Related Experiment Video
Updated: Jun 5, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide
Published on: January 30, 2026
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.
Purpose:
The study aims to assess indicators of Nursing Outcomes Classification (NOC) related to the nursing diagnosis Ineffective Breathing Pattern (IBP) in children with congenital heart disease (CHD).
Methods:
The study used a cross-sectional study carried out in 63 children with CHD up to 2 years old. Seventeen operational indicators of NOC related to IBP were evaluated.
Findings:
Seven indicators presented statistically significant differences between children with and without IBP. Impaired expiration was the indicator assessed with greatest frequency in both groups.
Conclusions:
The study showed differences in the clinical indicators between children with and without IBP.
Implications For Nursing Practice:
The use of NOC indicators allowed an assessment of the differences and the level of respiratory impairment among children with and without IBP.
Related Concept Videos
Physical Assessment of the Respiratory Tract II: Inspection
Chest Configuration
The chest configuration can...
Respiratory Volumes and Capacities I
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Acute Respiratory Failure-IV
Alterations in Respiration II
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
