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心力衰竭住院患者的护理诊断:综合评价。

Nursing diagnoses for people hospitalized with heart failure: an integrative review.

机构信息

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.

Sociedade Beneficente Israelita Hospital Albert Einstein. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Jul 29;77(3):e20230471. doi: 10.1590/0034-7167-2023-0471. eCollection 2024.

DOI:10.1590/0034-7167-2023-0471
PMID:39082552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11290743/
Abstract

OBJECTIVES

to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.

METHODS

an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.

RESULTS

analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.

FINAL CONSIDERATIONS

evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.

摘要

目的

在文献中识别根据 NANDA-I 诊断分类的主要护理诊断,用于心力衰竭住院患者。

方法

这是一项综合文献回顾,于 2019 年 2 月进行,并于 2023 年 7 月更新,在 MEDLINE 通过 PubMed、LILACS、SciELO 和 CINAHL 数据库进行。鉴于使用了 PEO 缩写,因此纳入了没有时间限制的葡萄牙语、英语和西班牙语研究。对所确定的信息进行了描述性分析。

结果

分析了 27 篇文章,确定了 24 个护理诊断,重点是心输出量减少、液体量过多、活动耐量降低和疲劳。

最终考虑

这些证据可以为以心力衰竭患者为中心的更好的诊断决策做出贡献,以寻求更有效的健康结果,并有可能支持未来针对该人群可能的综合征模式的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc88/11290743/250af7976099/0034-7167-reben-77-03-e20230471-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc88/11290743/71de5035826c/0034-7167-reben-77-03-e20230471-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc88/11290743/250af7976099/0034-7167-reben-77-03-e20230471-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc88/11290743/71de5035826c/0034-7167-reben-77-03-e20230471-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc88/11290743/250af7976099/0034-7167-reben-77-03-e20230471-gf02.jpg

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本文引用的文献

1
Decreased cardiac output: an integrative review.心输出量减少:综合评价。
Rev Bras Enferm. 2023 Feb 6;76(2):e20220265. doi: 10.1590/0034-7167-2022-0265. eCollection 2023.
2
Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association.《心脏病与卒中统计数据-2023 更新:美国心脏协会报告》。
Circulation. 2023 Feb 21;147(8):e93-e621. doi: 10.1161/CIR.0000000000001123. Epub 2023 Jan 25.
3
Cross-mapping of nursing diagnoses and interventions in decompensated heart failure.失代偿性心力衰竭中护理诊断与干预措施的交叉映射
Rev Gaucha Enferm. 2022 Jul 31;43:e20200400. doi: 10.1590/1983-1447.2022.20200400.en. eCollection 2022.
4
An update on global epidemiology in heart failure.心力衰竭全球流行病学最新情况
Eur Heart J. 2022 Aug 21;43(32):3005-3007. doi: 10.1093/eurheartj/ehac248.
5
Cross-mapping medical records to NANDA-I to identify nursing diagnoses in a vulnerable population.将医疗记录交叉映射到 NANDA-I 以识别弱势人群中的护理诊断。
Int J Nurs Knowl. 2023 Jan;34(1):42-54. doi: 10.1111/2047-3095.12371. Epub 2022 Apr 22.
6
2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2022年美国心脏协会/美国心脏病学会/美国心力衰竭学会心力衰竭管理指南:美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
J Am Coll Cardiol. 2022 May 3;79(17):e263-e421. doi: 10.1016/j.jacc.2021.12.012. Epub 2022 Apr 1.
7
Global burden of heart failure: a comprehensive and updated review of epidemiology.心力衰竭的全球负担:流行病学的全面更新综述
Cardiovasc Res. 2023 Jan 18;118(17):3272-3287. doi: 10.1093/cvr/cvac013.
8
Mapping the evidence-based practice research field in nursing from 1995 to 2021: A bibliometric analysis.1995年至2021年护理领域循证实践研究的文献计量分析
Int J Nurs Knowl. 2022 Jul;33(3):196-206. doi: 10.1111/2047-3095.12347. Epub 2021 Oct 24.
9
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
10
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