Clinical Validation of the Nursing Diagnosis, Decreased Cardiac Tissue Perfusion, in Patients with Coronary Artery Obstruction

Gonçalves, Juliana Rocha; Giovanini, Laís Pereira; Lopes, Juliana de Lima; Cornélio, Marilia Estevão; Lopes, Marcos Venícios de Oliveira; Oliveira‐Kumakura, Ana Railka de Souza

doi:10.1111/2047-3095.12269

Cited by 2 publications

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“…This is an observational, associative, quantitative, and cross-sectional study derived from a clinical construction validation study based on accuracy test models (3). The research scenario comprised the emergency, hospitalization, intensive care, and hemodynamic units in Brazil.…”

Section: Designmentioning

confidence: 99%

“…For this reason, the sample size may vary from 5 to 30 individuals for each defining characteristic (7). Therefore, considering that the Nd of dcTP has 15 defining characteristics, a total of 5 patients were considered per each defining characteristic, totaling 75 patients (3).…”

Section: Participants and Samplementioning

confidence: 99%

“…As for the care of patients with susceptibility to decreased cardiac tissue perfusion (dcTP), we identify the nursing diagnosis risk for decreased cardiac tissue perfusion (00200) in the taxonomy. To assist in the development of NANdA-i Taxonomy ii, two recent surveys have proposed and validated (2,3) the Nd of dcTP, presenting acute coronary syndromes (AcS) as the most common associated condition. These works also discuss the relationship of dcTP with other diagnoses concerning Domain 4 -Activity/Rest, Class 4 -Cardiovascular/Pulmonary responses, such as decreased cardiac output and activity intolerance.…”

Section: Introductionmentioning

confidence: 99%

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Risk for decreased cardiac tissue perfusion and activity intolerance: Association study

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Objective: To identify the nursing diagnoses of risk for decreased cardiac tissue perfusion and risk for activity intolerance and establish the association between the components of both diagnoses and the signs and symptoms of acute coronary syndromes. Materials and methods: Observational and associative study with 75 patients diagnosed with acute coronary syndrome in a Brazilian public hospital. Inferential statistics and multiple Poisson regression models were applied. Results: 84% of the patients showed risk for activity intolerance and 80% reported risk for decreased cardiac tissue perfusion. Risk factors were present in more than 50% of the sample. The diagnoses showed a high frequency in patients with acute coronary syndrome. Pharmacological agents, presence of comorbidities, and family and personal history were associated with the diagnoses. Absence of evidence of decreased cardiac tissue perfusion as dyspnea, radiation to shoulder and jaw, and pain time less than ten hours acted as protective factors. Conclusion: There is a high cardiovascular vulnerability of patients with acute coronary syndrome to the proposed nursing diagnoses. Therefore, we recommend further studies to determine the predictive power of the assessed risk diagnoses for those focusing on this health problem.

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Section: Designmentioning

confidence: 99%

Section: Participants and Samplementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk for decreased cardiac tissue perfusion and activity intolerance: Association study

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Assessment of Cardiovascular Risk Factors in Young Adults through the Nursing Diagnosis: A Cross-Sectional Study among International University Students

et al. 2021

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Four out of five deaths from cardiovascular disease are due to heart attacks and strokes in low- and middle-income countries. Early identification of risk factors in exposed individuals will help to develop interventions that may eliminate and/or reduce these risks and prevent the development of cardiovascular diseases. So, it is necessary to investigate the risk of impaired cardiovascular function in university students due to the increase in some risk factors and cardiovascular events in young adults, and to describe its epidemiology among international university students. For this, an observational cross-sectional study through interviews is designed. The clinical validity was addressed following the Fehring model. In addition, anthropometric data and results of laboratory tests were collected. The nursing diagnosis “Risk of impaired cardiovascular function” showed clinical validity, high sensitivity and specificity, as well as predictive values. Fehring ratio values were above 0.79 and Kappa Index above 0.72. The study showed a high frequency of this nursing diagnosis among university students, especially in students of Brazilian nationality. The main risks of impaired cardiovascular function found in 86.8% of students were: family history of cardiovascular disease, sedentary lifestyle, pharmacological agent, dyslipidemia, and insufficient knowledge. The most prevalent risk factors of the nursing diagnosis in the studied population were related to insufficient knowledge of modifiable health habits, such as sedentary lifestyle. The information provided is expected to serve as the basis for the planning and implementation of health actions aimed at reducing modifiable risk factors for cardiovascular disease.

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Clinical Validation of the Nursing Diagnosis, Decreased Cardiac Tissue Perfusion, in Patients with Coronary Artery Obstruction

Cited by 2 publications

References 10 publications

Risk for decreased cardiac tissue perfusion and activity intolerance: Association study

Risk for decreased cardiac tissue perfusion and activity intolerance: Association study

Assessment of Cardiovascular Risk Factors in Young Adults through the Nursing Diagnosis: A Cross-Sectional Study among International University Students

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