Clinical indicators of ineffective breathing pattern in children with congenital heart diseases

Beatriz Amorim Beltrão1, Viviane Martins da Silva, Thelma Leite de Araujo

  • 1Federal University of Ceará in Ceará, Brazil.

Insights

This study identified key clinical indicators of ineffective breathing patterns (IBP) in children with congenital heart disease (CHD). These findings help differentiate respiratory impairment levels in these vulnerable patients.

Area of Science:

  • Pediatric Nursing
  • Cardiology
  • Respiratory Physiology

Background:

  • Congenital heart disease (CHD) significantly impacts respiratory function in children.
  • Accurate assessment of breathing patterns is crucial for managing pediatric patients with CHD.
  • The Nursing Outcomes Classification (NOC) provides standardized indicators for patient assessment.

Purpose of the Study:

  • To evaluate specific Nursing Outcomes Classification (NOC) indicators for the nursing diagnosis of Ineffective Breathing Pattern (IBP).
  • To assess the differences in these indicators among children with congenital heart disease (CHD).

Main Methods:

  • A cross-sectional study involving 63 children diagnosed with CHD, aged up to 2 years.
  • Seventeen operational NOC indicators related to IBP were systematically evaluated.
  • Statistical analysis was performed to identify significant differences between groups.

Main Results:

  • Seven NOC indicators showed statistically significant differences between children with and without IBP.
  • Impaired expiration was the most frequently observed indicator in both patient groups.
  • These findings highlight specific clinical signs of respiratory distress in pediatric CHD.

Conclusions:

  • Distinct clinical indicators differentiate children with and without IBP in the context of CHD.
  • The application of NOC indicators facilitates the assessment of respiratory impairment severity.
  • This research supports improved nursing practice in managing respiratory issues in pediatric CHD.
Abstract

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