Determine the outcomes and interventions for patients undergoing cardiac catheterization with nursing diagnosis of impaired tissue integrity.
METHODS
Survey with e-questionnaires sent for expert nurses in two rounds.
FINDINGS
Only one nursing outcome was approved: tissue integrity—skin and mucosa and five related interventions, namely, pressure control, topical drug administration, care of incision site, care of injuries, and infection control.
CONCLUSIONS
The expected outcomes and the most significant interventions for the implementation of nursing care during the immediate recovery of patients with impaired tissue integrity following invasive hemodynamic procedures were defined.
IMPLICATIONS FOR NURSING PRACTICE
The study findings support selection of appropriate nursing outcomes and interventions for this patient profile.
ArmendarisM. K.AzzolinK. O.AlvesF. J. M. S.RitterS. G.MoraesM. A. P. (2008). Incidence of vascular complications in patients submitted to percutaneous transluminal coronary angioplasty by transradial and transfemoral arterial approach. Acta Paulista de Enfermagem, 21(1), 107–111.
2.
AzzolinK.SouzaE. N.RuschelK. B.MussiC. M.LucenaA. F.RabeloE. R. (2012). Consensus on nursing diagnoses, interventions and outcomes for home care of patients with heart failure. Revista Gaucha de Enfermagem, 33(4), 56–63.
DumontC. J. P.KeelingA. W.BourguignonC.SarembockI. J.TurnerM. (2006). Predictors of vascular complications post diagnostic cardiac catheterization and percutaneous coronary interventions. Dimensions of Critical Care Nursing, 25(3), 137–142.
6.
FreitasM. C.QueirozT. A.SouzaJ. A. V. (2007). The nursing process according to the view of nurses from a maternity. Revista Brasileira de Enfermagem, 60(2), 207–212.
7.
JohnsonM.BulechekG.ButcherH.DeochtermanJ. M.MaasM.MoorheadS.SwansonE. (2012). Ligações entre NANDA-NIC-NOC, diagnósticos, resultados e intervenções de enfermagem (2nd ed.). Porto Alegre: Artmed.
8.
LevinR. F.LunneyM.MillerB. K. (2004). Improving diagnostic accuracy using an evidence-based nursing model. Journal of Nursing Terminology Classification, 15(4), 114–122. doi:10.1111/j.1744618x.2004.tb00008.x
9.
LimaL. R.StivalM. M.LimaL. R. (2008). Nursing diagnoses in patients post-angioplasty transluminal percutaneous coronary based on the horta's assumption. Revista de Enfermagem UFPE on line, 2(3), 194–199.
10.
LunneyM.McGuireM.EndozoN.McIntosh-WaddyD. (2010). Consensus-validation study identifies relevant nursing diagnoses, nursing interventions, and health outcomes for people with traumatic brain injuries. Rehabilitation Nursing, 35(4), 161–166.
11.
MertH.Seren IntepelerS.BenguN.BaturlarZ.IstanP.OzcelikE. (2012). Efficacy of frequent blood pressure and heart rate monitoring for early identification of bleeding following percutaneous coronary intervention. International Journal of Nursing Practice, 18(1), 52–59.
12.
MohammadyM.HeidariK.AkbariS. A.ZolfaghariM.JananiL. (2013). Early ambulation after diagnostic transfemoral catheterization: A systematic review and meta-analysis. International Journal of Nursing Studies, 51(1), 39–50.
PaganinA.RabeloE. R. (2013). Clinical validation of the nursing diagnoses of impaired tissue integrity and impaired skin integrity in patients subjected to cardiac catheterization. Journal of Advanced Nursing, 69(6), 1338–1345.
15.
PivaC. D.VazE.MoraesM. A.GoldmeyerS.LinchG. F. C.SouzaE. N. (2014). Discomfort reported by patients after cardiac catheterization using the femoral and radial approach. Revista Brasileira de Cardiologia Invasiva, 22(1), 36–40.
16.
RochaV. S.AlitiG.MoraesM. A.RabeloE. R. (2009). Three-hour rest period after cardiac catheterization with a 6 f sheath does not increase complications: A randomized clinical trial. Revista Brasileira de Cardiologia Invasiva, 17(4), 512–517.
17.
RossatoG.QuadrosA. S.LeiteR. S.GottschallC. A. (2007). Analysis of in-hospital complications related to cardiac catheterization. Revista Brasileira de Cardiologia Invasiva, 15(1), 44–51.
