Nursing diagnoses related to cardiovascular function in primary care: A scoping review

Abstract

Objective

To map nursing diagnoses related to cardiovascular function reported in studies involving patients in primary care.

Method

A scoping review follows JBI guidelines. Literature searches were conducted from March to May 2024. Studies included focused on nursing diagnoses for adults and older adult patients with cardiovascular conditions in primary care settings. Results were systematically presented in tables and narratively.

Findings

Among the 12 included studies, the most prevalent diagnosis was “noncompliance” (00079), removed from NANDA-I in 2017. Sixteen other diagnoses were identified, indicating a broader clinical profile of individuals with cardiovascular health issues in primary care. Most studies involved patients with hypertension in Brazil.

Conclusions

Key nursing diagnoses for patients with cardiovascular conditions in primary care were identified. Ineffective health management emerged as a common characteristic among this population.

Implications for nursing practice

Identifying prevalent diagnoses allows nurses to reinforce their commitment to managing cardiovascular conditions, improve care plans, and generate practice indicators for services, thus enhancing the quality of care provided.

Objetivo

Mapear diagnósticos de enfermagem relacionados à função cardiovascular relatados em estudos envolvendo pacientes da atenção primária.

Método

Trata-se de uma revisão de escopo, seguindo as diretrizes do JBI. As pesquisas bibliográficas foram realizadas de março a maio de 2024. Foram incluídos estudos sobre diagnósticos de enfermagem para pacientes adultos e idosos, com doenças cardiovasculares, no cenário da atenção primária. Os resultados foram apresentados sistematicamente em tabelas e de forma narrativa.

Resultados

Entre os 13 estudos incluídos, o diagnóstico mais prevalente foi “falta de adesão” (00079), retirado da NANDA-I em 2017. Foram identificados outros 16 diagnósticos, indicando um perfil clínico mais amplo de indivíduos com problemas de saúde cardiovascular em cuidados primários. A maioria dos estudos envolveu pacientes com hipertensão no Brasil.

Conclusões

Foram identificados os principais diagnósticos de enfermagem para pacientes com doenças cardiovasculares na atenção primária. A gestão insuficiente da saúde emergiu como uma característica comum entre esta população.

Implicações para a prática de enfermagem

A identificação de diagnósticos prevalentes permite aos enfermeiros reforçarem o seu compromisso com a gestão das condições cardiovasculares, melhorar os planos de cuidados e gerar indicadores de prática para os serviços, melhorando assim a qualidade dos cuidados prestados.

Keywords

cardiovascular diseases heart disease risk factors NANDA-I nursing diagnosis primary health care standardized nursing terminology

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