Profile of the nursing diagnoses in stable heart disease patients

Abstract

Objective. To identify the nursing diagnoses through reports in the medical records of patients monitored in a specialized ischemic heart disease outpatient clinic.Methods. Cross-sectional study with retrospective data collection in the medical records. From the data collected, the nursing diagnoses were proposed by the researchers and submitted for validation by specialist cardiology nurses.Results. A total of 13 nursing diagnoses were evaluated from the medical records of 50 outpatients with the following validation agreements among the specialists: Ineffective health management (100%), Noncompliance (100%), Sedentary lifestyle (100%), Activity intolerance (100%), Decreased cardiac output (88%), Risk of decreased cardiac tissue perfusion (65%), Risk of intolerance to activity (65%), Acute pain (76%), Ineffective health maintenance (65%), Risk-prone health behavior (65%), Risk for decreased cardiac output (65%), Risk for intolerance to activity (65%), Ineffective respiratory pattern (53%), Impaired memory (29%).Conclusion. In this study, the nursing diagnoses validated for stable heart disease patients were linked to adherence to treatment and to the cardiovascular responses of the patients, reinforcing the importance of early intervention. These results allow the multidisciplinary team to individualize the goals and interventions proposed for ischemic heart disease patients.Descriptors: ambulatory care; cross-sectional studies; nursing diagnosis; outpatients; nursing process; myocardial ischemia.How to cite this article: Cardoso PC, Caballero LG, Ruschel KB, Moraes MAP, Silva ERR. Profile of the nursing diagnoses in stable heart disease patients. Invest. Educ. Enferm. 2019; 37(2):e08.ReferencesWorld Health Organization. World Health Statistics 2018: monitoring health for the SDGs, sustainable development goals [Internet]. Geneva: WHO; 2018 [cited: 7 May 2019]. Available from: https://www.who.int/gho/publications/world_health_statistics/2018/en/ Ministério da Saúde. Informações de Saúde (TABNET) - Assistência à Saúde. DATASUS. Departamento de Informatica a Serviço do SUS [Internet]. 2016 [cited: 7 May 2019]. 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Risk for decreased cardiac tissue perfusion and activity intolerance: Association study

“…Corroborating the findings of other studies, participating patients showed hypertension, diabetes mellitus, dyslipidemia, and other cardiovascular diseases. We also found that smoking and obesity are associated risk factors (13)(14)(15)(16). Due to the absence of studies that analyzed the elements of the two Nds studied in the population chosen for this study, we made comparisons with studies that performed an analysis in patients with…”

“…Research with stable heart disease patients identified 13 Nds, where lifestyle (00168) and activity intolerance (00092) stand out. However, rdcTP (00200) and rAi (00094) presented less agreement between specialist nurses (15), which shows the difference between Nds of the acute, subacute and chronic faces. The evidence of activity intolerance (00092) shows that the presence of dyspnea on exertion, fatigue, the imbalance between oxygen supply and demand, stress discomfort, and the presence of angina is a common feature (15).…”

“…Another point to be explored is the relationship between the presence of AcS and increased risk of functional decline, which leads to an increased chance of hospital readmissions and death in elderly patients, as well as impacts on their quality of life (19,20). Thus, it is evident the gap that needs to be addressed during early stages, through intervention studies aimed at promotion, disease prevention, and rehabilitation of patients at risk, thus favoring the non-development of problem-focused Nds (15).…”

Diagnostic indicators of risk‐prone health behaviors in pregnant adolescents

“…The nursing diagnosis of risk-prone health behavior has been previously identified in Brazilians who have stable heart disease, Turkish agricultural laborers, Brazilian and Dutch school adolescents, and people with mental disorders (Brusamarello et al, 2013;Busch et al, 2013;Cardoso et al, 2019;Karatas et al, 2018;Leal et al, 2016). Thus, riskprone health behavior has been studied among various categories of vulnerable individuals.…”

Evidências científicas acerca da consulta de enfermagem ambulatorial em cardiologia

“…It is necessary, for this, in addition to raising awareness of their self-care, that the client feels welcomed and understood in all its aspects, in an integral way, with the nursing consultation being a moment of welcome, listening and guidance, transcending the care and providing transformations in individuals in terms of unhealthy living habits. [9][10] Nursing consultation is considered a tool used in this search for continuity of care and effective communication, that is, patient-centered care. 11 It is known that, for nurses to exercise their practice in an educational, administrative, research or assistance way, a solid foundation is needed, which guarantees quality, safe and riskfree care.…”