Nursing Diagnoses in Children With Congenital Heart Disease: A Survival Analysis

Abstract

Congenital heart disease provokes serious hemodynamic alterations that generate human responses, which should be treated proactively.

Frequency of Respiratory Nursing Diagnoses and Accuracy of Clinical Indicators in Preterm Infants

“…However, studies addressing the neonatal population have not been conducted (Andrade, Chaves, Silva, Beltrão, & Lopes, 2012;Beltrão, Silva, Araujo, & Oliveira Lopes, 2011;Pascoal et al, 2012;Pascoal et al, 2014;Silva & Nóbrega 1997;Silva, Araujo, & Lopes, 2006;Silva, Lopes, & Araujo, 2007;Silva, Lopes, Araujo, Beltrão, & Chaves, 2011). These RND have been studied with the intent of refining them within specific populations, such as in children with respiratory and cardiac problems.…”

Diagnósticos de Enfermagem em crianças com cardiopatias congênitas: mapeamento cruzado

“…It was also the human response (88.5%) most commonly found in studies that analyzed this diagnosis in children with congenital heart disease. (5,13,14) Risk for falls was the ND with the highest percentage of disagreement among the experts (45.1%) as the only risk factor mapped in the records was "under two years of age", because this was considered to be of little clinical importance for diagnostic inference.…”

Respiratory Nursing Diagnoses: Presenting Evidence for Identification of the Defining Characteristics in Neonatal and Pediatric Populations

“…The high prevalence and early onset of the IBP diagnosis may be related to hyperventilation resulting from an elevated respiratory rate as a compensatory mechanism used by the body in respiratory failure, increasing pulmonary volume and accomplishing the removal of CO 2 , improving gas exchange. This is a frequent diagnosis in situations in which there is a low oxygen concentration, increased work of breathing, and reduced pulmonary compliance (Silva et al., , , , ). The most common characteristics are those associated with increased respiratory effort, such as dyspnea, shortness of breath , change in respiratory frequency and rhythm , accessory muscle use , and increased anteroposterior diameter (Andrade et al., ; Cavalcante et al., ; Pascoal et al., ; Silva & Nóbrega, ; Silveira et al., ).…”

“…In children with congenital cardiopathy, IGE appears to be mainly related to the ventilation–perfusion imbalance, in which changes in the cardiopulmonary pump interfere with gas exchange and compromise respiratory mechanics, requiring increased respiratory effort to improve ventilation–oxygenation. The IGE diagnosis is frequently associated with other NANDA‐I ND, such as activity intolerance (Code 00092), ineffective tissue perfusion (Code 00204), decreased cardiac output (Code 00029), and delayed growth and development (Code 00111), (Silva et al., , , , ), all of which are associated with a high rate of cardiac and extracardiac comorbidities, common in the population of children with congenital heart disease and chronic pulmonary problems (Gelb et al., ; Medoff‐Cooper & Ravishankar, ).…”

“…The ND of IGE and IBP were associated in a significant manner. With early onset and high incidence in children under 4 months of age, the persistence or survival of these two diagnoses proved to be related, principally, to the association and occurrence in children with lower extremes of age, a situation in which the cardiac and hemodynamic compromise may be more severe due to the immaturity of the respiratory system (Silva et al., , , ). At birth, newborns seek homeostasis and adaptation to extrauterine life that includes the change from fetal to neonatal circulation, with active pulmonary involvement and the establishment of effective breathing for the development of gas exchange.…”