets with the clinical manifestations evidenced in this case under study. 20 In this sense, nursing interventions aim to improve the patient's resistance capacity, establishing mutual goals, focusing on pharmacological and non-pharmacological measures, nutritional support with sodium and liquid restriction, daily weight monitoring, guidelines for physical exercises, increased sleep and rest, regular use of medications, and especially the recognition of the signs and symptoms of clinical decompensation.…”

“…The main goal of treatment is to maintain clinical stability, reduce the length of stay, and promote better living conditions, increasing patient survival. 2 Because its incidence, it is considered a cardiovascular health epidemic of the XXI century. 3 Projections indicate that by 2025 the HF will be the first cause of death due to cardiovascular disease.…”

Teoria De Tornar-Se Humano Para a Classificação Terminológica Da Enfermagem Do Trabalho

“…[21][22] It is highlighted that these subgroups replace neither the nurses' clinical judgment nor their decision process, nor do they cover the entire nursing care domain. 11,23 Hence, this study is linked to the ICNP ® , aiming to contribute to the development of a special nursing language and to cooperate with ICN towards its transformation into a reference terminology for the strengthening and expansion of the profession's propositions in care, education and research.…”