Diagnósticos de enfermagem na unidade de terapia intensiva coronariana: utilizando o mapa conceitual

Abstract

Objective: To identify prevailing nursing diagnoses in the coronary in‑tensive care unit using a conceptual map. Methods: An exploratory/descriptive and quantitative study in which 25 patients were enrolled and signed the Free and Informed Consent Form, which was submitted and approved by the Research Ethics Committee. On the data collection, it was used the form validated and structured by Horta’s Basic Human Needs Theory, through interviews, physical tests and logs of the electronic medical record. For the construction of the nursing diagno‑sis in conceptual maps, it was used the CMap Tools, version 6.01.01. The prevailing diagnoses were established through the distribution in sample and frequency ≥ 45%. Results: Prevailing diagnoses were: Risk of impaired cardiovascular function (88%), Risk of ineffective renal perfusion (68%), Risk of ineffective gastrointestinal perfusion (56%), Risk of intolerance to activity (52%), Risk of ineffective cerebral tissue perfusion (52%) and Risk of infection (48%). Discussion: There was a hegemonic relationship between the risk factors found in prevailing nursing diagnoses and those related to cardiovascular diseases, promo‑ting the vulnerability of the population surveyed. Conclusion: The prevailing diagnostic profile is due to the population studied, with potential risk factors to the identification of vulnerability diagnoses. The nurse, in the care planning, should work strongly on he‑alth promotion to minimize complications. The conceptual map brings benefits in the context of clinical reasoning; however, for the practice of the nurse, it demands time.