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活动耐力下降的护理诊断:难治性心绞痛患者的临床验证

Nursing diagnosis of activity intolerance: clinical validation in patients with refractory angina.

作者信息

Rodrigues Clarissa Garcia, Moraes Maria Antonieta, Sauer Jaquelini Messer, Kalil Renato Abdala Karam, de Souza Emiliane Nogueira

机构信息

Cardiology Institute of Rio Grande do Sul/Cardiology University Foundation, Rio Grande do Sul, Brazil.

出版信息

Int J Nurs Terminol Classif. 2011 Jul-Sep;22(3):117-22. doi: 10.1111/j.1744-618X.2011.01182.x. Epub 2011 Apr 20.

DOI:10.1111/j.1744-618X.2011.01182.x
PMID:21777372
Abstract

PURPOSE

The study aims to clinically validate the defining characteristics (DCs) of the nursing diagnosis (ND) of Activity Intolerance for patients with ischemic heart disease and refractory angina.

METHODS

Cross-sectional study was used, involving 22 patients with ND of Activity Intolerance. The Fehring method was used to validate the ND.

FINDINGS

Most DCs presented reliability indexes between 0.5 and 0.79. Three DCs presented reliability indexes ≥ 0.8.

CONCLUSION

All DCs were validated, and electrocardiographic changes indicating ischemia, verbal report of fatigue, and abnormal rate response to activity were considered as DC major.

IMPLICATIONS FOR NURSING PRACTICE

This study is relevant in daily nursing practice for guidance in establishing the care plan and describing the assistance for this group of patients.

摘要

目的

本研究旨在对缺血性心脏病和难治性心绞痛患者活动耐力下降护理诊断的定义特征进行临床验证。

方法

采用横断面研究,纳入22例活动耐力下降护理诊断的患者。采用费林法对护理诊断进行验证。

结果

大多数定义特征的可靠性指数在0.5至0.79之间。三个定义特征的可靠性指数≥0.8。

结论

所有定义特征均得到验证,提示缺血的心电图变化、疲劳的言语报告以及活动时的异常心率反应被视为主要定义特征。

对护理实践的启示

本研究对日常护理实践具有重要意义,可为制定护理计划和描述对该组患者的护理提供指导。

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Nursing diagnosis of activity intolerance: clinical validation in patients with refractory angina.活动耐力下降的护理诊断:难治性心绞痛患者的临床验证
Int J Nurs Terminol Classif. 2011 Jul-Sep;22(3):117-22. doi: 10.1111/j.1744-618X.2011.01182.x. Epub 2011 Apr 20.
2
Clinical comparison of patients with refractory angina with and without the nursing diagnosis of activity intolerance.有活动耐力降低护理诊断与无此护理诊断的难治性心绞痛患者的临床比较。
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Clinical Validation of the Defining Characteristics of the Nursing Diagnosis 'Activity Intolerance' in Patients With Acute Coronary Syndrome.急性冠状动脉综合征患者护理诊断“活动耐力下降”定义特征的临床验证
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