Excess fluid volume: clinical validation in patients with decompensated heart failure

Authors

  • Quenia Camille Soares Martins Hospital de Clínicas de Porto Alegre; Nursing Service Onco-Hematological
  • Graziella Badin Aliti Universidade Federal do Rio Grande do Sul; Escola de Enfermagem
  • Joelza Chisté Linhares Universidade Federal do Rio Grande do Sul; Escola de Enfermagem
  • Eneida Rejane Rabelo Universidade Federal do Rio Grande do Sul; Escola de Enfermagem

DOI:

https://doi.org/10.1590/S0104-11692011000300013

Keywords:

Heart Failure, Nursing Diagnoses, Medical History Taking

Abstract

This cross-sectional study aimed to clinically validate the defining characteristics of the Nursing Diagnosis Excess Fluid Volume in patients with decompensated heart failure. The validation model used follows the model of Fehring. The subjects were 32 patients at a university hospital in Rio Grande do Sul. The average age was 60.5 ± 14.3 years old. The defining characteristics with higher reliability index (R): R ≥ 0.80 were: dyspnea, orthopnea, edema, positive hepatojugular reflex, paroxysmal nocturnal dyspnea, pulmonary congestion and elevated central venous pressure, and minor or secondary, R>; 0.50 to 0.79: weight gain, hepatomegaly, jugular vein distention, crackles, oliguria, decreased hematocrit and hemoglobin. This study indicates that the defining characteristics with R>; 0.50 and 1 were validated for the diagnosis Excess Fluid Volume.

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Published

2011-06-01

Issue

Vol. 19 No. 3 (2011)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Excess fluid volume: clinical validation in patients with decompensated heart failure . (2011). Revista Latino-Americana De Enfermagem, 19(3), 540-547. https://doi.org/10.1590/S0104-11692011000300013