Prevalence of NANDA-I Nursing Diagnoses in patients with heart failure: A systematic review and meta-analysis.
evidence‐based nursing
heart failure
meta‐analysis
nursing diagnosis
prevalence
Journal
International journal of nursing knowledge
ISSN: 2047-3095
Titre abrégé: Int J Nurs Knowl
Pays: United States
ID NLM: 101582422
Informations de publication
Date de publication:
06 Apr 2024
06 Apr 2024
Historique:
received:
23
11
2023
accepted:
19
03
2024
medline:
7
4
2024
pubmed:
7
4
2024
entrez:
6
4
2024
Statut:
aheadofprint
Résumé
This research quantitatively explored the prevalence of NANDA-I nursing diagnoses related to the care of patients experiencing heart failure. A systematic review and meta-analysis were conducted with the systematic review protocol registered in PROSPERO (registration number: CRD42022382565). Systematic searches were performed between March and April 2022, including peer review for selection, quality assessment, data extraction, and analysis of all included studies. A subsequent meta-analysis was performed, focusing on the proportion of nursing diagnoses in patients with heart failure. The logistic random effects model with maximum likelihood estimation assessed the combined proportion, and heterogeneity between studies was evaluated using the I PubMed, SCOPUS, CINAHL, WOS, and Embase were used. Of the 11 studies that met the eligibility criteria, 44 nursing diagnoses were identified as most frequently occurring in patients experiencing heart failure, and only 16 diagnoses appeared in more than one publication. The combined mean proportion was 35.73% (95% CI = [26.67%; 48.56%]), indicating the presence of heterogeneity based on the I The results of the meta-analysis suggest priority diagnoses in individuals with heart failure, such as deficient knowledge (00126). Additionally, secondary diagnoses, such as activity intolerance (00092), excess fluid volume (00026), and ineffective breathing pattern (00032), were identified as responses to decreased cardiac output (00029). Less prevalent nursing diagnoses were associated with deterioration of health status and the need for hospitalization. Investigar cuantitativamente la prevalencia de diagnósticos de enfermería NANDA-I asociados con la atención de pacientes con insuficiencia cardíaca. DISEÑO: Revisión sistemática y metanálisis. El protocolo de revisión sistemática quedó registrado en PROSPERO) número de registro: CRD42022382565). MÉTODOS: Se realizaron búsquedas sistemáticas entre marzo y abril de 2022, llevándose a cabo una revisión por pares sobre la selección, evaluación de calidad, extracción de datos y análisis de todos los estudios incluidos. Se realizó un metanálisis posterior centrado en la proporción de diagnósticos de enfermería en pacientes con insuficiencia cardíaca. El modelo logístico de efectos aleatorios con estimación de máxima verosimilitud evaluó la proporción combinada y la heterogeneidad entre los estudios se evaluó mediante el estadístico I PubMed, SCOPUS, CINAHL, WOS, Embase. En los 11 estudios que cumplieron con los criterios de elegibilidad, se identificaron 44 diagnósticos de enfermería aunque sólo 16 diagnósticos aparecieron en más de una publicación. La proporción media combinada fue del 35,73% (IC del 95%) = [26,67%; 48,56%]), y el valor de I
Identifiants
pubmed: 38582749
doi: 10.1111/2047-3095.12467
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
© 2024 The Authors. International Journal of Nursing Knowledge published by Wiley Periodicals LLC on behalf of NANDA International.
Références
Azzolin, K., Souza, E. N. D., Ruschel, K. B., Mussi, C. M., Lucena, A. D. F., & Rabelo, E. R. (2012). Consenso de diagnósticos, resultados e intervenções de enfermagem para pacientes com insuficiência cardiaca em domicílio. Revista Gaúcha de Enfermagem, 33, 56–63. https://doi.org/10.1590/S1983‐14472012000400007
Balduzzi, S., Rücker, G., & Schwarzer, G. (2019). How to perform a meta‐analysis with R: A practical tutorial. Evidence‐based Mental Health, 22(4), 153–160. https://doi.org/10.1136/ebmental‐2019‐300117
Carneiro, C. S., Oliveira, A. P., Lopes, J. L., Bachion, M. M., Herdman, T. H., Moorhead, S. A., & Barros, A. L. (2016). Outpatient clinic for health education: Contribution to self‐management and self‐care for people with heart failure. International Journal of Nursing Knowledge, 27(1), 49–55. https://doi.org/10.1111/2047‐3095.12071
Carneiro, C. S., Lopes, C. T., Lopes, J. L., Santos, V. B., Bachion, M. M., & de Barros, A. L. B. L. (2018). Ineffective health management in people with heart failure: A pilot study. International Journal of Nursing Knowledge, 29(1), 11–17. https://doi.org/10.1111/2047‐3095.12142
Cavalcanti, A. C. D., & Pereira, J. D. M. V. (2014). Nursing diagnoses of patients with heart failure: An integrative review. Online Brazilian Journal of Nursing, 13(1), 113–124.
Costa, M. B., da Silva Bandeira, G. M., Pereira, J. D. M. V., da Silva Figueiredo, L., Cordeiro, R. G., Flores, P. V. P., & Cavalcanti, A. C. D. (2019). Association of international NANDA nursing diagnoses with hospitalization and death in heart failure. Nursing (São Paulo), 22(250), 2783–2787. https://doi.org/10.36489/nursing.2019v22i250p2783‐2787
da Costa Galvão, P. C., Gomes, E. T., Figueirêdo, T. R., & da Silva Bezerra, S. M. M. (2016). Diagnostics of disease‐inculate applied to patients with decompensated cardiac insufficiência. Cogitare Enfermagem, 21(2), 1–8.
da Silva Alves Souza, L. M., Cotait Ayoub, A., & Ruiz Zimmer Cavalcante, A. M. (2017). Nursing diagnosis for people with heart failure based on the hemodynamic profiles. International Journal of Nursing Knowledge, 28(4), 199–203. https://doi.org/10.1111/2047‐3095.12151
da Silva Correia, D. M., Dantas Cavalcanti, A. C., de Carvalho Queluci, G., Ramos Brum, A. K., de Melo Vellozo Pereira Tinoco, J., & Garcia Rosa, M. L. (2021). Consensus on the delphi method of priority nursing diagnosis for heart failure in primary care. Revista de Pesquisa: Cuidado e Fundamental, 13(1). https://doi.org/10.9789/2175‐5361.rpcfo.v13.9687
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence‐based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau.
Dantas Cavalcanti, A. C., Vellozo Pereira, J. D. M., Maciel dos Santos, R. O., Andrade Vieira, G. C., Ferreira Santana, R., da Silva Correia, D. M., & Queluci, G. D. C. (2013). Observational study of clinical validation of nursing diagnosis anxiety in patients with chronic heart failure. Global Nursing, 12(30), 28–40.
de Almeida Neto, O. P. (2017). Diagnósticos de enfermagem de pacientes com insuficiência cardiaca com fração de ejeção reduzida. Rev Med Minas Gerais, 27, e–1878. https://doi.org/10.5935/2238‐3182.20170074
de Padua, B. L. R., Vieira, G. C. A., Pereira, J. D. M. V., da Silva Figueiredo, L., Flores, P. V. P., & Cavalcanti, A. C. D. (2019). Diagnóstico de enfermagem intolerância í atividade em pacientes com insuficiência cardiac crônica. Nursing (São Paulo), 22(250), 2716–2720. https://doi.org/10.36489/nursing.2019v22i250p2716‐2720
de Souza Carneiro, C., Takao Lopes, C., de Lima Lopes, J., Batista Santos, V., Bachion, M. M., & de Barros, A. L. (2017). Conceptual and operational definitions of the defining characteristics and related factors of the diagnosis ineffective health management in people with heart failure. International Journal of Nursing Knowledge, 28(2), 76–87. https://doi.org/10.1111/2047‐3095.12124
de Souza, V., Zeitoun, S. S., Lopes, C. T., de Oliveira, A. P., de Lima Lopes, J., & de Barros, A. L. (2015). Clinical usefulness of the definitions for defining characteristics of activity intolerance, excess fluid volume and decreased cardiac output in decompensated heart failure: A descriptive exploratory study. Journal of Clinical Nursing, 24(17–18), 2478–2487. https://doi.org/10.1111/jocn.12832
dos Santos, E. R., de Souza, M. F., de Gutiérrez, M. G., Maria, V. L., & de Barros, A. L. (2013). Validation of the concept risk for decreased cardiac output. Revista Latino‐Americana de Enfermagem, 21, 97–104. https://doi.org/10.1590/S0104‐11692013000700013
Ernandes, C. M., Bernardes, D. S., Mantovani, V. M., Pedraza, L. L., & Rabelo‐Silva, E. R. (2019). Predição de risco e acurácia diagnóstica em pacientes internados com insuficiência cardiaca descompensada: estudo de coorte [Prediction of risk and diagnostic accuracy in patients hospitalized for decompensated heart failure: Cohort study]. Revista Gaucha de Enfermagem, 40, e20180032. https://doi.org/10.1590/1983‐1447.2019.20180032
Farmakis, D., Parissis, J., Lekakis, J., & Filippatos, G. (2015). Acute heart failure: Epidemiology, risk factors, and prevention. Revista Española de Cardiologia (English ed.), 68(3), 245–248. https://doi.org/10.1016/j.rec.2014.11.004
González, A. M., & Mena, R. P. (2022). Epidemiology and diagnosis of heart failure. FMC‐Continuing Medical Education in Primary Care, 29(6), 2–15. https://doi.org/10.1016/j.fmc.2022.05.003
Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W. (2020). Epidemiology of heart failure. European Journal of Heart Failure, 22(8), 1342–1356. https://doi.org/10.1002/ejhf.1858
Harrer, M., Cuijpers, P., Furukawa, T., & Ebert, D. D. (2019). dmetar: Companion R Package for the guide ‘Doing Meta‐Analysis in R’. R package version 0.1.0. http://dmetar.protectlab.org/
Harrer, M., Cuijpers, P., Furukawa, T. A., & Ebert, D. D. (2021). Doing meta‐analysis with R: A hands‐on guide. Chapman & Hall/CRC Press.
Herdman, T. H., & Kamitsuru, S. (Eds.). (2018–2020). NANDA International, Inc. nursing diagnoses: Definitions and classification 2018–2020 (11th ed.). Elsevier Health Sciences, Thieme.
Herdman, T. H., & Kamitsuru, S. (Eds.). (2021–2023). NANDA International, Inc. Nursing diagnoses: Definitions and classification 2021–2023 (12th ed.). Elsevier Health Sciences, Thieme.
Higgins, J. P., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta‐analysis. Statistics in Medicine, 21(11), 1539–1558. https://doi.org/10.1002/sim.1186
Hill, M. A., Jaisser, F., & Sowers, J. R. (2022). Role of the vascular endothelial sodium channel activation in the genesis of pathologically increased cardiovascular stiffness. Cardiovasc Res, 118(1), 130–140. https://doi.org/10.1093/cvr/cvaa326
Lunney, M. (2013). Critical thinking to achieve positive health outcomes: Nursing case studies and analyses (2nd ed.). John Wiley & Sons.
Martínez Santos, P., Bover Freire, R., Esteban Fernández, A., Bernal Sobrino, J. L., Fernández Pérez, C., Elola Somoza, F. J., Macaya Miguel, C., & Vilacosta, I. (2019). In‐hospital Mortality and Readmissions for Heart Failure in Spain. A study of index episodes and 30‐day and 1‐year cardiac readmissions. Revista Española de Cardiologia (English ed.), 72(12), 998–1004. https://doi.org/10.1016/j.rec.2019.02.004
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., & Kathrine Skibelund, A. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 24(1), 4–131. https://doi.org/10.1002/ejhf.2333
MDConagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., & Kathrine Skibelund, A. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) with the special contribution of the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 24(1), 4–131. https://doi.org/10.1002/EJHF.2333
Nascimento, M. N. R., Vieira, N. R., Aguiar, C. A. D. S., Coelho, M. E. A. A., Félix, N. D. D. C., & Oliveira, C. J. D. (2019). Aspects of nursing assistance for the person with heart failure. Revista de Enfermagem e Atenção à Saúde, 8(2), 123–134. https://doi.org/10.18554/reas.v8i2.3899
Oliveira, A. P. D., Cavalcante, A. M. R. Z., Carneiro, C. S., Santos, V. B., Moorhead, S., Lopes, J. L., & Barros, A. L. B. L. (2020). Health education: The effectiveness of interventions in patients with heart failure. Revista Brasileira de Enfermagem, 73(2), e20180782. https://doi.org/10.1590/0034‐7167‐2018‐0782
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo‐Wilson, E., MDConald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PRISMA 2020 Statement: An updated guide for the publication of systematic reviews. Revista Española de Cardiologia (English ed.), 74(9), 790–799. https://doi.org/10.1016/j.rec.2021.07.010
Park, H., & Tucker, D. A. (2017). Capturing key NANDA‐I nursing diagnoses from actual clinical data for patients with heart failure. International Journal of Nursing Knowledge, 28(1), 30–36. https://doi.org/10.1111/2047‐3095.12097
Pereira, J. M., Cavalcanti, A. C., Lopes, M. V., da Silva, V. G., de Souza, R. O., & Gonçalves, L. C. (2015). Accuracy in inference of nursing diagnoses in heart failure patients. Revista Brasileira de Enfermagem, 68(4), 603–696. https://doi.org/10.1590/0034‐7167.2015680417i
Pereira, J. M., Flores, P. V., Figueiredo, L. D., Arruda, C. S., Cassiano, K. M., Vieira, G. C., Guerra, T. R., Silva, V. A., & Cavalcanti, A. C. (2016). Nursing diagnoses of hospitalized patients with heart failure: A longitudinal study. Revista da Escola de Enfermagem da USP, 50(6), 929–936. https://doi.org/10.1590/S0080‐623420160000700008
Peters, J. L., Sutton, A. J., Jones, D. R., Abrams, K. R., & Rushton, L. (2008). Contour‐enhanced meta‐analysis funnel plots help distinguish publication bias from other causes of asymmetry. Journal of Clinical Epidemiology, 61(10), 991–996. https://doi.org/10.1016/j.jclinepi.2007.11.010
R Core Team. (2013). A: A language and environment for statistical computing. R Foundation for Statistical Computing. https://www.R‐project.org/
Rojas Sánchez, L. Z., Hernández Vargas, J. A., Trujillo Cáceres, S. J., Roa Díaz, Z. M., Jurado Arenales, A. M., & Toloza Pérez, Y. G. (2017). Usefulness of the diagnosis “Decreased Cardiac Output (00029)” in patients with chronic heart failure. International Journal of Nursing Knowledge, 28(4), 192–198. https://doi.org/10.1111/2047‐3095.12148
Santos, V. B., Lopes, C. T., Dos Anjos, L. D., Begot, I., Cassiolatto, F., Guizilinni, S., & Moreira, R. S. L. (2020). Accuracy of the defining characteristics of fatigue in patients with heart failure as identified by the 6‐minute walking test. International Journal of Nursing Knowledge, 31(3), 188–193. https://doi.org/10.1111/2047‐3095.12270
Schwarzer, G., Chemaitelly, H., Abu‐Raddad, L. J., & Rücker, G. (2019). Seriously misleading results using inverse of Freeman‐Tukey double arcsine transformation in meta‐analysis of single proportions. Research Synthesis Methods, 10(3), 476–483. https://doi.org/10.1002/jrsm.1348
Silva, C., Araújo, S., Morais, S., & Frazão, C. (2021). Impaired knowledge in individuals with heart failure: A middle range nursing theory. Revista Brasileira de Enfermagem, 75(2), e20200855. https://doi.org/10.1590/0034‐7167‐2020‐0855
Stijnen, T., Hamza, T. H., & Ozdemir, P. (2010). Random effects meta‐analysis of event outcome in the framework of the generalized linear mixed model with applications in sparse data. Statistics in Medicine, 29(29), 3046–3067. https://doi.org/10.1002/sim.4040
Tian, C., Zhang, J., Rong, J., Ma, W., & Yang, H. (2023). Impact of nurse‐led education on the prognosis of heart failure patients: A systematic review and meta‐analysis. International Nursing Review, 71(1), 180–188. Published online. https://doi.org/10.1111/inr.12852
Tinoco, J. M. V. P., Figueiredo, L. D. S., Flores, P. V. P., Padua, B. L. R., Mesquita, E. T., & Cavalcanti, A. C. D. (2021). Effectiveness of health education in the self‐care and adherence of patients with heart failure: A meta‐analysis. Revista Latino‐Americana de Enfermagem, 29, e3389. https://doi.org/10.1590/1518.8345.4281.3389
Trojahn, M. M., Barilli, S. L. S., Bernardes, D. D. S., Pedraza, L. L., Aliti, G. B., & Rabelo‐Silva, E. R. (2020). B‐type natriuretic peptide levels and diagnostic accuracy: excess fluid volume. Revista Gaucha de Enfermagem, 41(spe), e20190095. https://doi.org/10.1590/1983‐1447.2020.20190095
Vianna, T. A., da Silva, K. C. F., da Cunha, A. L., da Silva, M. R. B., Chicharo, S. C. R., & da Silva Duarte, A. C. (2021). Heart failure and as principalis defining characteristics do diagnosis of excessive fluid volume disease. Saúde Coletiva (Barueri), 11(62), 5260–5271. https://doi.org/10.36489/saudecoletiva.2021v11i62p5260‐5271
Viechtbauer, W. (2010). Conducting meta‐analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48. http://www.jstatsoft.org/v36/i03/
Viechtbauer, W., & Cheung, M. W. (2010). Outlier and influence diagnostics for meta‐analysis. Research Synthesis Methods, 1(2), 112–125. https://doi.org/10.1002/jrsm.11