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Aquichan
Print version ISSN 1657-5997
Abstract
HOLANDA DA CUNHA, Gilmara et al. Nursing Diagnostics According to the Self-care Theory in Patients with Myocardial Infarction. Aquichan [online]. 2018, vol.18, n.2, pp.222-233. ISSN 1657-5997. https://doi.org/10.5294/aqui.2018.18.2.9.
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.
Keywords : Nursing; nursing diagnosis; nursing theory; myocardial infarction.