Diagnósticos de enfermagem em Unidade de Terapia Intensiva cardiológica: contribuição para o processo de enfermagem

Abstract

This study aimed to identify the most frequent nursing diagnoses in hospitalized individuals in cardiology ICU and analyze associations between the frequent nursing diagnoses and social-demographic characteristics of their carriers. This was a cross-sectional quantitative study within a sample of 68 patients who were hospitalized in a cardiology ICU of the State of Alagoas, Brazil. The inclusion criteria were: lucid patients within 48 hours of hospitalization, with stabilized vital functions and able to answer the anamnesis questions. Data collection was guided by the Theory of Basic Human Needs (TNBH) and was carried out between June and November 2014. To guide the establishment of nursing diagnoses, it was used the International Classification for Nursing Practice (CIPE®). The information collected was used to build a database in SPSS software version 21 for analysis and association of sample and the most frequent diagnoses. 113 Diagnoses were identified. The diagnoses found to be more frequent are the ones that obtained a 50% or more percentile totaling 25: 21 within the psychobiological needs; 3 within the psychosocial needs; and 1 within psychospiritual needs. Among the most frequent nursing diagnoses the risk of infection, risk of ineffective tissue perfusion and risk of impaired cardiac output were present in over 75% of patients classified on human needs as to physical security, cardiovascular regulation and oxygenation. The nursing diagnosis on moderate anxiety ranked in the psychosocial needs of gregarious and emotional security was present in 95.59% of patients.