心脏组织灌注减少和活动不耐受的风险:关联研究

Suellen Cristina DIAS EMIDIO, Laís Pereira Giovanini, Paula Rocco Gomes Lima, Julia Leme Gonçalves, Ana Railka De Souza Oliveira-Kumakura
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引用次数: 0

摘要

目的:确定心脏组织灌注减少风险和活动不耐受风险的护理诊断,并建立这两种诊断的组成部分与急性冠状动脉综合征的体征和症状之间的联系。材料和方法:对巴西一家公立医院诊断为急性冠状动脉综合征的75名患者进行观察和关联研究。应用推断统计学和多元泊松回归模型。结果:84%的患者表现出活动不耐受的风险,80%的患者报告有心脏组织灌注减少的风险。超过50%的样本存在风险因素。诊断显示急性冠状动脉综合征患者的发病率很高。药物、合并症的存在、家族史和个人史与诊断相关。缺乏心脏组织灌注减少的证据,如呼吸困难、肩部和下巴的辐射以及疼痛时间小于10小时,这些都是保护因素。结论:急性冠状动脉综合征患者对护理诊断的敏感性较高。因此,我们建议进一步研究,以确定评估的风险诊断对关注这一健康问题的人的预测能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk for decreased cardiac tissue perfusion and activity intolerance: Association study
Objective: To identify the nursing diagnoses of risk for decreased cardiac tissue perfusion and risk for activity intolerance and establish the association between the components of both diagnoses and the signs and symptoms of acute coronary syndromes. Materials and methods: Observational and associative study with 75 patients diagnosed with acute coronary syndrome in a Brazilian public hospital. Inferential statistics and multiple Poisson regression models were applied. Results: 84% of the patients showed risk for activity intolerance and 80% reported risk for decreased cardiac tissue perfusion. Risk factors were present in more than 50% of the sample. The diagnoses showed a high frequency in patients with acute coronary syndrome. Pharmacological agents, presence of comorbidities, and family and personal history were associated with the diagnoses. Absence of evidence of decreased cardiac tissue perfusion as dyspnea, radiation to shoulder and jaw, and pain time less than ten hours acted as protective factors. Conclusion: There is a high cardiovascular vulnerability of patients with acute coronary syndrome to the proposed nursing diagnoses. Therefore, we recommend further studies to determine the predictive power of the assessed risk diagnoses for those focusing on this health problem.
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