Nursing Diagnoses of hospitalized patients with heart failure: a longitudinal study

Abstract

Objective: Identifying Nursing Diagnoses of fatigue, activity intolerance and decreased cardiac output in hospitalized patients with heart failure and verifying the association between the defining characteristics and the Nursing Diagnoses. Method: A longitudinal and prospective study that followed hospitalized patients with heart failure for three weeks. The data collected through interviews and physical examinations were sent to expert nurses for diagnostic inference. Descriptive and inferential statistical analyses were carried out. Results: Of the 72 patients, 68.0% were male and presented the nursing diagnosis of decreased cardiac output (62.5%) in the first week, reducing to 52.8% and 38% in the second and third weeks, respectively. Fatigue only appeared in one patient. Activity intolerance was the diagnosis that had the greatest discrepancy among the experts. Decreased cardiac output was associated to the defining characteristics: dyspnea, edema, jugular venous distension and reduced ejection fraction during all three weeks of evaluation. Conclusion: Decreased cardiac output was more prevalent in hospitalized patients with heart failure, and the associated defining characteristics were determining factors for this nursing diagnosis.

Nursing diagnosis “Terminality Syndrome”: a content analysis

“…(14,16) . It is also important to consider the fact that fatigue can be caused both by the progress of the disease and by treatments often performed during cancer treatment or other chronic diseases (17)(18) . This probably justifies their presence observed by judges.…”

“…Moreover, "Chronic Diseases in Advanced Stage" present as a related factor refers to the need to implement palliative care actions for human dignity in the natural process of the disease course, since its diagnosis, strengthening care and making it treatable as the disease progresses (17) ; however, some judges considered the item impertinent due to the understanding that "Palliative Care" and "End Of Life Care" would be sufficient as central and would already welcome "Chronic Diseases in Advanced Stage". The initial title, "Symptom Deterioration Syndrome", was chosen based on the scientific literature, making it necessary to review it after participants' judgment.…”

Nursing Diagnoses in Heart Failure: Integrative Review

“…As this diagnosis is prevalent in advanced HF, for example in decompensated HF, still being related to another diagnosis the Decreased Cardiac Output, thus the interventions are basically associated. A survey evaluated 25 patients with decompensated HF, and all presented the activity Intolerance, with direct relation to the Decreased Cardiac Output also prevalent in all participants [20].…”

Diagnósticos de enfermagem para pessoas com insuficiência cardíaca: mapeamento cruzado

“…A review study 21 , which identified the knowledge produced about Nursing diagnoses of ICNP™ and NANDA-I, Inc. in hospitalized patients with heart failure, highlighted the diagnosis "Impaired gas exchange" as one of the most prevalent in studies, and the diagnosis "Fatigue" stood out in a study 22 whose objective was to identify the presence of this finding in hospitalized patients with heart failure, based on NANDA-I, Inc.…”