Nursing Diagnostics According to the Self-care Theory in Patients with Myocardial Infarction

Authors

Keywords:

Nursing, nursing diagnosis, nursing theory, myocardial infarction

Abstract

Objective: Identify nursing diagnoses in patients with myocardial infarction in hospital emergency situations, according to Orem´s self-care theory. Materials and methods: This is a cross-sectional study that was conducted from February to August 2016 with 50 infarcted patients who were able to participate in the research. Data collection was done through an interview, using a questionnaire pursuant to the self-care theory, and the nursing diagnoses were formulated based on the NANDA-I Taxonomy. Results: The majority of patients were women (54%) ages 60 to 69 (34%), with family incomes ranging from one to two minimum wages (88%), with basic education (70%) and retirees (76%). There was a high frequency of arterial hypertension (62%), physical inactivity (76%) and smoking (70%). The rapid test for troponin was positive in 16 of the participants (32%). Many of the infarcted patients had self-care deficits that were indicated in 10 nursing diagnoses, particularly sedentary lifestyles (80%), physically impaired mobility (76%), and risk of activity intolerance (76%). Risk-prone health behavior and self-neglect were related to three self-care requirements. Conclusion: The patients needed health assistance for changes in lifestyle, comfort measures, and the realization of activity and rest.

Downloads

Download data is not yet available.

Author Biographies

Gilmara Holanda da Cunha, Universidade Federal do Ceará (UFC)

Doutora em Farmacologia e em Enfermagem. Professora do Departamento de Enfermagem da Universidade Federal do Ceará (UFC).

Ane Kelly Lima Ramalho, Universidade Estadual do Ceará (UECE)

Especialista em Unidade de Terapia Intensiva e Cardiologia pela Universidade Estadual do Ceará (UECE).

Alyne Mara Maia Cruz, Universidade Estadual do Ceará (UECE)

Especialista em Cardiologia pela Universidade Estadual do Ceará (UECE).

Maria Amanda Correia Lima, Universidade Federal do Ceará (UFC)

Mestranda em Enfermagem pela Universidade Federal do Ceará (UFC).

Katia Barbosa Franco, Universidade Federal do Ceará (UFC)

Mestranda em Enfermagem pela Universidade Federal do Ceará (UFC).

Reângela Cintia Rodrigues de Oliveira Lima, Universidade Federal do Ceará (UFC)

Mestranda em Enfermagem pela Universidade Federal do Ceará (UFC).

References

Dessotte CAM, Silva FS, Furuya RK, Ciol MA, Hoffman JM, Dantas RAS. Somatic and cognitive-affective depressive symptoms

among patients with heart disease: differences by sex and age. Rev Latino-Am Enferm. 2015;23(2):208-15.

Araújo IF, Santos ISC, La Longuiniere ACF, Valença-Neto PF, Franklin TA. Profile of the population affected by acute

myocardial infarction. J Nurs UFPE. 2016;10(7):2302-9.

Andrechuk CRS, Ceolim MF. Excessive daytime sleepiness in patients with acute myocardial infarction. Acta paul Enferm.

;28(3):230-6.

Silva JP, Garanhani ML, Peres AM. Systematization of nursing care in undergraduate training: the perspective of complex

thinking. Rev Latino-Am Enferm. 2015;23(1):59-66.

Orem DE, Taylor SG. Reflections on nursing practice science: the nature, the structure, and the foundation of nursing

sciences. Nurs Sci Q. 2011;24(1):35-41.

Orem DE. Modelo de Orem: Conceptos de enfermería en la práctica. Barcelona: Masson; 1993.

Sociedade Brasileira de Cardiologia. 7ª Diretriz Brasileira de Hipertensão Arterial. Arq Bras Cardiol. 2016;107(3):1-104.

Foster PC, Bennett AM, Dorothea E. Orem. In: George JB, organizadores. Teorias de Enfermagem — dos fundamentos à

prática profissional. Porto Alegre: Artes Médicas Sul; 2000. p. 83-102.

NANDA International. Diagnósticos de Enfermagem da NANDA: Definições e Classificação 2015-2017. 10a ed. Porto

Alegre: Artmed; 2015.

Huguenin FM, Pinheiro RS, Almeida RMVR, Infantosi AFC. Characterization of the variation of health care taking into

account the costs of hospital admissions for acute myocardial infarction in Brazilian Unified Health System. Rev Bras

Epidemiol. 2016;19(2):229-42.

Santos SMJ, Araújo TL, Cavalcante TF, Galindo-Neto NM. Acute pain in myocardial infarction: analysis of concept. Rev

Gaúcha Enferm. 2015;36(3):102-8.

Silva PRF, Cardoso CS, Ferreira HYS, Silva JC, Torres MTB, Silva RS, et al. Evaluation of prehospital delayed care of acute

myocardial infarction in the Midwest of Minas Gerais, Brazil. Rev Med Minas Gerais. 2015;25(3):353-62.

Mansur AP, Favarato D. Mortality due to cardiovascular diseases in women and men in the five brazilian regions, 1980-

Arq Bras Cardiol. 2016;107(2):137-46.

Lopes VC, Silva RM, Menegaz LJ, Jaskowiak PB, Almeida MS. Morphological cardiac changes in acute myocardio infarction

— literature review. Rev Saúde AJES. 2015;1(2):1-16.

Piuvezam G, Medeiros WR, Costa AV, Emerenciano FF, Santos RC, Seabra DS. Mortality from cardiovascular diseases in

the elderly: comparative analysis of two five-year periods. Arq Bras Cardiol. 2015;105(4):371-80.

Ganassin GS, Silva EM, Pimenta AM, Marcon SS. Efficacy of an educative intervention on knowledge related to cardiovascular

diseases among men. Acta Paul Enferm. 2016;29(1):38-46.

Araújo DF, Araújo ERM, Silva MRV, Silva NC, Guimarães MSO, Amorim-Neta FL. Clinical and epidemiological profile of

patients with acute coronary syndrome. Rev Enferm UFPI. 2014;3(2):78-84.

Santos FG, Campanharo CRV, Lopes MCBT, Okuno MFP, Batista REA. Assessment of care quality to patient with acute

coronary syndrome in an emergency service. Rev Eletr Enf. 2015;17(4):1-8.

Santos TMM, Godoy IR, Godoy IL. Psychological distress related to smoking cessation in patients with acute myocardial

infarction. J Bras Pneumol. 2016;42(1):61-7.

Domingos CS, Moura PC, Braga LM, Rodrigues NV, Correia MDL, Carvalho AMP. Construction and validation of the historical

contents of nursing guided by Orem reference. Rev Min Enferm. 2015;19(2):165-75.

Silva APA, Oller GASAO, Pompeo DA, Eid LP, Kusumota L. Adesão ao tratamento medicamentoso e capacidade para o

autocuidado de pacientes com hipertensão arterial. Arq Ciênc Saúde. 2016;23(2)76-80.

Dutra DD, Duarte MCS, Albuquerque KF, Lima AS, Santos JS, Souto HC. Cardiovascular disease and associated factors in

adults and elderly registered in a basic health unit. J. res.: fundam. care. 2016;8(2):4501-9.

Audi CAF, Santiago SM, Andrade MGG, Francisco PMSB. Risk factors for cardiovascular disease in prison institution

staff: a cross-sectional study. Epidemiol Serv Saude. 2016;25(2):301-10.

Pereira ACR, Dias BVB, Santos FT. Assistance protocol to post myocardial acute infarction patients based on nanda

nursing diagnostics and interventions. Cuid Arte Enferm. 2013;7(2):113-8.

Galvão PCC, Gomes ET, Figueirêdo TR, Bezerra SMMS. Nursing diagnosis applied to patients with decompensated heart

failure. Cogitare Enferm. 2016;21(2):1-8.

Freitas JGA, Nielson SEO, Porto CC. Adesão ao tratamento farmacológico em idosos hipertensos: uma revisão integrativa

da literatura. Rev Soc Bras Clin Med. 2015;13(1):75-84.

Ribeiro DKMN, Lenardt MH, Michel T, Setoguchi LS, Grden CRB, Oliveira ES. Contributory factors for the functional independence

of oldest old. Rev Esc Enferm USP. 2015;49(1):87-93.

Ribeiro CP, Silveira CO, Benetti ERR, Gomes JS, Stumm EMF. Nursing diagnoses for patients in the postoperative period

of cardiac surgery. Rev Rene. 2015;16(2):159-67.

Ponte KMA, Silva LF, Aragão AEA, Guedes MVC, Zagonel IPS. Clinical nursing care to comfort women with acute myocardial

infarction. Text Context Nursing. 2014;23(1):56-64.

Downloads

Published

2018-05-10

How to Cite

Cunha, G. H. da, Ramalho, A. K. L., Cruz, A. M. M., Lima, M. A. C., Franco, K. B., & Lima, R. C. R. de O. (2018). Nursing Diagnostics According to the Self-care Theory in Patients with Myocardial Infarction. Aquichan, 18(2). Retrieved from https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/8256

Issue

Vol. 18 No. 2 (2018)

Section

Articles

License

1. Proposed Policy for Journals That Offer Open Access


Authors who publish with this journal agree to the following terms:

  1. The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.