Prevalence of NANDA-I Diagnoses in Individuals with Intestinal Ostomies: A Systematic Review and Meta-Analysis

Abstract

Background

Intestinal ostomies affect physical, emotional, and social dimensions of life, requiring systematic assessment and individualized nursing care. Although the NANDA-I Classification of Nursing Diagnoses (NDs) supports diagnostic reasoning and care planning, systematic evidence on the most frequent NDs in this population remains limited.

Objective

To analyze the available evidence on the prevalence of the NANDA-I NDs in individuals with intestinal ostomies.

Method

A systematic review with meta-analysis was conducted following the Cochrane guidelines in Web of Science, Scopus, Embase, CINAHL, MEDLINE/PubMed, and the Virtual Health Library, with no language or time restrictions. Quantitative studies reporting the prevalence of NANDA-I NDs were included. The methodological quality was assessed, and prevalence proportions were pooled using the DerSimonian-Laird random-effects model.

Results

Six studies published between 2000 and 2023 were included, five of which met quality criteria for the meta-analysis, totaling 508 participants. The most prevalent NDs were Ineffective sleep pattern (53%; 95% CI 28–77%); Risk for impaired skin integrity (34%; 95% CI 0–90%); Disrupted body image (33%; 95% CI 8–64%); Impaired resilience (31%; 95% CI 23–40%); Situational low self-esteem (27%; 95% CI: 21–34%); Impaired sexual function (23%; 95% CI 16–32%); Impaired physical mobility (23%; 95% CI 11–36%); Acute pain (22%; 95% CI 13–33%); Inadequate nutritional intake (21%; 95% CI: 10–33%).

Conclusion

The most prevalent NDs identified reflect common altered human responses in individuals with intestinal ostomies. Identifying these NDs can support diagnostic assessment and care planning targeted at optimizing sleep, protecting skin integrity, promoting satisfactory body image perception, and enhancing emotional adaptation and resilience.