Nursing Diagnoses of hospitalized patients with heart failure: a longitudinal study

  • Juliana de Melo Vellozo Pereira Universidade Federal Fluminense
  • Paula Vanessa Peclat Flores Universidade Federal Fluminense; Escola de Enfermagem Aurora de Afonso Costa; Departamento de Enfermagem Médico-Cirúrgica
  • Lyvia da Silva Figueiredo Universidade Federal Fluminense
  • Cristina Silva Arruda Universidade Federal Fluminense
  • Keila Mara Cassiano Universidade Federal Fluminense; Instituto de Matemática; Departamento de Estatística
  • Gláucia Cristina Andrade Vieira Universidade Federal Fluminense
  • Thais de Rezende Bessa Guerra Universidade Federal Fluminense
  • Vanessa Alves da Silva Universidade Federal Fluminense
  • Ana Carla Dantas Cavalcanti Universidade Federal Fluminense
Keywords: Nursing Diagnoses, Heart Failure, Hospitalization, Nursing Process, Longitudinal Studies


OBJECTIVE Identifying Nursing Diagnoses of fatigue, activity intolerance and decreased cardiac output in hospitalized patients with heart failure and verifying the association between the defining characteristics and the Nursing Diagnoses. METHOD A longitudinal and prospective study that followed hospitalized patients with heart failure for three weeks. The data collected through interviews and physical examinations were sent to expert nurses for diagnostic inference. Descriptive and inferential statistical analyses were carried out. RESULTS Of the 72 patients, 68.0% were male and presented the nursing diagnosis of decreased cardiac output (62.5%) in the first week, reducing to 52.8% and 38% in the second and third weeks, respectively. Fatigue only appeared in one patient. Activity intolerance was the diagnosis that had the greatest discrepancy among the experts. Decreased cardiac output was associated to the defining characteristics: dyspnea, edema, jugular venous distension and reduced ejection fraction during all three weeks of evaluation. CONCLUSION Decreased cardiac output was more prevalent in hospitalized patients with heart failure, and the associated defining characteristics were determining factors for this nursing diagnosis.


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How to Cite
Pereira, J., Flores, P., Figueiredo, L., Arruda, C., Cassiano, K., Vieira, G., Guerra, T., Silva, V., & Cavalcanti, A. (2016). Nursing Diagnoses of hospitalized patients with heart failure: a longitudinal study. Revista Da Escola De Enfermagem Da USP, 50(6), 929-936.
Original Article