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

2011 ◽  
Vol 19 (3) ◽  
pp. 540-547 ◽  
Author(s):  
Quenia Camille Soares Martins ◽  
Graziella Badin Aliti ◽  
Joelza Chisté Linhares ◽  
Eneida Rejane Rabelo
Keyword(s):  
Heart Failure ◽  
Jugular Vein ◽  
Venous Pressure ◽  
Decompensated Heart Failure ◽  
Cross Sectional Study ◽  
Fluid Volume ◽  
University Hospital ◽  
Central Venous ◽  
Cross Sectional ◽  
Nursing Diagnosis

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.

scholarly journals Prescribing and Conducting Non-Pharmacological Management of Patients With Decompensated Heart Failure Admitted to a University Hospital Emergency

2010 ◽  
Vol 18 (6) ◽  
pp. 1145-1151 ◽  
Author(s):  
Joelza Chisté Linhares ◽  
Graziella Badin Aliti ◽  
Raquel Azevedo Castro ◽  
Eneida Rejane Rabelo
Keyword(s):  
Heart Failure ◽  
Weight Control ◽  
Salt Intake ◽  
Decompensated Heart Failure ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Fluid Restriction ◽  
Cross Sectional ◽  
Pharmacological Management ◽  
Patients With Heart Failure

This cross-sectional study aimed to describe the prescription of non-pharmacological management of patients with heart failure attending the emergency care of a hospital and the effectiveness of the practice. 256 patients aged 63±13 years, 153 (60%) men, participated in the research. The most commonly prescribed non-pharmacological treatment was sodium restriction, 240 (95%), followed by weight control, 135 (53%). Fluid restriction and fluid balance were the least commonly prescribed treatments, 95 (37%) and 72 (28%), respectively. Only 38 (54%) of balances, 89 (67%) of weight controls and 69 (57%) of diuresis controls were performed. Concerning patients’ previous knowledge of the treatments, 229 (90%) were advised to restrict salt intake, and 163 (64%) were advised to restrict fluid intake. Weight control was the least commonly known care, 117 (46%). Except for salt control, the other treatments were prescribed in slightly more than half of the samples, and were ineffective.

scholarly journals Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis

2014 ◽  
Vol 48 (3) ◽  
pp. 446-453 ◽  
Author(s):  
Maria Isabel da Conceição Dias Fernandes ◽  
Ana Beatriz de Almeida Medeiros ◽  
Beatriz Medeiros de Macedo ◽  
Ana Beatriz Ferreira Vitorino ◽  
Marcos Venícios de Oliveira Lopes ◽  
...  
Keyword(s):  
Weight Gain ◽  
Jugular Vein ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Fluid Volume ◽  
Pulmonary Congestion ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Breath Sounds

Objective: To identify the prevalence of nursing diagnosis of fluid volume excess and their defining characteristics in hemodialysis patients and the association between them. Method: Cross-sectional study conducted in two steps. We interviewed 100 patients between the months of December 2012 and April 2013 in a teaching hospital and one hemodialysis clinic. The inference was performed by diagnostician nurses between July and September 2013. Results: The diagnostic studied was identified in 82% of patients. The characteristics that were statistically associated: bounding pulses, pulmonary congestion, jugular vein distention, edema, change in electrolytes, weight gain, intake greater than output and abnormal breath sounds. Among these, edema and weight gain had the highest chances for the development of this diagnostic. Conclusion: The analyzed diagnostic is prevalent in this population and eight characteristics presented significant association.


scholarly journals Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients

2017 ◽  
Vol 70 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Maria Isabel da Conceição Dias Fernandes ◽  
Camila de Souza Soares ◽  
Jéssica Dantas de Sá Tinôco ◽  
Millena Freire Delgado ◽  
Maria das Graças Mariano Nunes de Paiva ◽  
...  
Keyword(s):  
Physical Examination ◽  
Clinical Analysis ◽  
Cross Sectional Study ◽  
Fluid Volume ◽  
University Hospital ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Clinical Variables ◽  
Nursing Diagnosis

ABSTRACT Objective: To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients. Method: Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic. Results: It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables. Conclusion: The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.

scholarly journals Critical defining characteristics for nursing diagnosis about ineffective breastfeeding

2018 ◽  
Vol 71 (2) ◽  
pp. 314-321 ◽  
Author(s):  
Sandra Cristina de Alvarenga ◽  
Denise Silveira de Castro ◽  
Franciéle Marabotti Costa Leite ◽  
Telma Ribeiro Garcia ◽  
Marcos Antônio Gomes Brandão ◽  
...  
Keyword(s):  
Logistic Regression Model ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Maternity Ward ◽  
Milk Supply ◽  
Time Data ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Accuracy Measures

ABSTRACT Objective: To investigate the Nursing diagnostic accuracy measures and to propose a model to use defining characteristics in order to judge the nursing diagnosis of ineffective breastfeeding. Method: Cross-sectional study with a sample of 73 binomials mom-child hospitalized in a maternity ward of an University Hospital, from July to August of 2014. Results: The diagnostic predominance rate was 58.9%. The characteristics that best meet the needs of logistic regression model were: discontinuance of breast sucking; infant's inability of seizing the areola-nipple region correctly; infant's crying one hour after breastfeeding and inappropriate milk supply perceived. Conclusion: Breastfeeding process is dynamic; diagnostic judgement may suffer some changes according to the time data are collected; the defining characteristics are the best predictors if associated with models and rules of use.

scholarly journals Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

2015 ◽  
Vol 49 (3) ◽  
pp. 387-393 ◽  
Author(s):  
Viviane Martinelli Pelegrino Ferreira ◽  
Luma Nascimento Silva ◽  
Rejane Kiyomi Furuya ◽  
André Schmidt ◽  
Lídia Aparecida Rossi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Sense Of Coherence ◽  
Self Care ◽  
Decompensated Heart Failure ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Symptoms Of Depression ◽  
Care Behavior

OBJECTIVE To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. METHOD A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). RESULTS No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002). CONCLUSION Special attention should be given to women with HF considering self-care and depressive symptoms.

scholarly journals Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients

2015 ◽  
Vol 23 (6) ◽  
pp. 1057-1064 ◽  
Author(s):  
Maria Isabel da Conceição Dias Fernandes ◽  
Miclécia de Melo Bispo ◽  
Érida Maria Diniz Leite ◽  
Marcos Venícios de Oliveira Lopes ◽  
Viviane Martins da Silva ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Fluid Volume ◽  
University Hospital ◽  
Northeastern Brazil ◽  
Pulmonary Congestion ◽  
Cross Sectional ◽  
Predictive Values ◽  
Nursing Diagnosis ◽  
Breath Sounds ◽  
Sensitivity Specificity

Objective: to evaluate the accuracy of the defining characteristics of the excess fluid volume nursing diagnosis of NANDA International, in patients undergoing hemodialysis. Method: this was a study of diagnostic accuracy, with a cross-sectional design, performed in two stages. The first, involving 100 patients from a dialysis clinic and a university hospital in northeastern Brazil, investigated the presence and absence of the defining characteristics of excess fluid volume. In the second step, these characteristics were evaluated by diagnostic nurses, who judged the presence or absence of the diagnosis. To analyze the measures of accuracy, sensitivity, specificity, and positive and negative predictive values were calculated. Approval was given by the Research Ethics Committee under authorization No. 148.428. Results: the most sensitive indicator was edema and most specific were pulmonary congestion, adventitious breath sounds and restlessness. Conclusion: the more accurate defining characteristics, considered valid for the diagnostic inference of excess fluid volume in patients undergoing hemodialysis were edema, pulmonary congestion, adventitious breath sounds and restlessness. Thus, in the presence of these, the nurse may safely assume the presence of the diagnosis studied.

Correlation between cross-sectional area of the internal jugular vein and central venous pressure

2014 ◽  
Vol 31 (1) ◽  
pp. 50-51 ◽  
Author(s):  
Kasana Raksamani ◽  
Vachira Udompornmongkol ◽  
Suwannee Suraseranivongse ◽  
Manee Raksakietisak ◽  
Benno von Bormann
Keyword(s):  
Central Venous Pressure ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Pressure ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Central Venous ◽  
Cross Sectional
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