Nursing diagnoses in the hemodynamics sector: an adaptive perspective

A descriptive, cross-sectional study with a quantitative approach conducted in a teaching hospital in the interior of Rio Grande do Sul. Data were collected through a sociodemographic characterization instrument and information regarding the problems of physical-physiological adaptation.

Results:

100 patients participated in the study. Defining characteristics, risk factors and related factors were identified through adaptation problems. In all, 28 nursing diagnoses were identified, and 13 were considered for the discussion which presented frequency above 50% and represented the main adaptive problems. Protection, neurological and activity and rest components were the most frequent.

Conclusion:

The recognition of nursing diagnoses facilitates a connection between the main problems of adaptation and nursing interventions.

DESCRIPTORS:
Nursing Diagnosis; Cardiology; Nursing Care; Cardiovascular Nursing

Nursing diagnoses by components and complex processes	N	%
Oxygenation
Decreased cardiac output (00029)	70	70
Ineffective breathing pattern (00032)	33	33
Impaired gas exchange (00030)	25	25
Protection
Risk for infection (00004)	100	100
Risk for adverse reaction to iodinated contrast media (00218)	90	90
Impaired skin integrity (00046)	46	46
Impaired Comfort (00214)	45	45
Ineffective protection (00043)	41	41
Risk for pressure ulcer (00249)	38	38
Impaired Dentition (00048)	32	32
Risk for allergic reaction(00217)	15	15
Senses
Impaired verbal communication (00051)	55	55
Impaired walking (00088)	53	53
Acute pain (00132)	53	53
Liquids, electrolytes and basic acid balance
Ineffective peripheral tissue perfusion (00204)	65	65
Excess fluid volume (00026)	31	31
Neurological
Fear (00148)	35	35
Anxiety (00146)	34	34
Risk for powerlessness (00152)	27	27
Risk for acute confusion (00173)	16	16
Nutrition
Overweight (00233)	77	77
Obesity (00232)	50	50
Elimination
Risk for bleeding (00206)	100	100
Impaired urinary elimination (00016)	21	21
Activity and rest
Risk of impaired cardiovascular function (00239)	100	100
Risk for decreased cardiac tissue perfusion (00200)	85	85
Activity Intolerance (00092)	57	57
Impaired physical mobility (00085)	50	50

Nursing diagnosis	Defining characteristics	%	Related or risk factors	%
Risk for infection			Invasive procedure	100
Risk of impaired cardiovascular function			History of cardiovascular disease	100
Risk for bleeding			Treatment regimen	100
Risk for adverse reaction to iodinated contrast media			Contrast media precipitates adverse event	90
Risk for decreased cardiac tissue perfusion			Coronary Artery Spasm	85
Impaired walking	Impaired ability to walk the required distances	16	Insufficient muscle strength	37
Impaired physical mobility	Slowed Movements	16	Activity Intolerance	34
Acute pain	Self-reported intensity using	03	Physical injury agent	29
Acute pain	Self-reported intensity using	03	Biological injury agent	21
Decreased cardiac output	Decreased in peripheral pulses	21	Alteration in heart rhythm	25
	Edema	14
	Abnormal skin color	10
Overweight	High BMI	53	Average daily physical activity is less than recommended for gender and age	24
Activity intolerance	Exertional Dyspnea	17	Physical deconditioning	16
Activity intolerance	Fatigue	16	Immobility	08
Ineffective peripheral tissue perfusion	Decreased in peripheral pulses	21	Insufficient knowledge of modificable factors	14
	Changed motor function	16
	Edema	14
Impaired verbal communication	Difficulty comprehending communication	20	Emotional disturbances	13
	Difficult speaking	09	Physical barrier	05
	Difficulty in selective attending	08

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Angela Antonia Sartori Rua Thomaz Flores, 1131, Apto 602 - Bairro Centro CEP 96810-078 - Santa Cruz do Sul, RS, Brazil Telefone: (55)96337914 ange.sartori@hotmail.com