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Nursing Diagnosis Based on Signs and Symptoms of Patients With Heart Disease
Cíntia da Costa1, Graciele Fernanda da Costa Linch2, Emiliane Nogueira de Souza3
1Porto Alegre, RS, Brazil.
Insights
This study identified key signs and symptoms in cardiac patients to determine priority nursing diagnoses. Findings highlight acute pain, fluid volume excess, and decreased cardiac output as critical areas for intensive cardiology care.
Area of Science:
- Cardiology
- Nursing Science
- Critical Care Medicine
Background:
- Cardiovascular diseases necessitate specialized intensive care.
- Accurate identification of patient signs and symptoms is crucial for effective nursing interventions.
- Understanding common presentations in intensive cardiology units informs nursing diagnoses.
Purpose of the Study:
- To identify prevalent signs and symptoms in hospitalized cardiac patients within an intensive cardiology care unit.
- To infer priority nursing diagnoses based on observed patient signs and symptoms.
- To enhance the precision of nursing care planning in critical cardiac settings.
Main Methods:
- A cross-sectional study design was employed.
- A sample of 77 patient records was randomly selected.
- Inclusion criteria focused on patients hospitalized for cardiovascular causes with available electronic health records.
Main Results:
- The most frequent signs and symptoms at admission included psychic manifestations (40.3%), compressive dressings at arterial puncture sites (33.8%), and chest pain (29.9%).
- Tachycardia (22.1%) and hemodynamic instability (20.8%) were also significant findings.
- These clinical indicators guided the inference of nursing diagnoses.
Conclusions:
- Priority nursing diagnoses for this population include Acute Pain, Excess Fluid Volume, Decreased Cardiac Output, Impaired Spontaneous Ventilation, Anxiety, and Impaired Skin Integrity.
- These diagnoses reflect the complex physiological and psychological needs of critically ill cardiac patients.
- The findings underscore the importance of vigilant monitoring and tailored nursing interventions in intensive cardiology care.
Purpose:
The aim was to identify the main signs and symptoms of cardiac patients hospitalized in a unit of intensive cardiology care in order to infer the main nursing diagnoses (NDs).
Methods:
We performed a cross-sectional study; the sample consisted of 77 randomly selected records. Those records included only patients hospitalized for cardiovascular causes and with electronic chart available.
Findings:
Signs and symptoms identified at admission were psychic (40.3%), compressive dressing on arterial puncture site (33.8%), chest pain (29.9%), tachycardia (22.1%), and hemodynamic instability (20.8%).
Conclusions And Practical Implications:
According to the data collected, we were able to infer that acute pain, excess of fluid volume, decreased cardiac output, spontaneous ventilation impaired, anxiety and impaired skin integrity are priority for the NDs in the studied population. OBJETIVO: identificar os principais sinais e sintomas de pacientes cardíacos internados em uma unidade de cuidados intensivos de cardiologia, visando inferir os diagnósticos de enfermagem prioritários. MÉTODO: Estudo transversal; a amostra foi composta por 77 registros selecionados aleatoriamente. Incluíram-se apenas pacientes internados por causa cardiovascular e com registro eletrônico disponível.
Resultados:
Os sinais e sintomas identificados na admissão foram psíquicos (40,3%), curativo compressivo em sítio de punção arterial (33,8%), dor torácica (29,9%), taquicardia (22,1%) e instabilidade hemodinâmica (20,8%). CONCLUSÕES E IMPLICAÇÕES PARA A PRÁTICA: De acordo com os dados levantados foram inferidos Dor Aguda, Volume de Líquidos Excessivo, Débito Cardíaco Diminuído, Ventilação Espontânea Prejudicada, Ansiedade e Integridade da Pele Prejudicada como diagnósticos de enfermagem prioritários para a população estudada.
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