Distances walked in the six-minute walk test: suggestion of defining characteristic for the nursing diagnosis Ineffective Peripheral Tissue Perfusion

Abstract

Distances walked in walking tests are important functional markers, although they are not accepted as defining characteristics of Ineffective Peripheral Tissue Perfusion. The aims of this study were to verify the distances participants with and without this nursing diagnosis walked in the six-minute walk test and if these measures may be considered defining characteristics of this phenomenon. Participants with (group A; n=65) and without (group B; n=17) this nursing diagnosis were evaluated regarding physical examination, vascular function and functional capacity. Participants of group A seemed to have worse vascular function and functional capacity compared with those of group B. Pain-free travelled distance was predictive of the nursing diagnosis. These results are important for the refinement of this diagnosis. In conclusion, this study provides evidences that the distances walked in the six-minute walk test may be considered defining characteristics of Ineffective Peripheral Tissue Perfusion.

Accuracy of the defining characteristics of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot

“…Although specific studies on this nursing diagnosis are scarce, diabetic patients have a high prevalence of peripheral vascular disease, causing changes in the circulation of the lower limbs (Bakker et al., 2016). In agreement, ineffective peripheral tissue perfusion was identified in a significant proportion of patients with peripheral arterial occlusion in another study (Gengo et al., 2012).…”

Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis

“…In a literature review, 79 defining characteristics of the diagnosis of decreased cardiac output (00029) were identified, of which 28 were approved by NANDA-I and the others were identified as possible indicators of this diagnosis 10 . In another study, researchers found that the distances in the six-minute walk test were predictive of ineffective peripheral tissue perfusion (00204) and suggested that this could be a defining characteristic of that diagnosis 11 .…”

Development and validation of a case study to aid in the diagnostic reasoning of nursing students and nurses

“…This finding differs from a study performed with patients with PAOD, in which the ND impaired physical mobility (00085) was identified in 57% of the sample, a result that may be associated with the study period, since the ND impaired walking (00088) had not yet been incorporated into the NANDA-I Classification (Lohmann, 2001). The result found in our study shows that impaired walking (00088) has highly specific cues because the patient shows clinical manifestations of intermittent claudication, who represents highly sensitivity-DCs for this ND (Silva & Consolim-Colombo, 2011;Silva et al, 2012). The patient in the case felt pain and discomfort during walking, and needed to interrupt the effort to relieve the symptoms.…”

“…This set of cues consists of highly sensitivity DCs for the ND Impaired walking (00088). In fact, Silva et al (2012) evaluated the functional capacity of patients with PAOD and found that this population walk significantly shorter total and pain-free distances in the 6-min walking test, which has been associated with impairments in patterns of activity and ambulation.…”