Caracterização dos diagnósticos de enfermagem de pacientes internados em uma unidade de cardiologia

Abstract

This retrospective, descriptive-exploratory study aimed to formulate the most frequent nursing diagnoses (ND) among inpatients with ischemic heart disease and its association with sociodemographic and clinical data. Data collection was carried out by an instrument based on defining characteristics and risk factors (Taxonomy II, North American Nursing Diagnosis Association International) and submitted to descriptive and inferential analyses to test the association between ND and demographic and clinical data. Seventy-seven ND were formulated, and 18 ND were above 75 percentile. From those ND, 15 were associated to at least one sociodemographic or clinical variable as gender, age, marital status, professional activity and associated clinical condition.

Competências do enfermeiro na promoção da saúde de indivíduos com cardiopatias crônicas

“…In a study that sought to use NP in 30 patients hospitalized for cardiovascular disease, it was shown that the list of nursing diagnoses was associated with a better analysis of the responses to cardiovascular disease (25) . These findings corroborate with other researchers (3,14,22) .…”

“…Plannning -Plan workable strategies for health promotion (12)(13)(14)(15)(16)(17)(18)(19)(20)23,26,28,30) -Use systematic process in care planning (3,14,22,25) -Develop action plans and coping (21) Implementation -Monitor telehealth (12,16,(18)(19)26) -Develop empowerment actions (12)(13)16,20,26,28,30) -Promote strategies to access health services (13)(14)20) -Implement cardiac rehabilitation program (home visits) (15)(16)28) -Cope with obstacles (17,21) -Implement behavioral intervention program (promotion of physical activity) (17) -Analyze health data (29) Assessment -Assess the use of hard technologies for health promotion (12,19,26,29) -Assess the use of light technologies for health promotion and disease prevention (13)(14)…”

“…In the topic, we highlight the Nursing Process (NP), means that enables the implementation of a broad theoretical framework of nursing clinical practice, making individualized care possible, in an ordered manner and directed to results (14,22) .…”

Nursing Diagnosis Based on Signs and Symptoms of Patients With Heart Disease

“…It is known that the ND decreased cardiac output has been described mainly in patients with heart failure as well as excessive fluid volume. Both NDs have defining characteristics such as dyspnea, paroxysmal nocturnal dyspnea, orthopnea, fatigue, jugular vein distension, and edema (Aliti et al, 2011;Brandão, Altino, Silva, & Lopes, 2011;Nunciaroni, Gallani, Agondi, Rodrigues, & Castro, 2012). Depending on the location of the AMI and the affected area, some patients have signs and symptoms of heart failure associated with it.…”

Application of the Outcome-Present State Test Model in Patient With Congestive Heart Failure

“…[18][19][20][21][22] Pesquisa realizada nos Estados Unidos, em três hospitais, identificou quatro diagnósticos de enfermagem principais de 302 idosos com insuficiência cardíaca: intolerância à atividade, débito cardíaco diminuído, risco de quedas e conhecimento deficiente. 23 Revisão integrativa conduzida nas bases de dados Literatura Latino-Americana do Caribe em Ciências da Saúde (LILACS), SCIELO 10 Enfermeiros devem mensurar os resultados dos pacientes antes e depois das intervenções.…”