先天性心脏病患儿的护理诊断：一项生存分析
Nursing diagnoses in children with congenital heart disease: a survival analysis.
作者信息
Martins da Silva Viviane, Lopes Marcos Venícios de Oliveira, Leite de Araujo Thelma
机构信息
Catholic Faculty Rainha do Sertão, Brazil.
出版信息
Int J Nurs Terminol Classif. 2007 Oct-Dec;18(4):131-41. doi: 10.1111/j.1744-618X.2007.00068.x.
PURPOSE
To analyze the relationship between nursing diagnoses and survival rates in children with congenital heart disease.
METHODS
A total of 270 observations were carried out in 45 children with congenital heart disease who were followed for 15 days.
FINDINGS
Differences in mean survival times were identified in children not more than 4 months of age with respect to the following diagnoses: impaired gas exchange, ineffective breathing pattern, activity intolerance, delayed growth and development, and decreased cardiac output.
CONCLUSIONS
The main diagnoses are identified early in the hospitalization period and are conditions resulting from hemodynamic alterations and prescribed medical treatment.
IMPLICATIONS FOR NURSING PRACTICE
Congenital heart disease provokes serious hemodynamic alterations that generate human responses, which should be treated proactively.
目的
分析先天性心脏病患儿的护理诊断与生存率之间的关系。
方法
对45例先天性心脏病患儿进行了为期15天的270次观察。
结果
在4个月及以下的患儿中，发现以下诊断的平均生存时间存在差异：气体交换受损、呼吸模式无效、活动耐力下降、生长发育迟缓及心输出量减少。
结论
主要诊断在住院早期即可确定，是由血流动力学改变和规定的药物治疗引起的情况。
对护理实践的启示
先天性心脏病会引发严重的血流动力学改变，从而产生人体反应，对此应积极进行治疗。
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