title: Nursing Diagnosis Based on Signs and Symptoms of Patients With Heart Disease.
abstract: OBJECTIVE
  The aim was to identify the main signs and symptoms of cardiac patients hospitalized in a unit of intensive cardiology care in order to infer the main nursing diagnoses (NDs).
  
  
  METHODS
  We performed a cross-sectional study; the sample consisted of 77 randomly selected records. Those records included only patients hospitalized for cardiovascular causes and with electronic chart available.
  
  
  RESULTS
  Signs and symptoms identified at admission were psychic (40.3%), compressive dressing on arterial puncture site (33.8%), chest pain (29.9%), tachycardia (22.1%), and hemodynamic instability (20.8%).
  
  
  CONCLUSIONS
  According to the data collected, we were able to infer that acute pain, excess of fluid volume, decreased cardiac output, spontaneous ventilation impaired, anxiety and impaired skin integrity are priority for the NDs in the studied population. OBJETIVO: identificar os principais sinais e sintomas de pacientes cardíacos internados em uma unidade de cuidados intensivos de cardiologia, visando inferir os diagnósticos de enfermagem prioritários. MÉTODO: Estudo transversal; a amostra foi composta por 77 registros selecionados aleatoriamente. Incluíram-se apenas pacientes internados por causa cardiovascular e com registro eletrônico disponível.
  
  
  RESULTS
  Os sinais e sintomas identificados na admissão foram psíquicos (40,3%), curativo compressivo em sítio de punção arterial (33,8%), dor torácica (29,9%), taquicardia (22,1%) e instabilidade hemodinâmica (20,8%). CONCLUSÕES E IMPLICAÇÕES PARA A PRÁTICA: De acordo com os dados levantados foram inferidos Dor Aguda, Volume de Líquidos Excessivo, Débito Cardíaco Diminuído, Ventilação Espontânea Prejudicada, Ansiedade e Integridade da Pele Prejudicada como diagnósticos de enfermagem prioritários para a população estudada.
authors.affiliation: Porto Alegre, RS, Brazil.
authors.forename: Cíntia
authors.initials: C
authors.lastname: da Costa
authors.affiliation: Federal University of Health Sciences, Porto Alegre, RS, Brazil. gracielelinch@gmail.com.
authors.forename: Graciele Fernanda
authors.initials: GF
authors.lastname: da Costa Linch
authors.affiliation: Federal University of Health Sciences, Porto Alegre, RS, Brazil.
authors.forename: Emiliane
authors.initials: E
authors.lastname: Nogueira de Souza
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006331:Heart Diseases / Q000451:nursing* / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis
keywords: Cardiology; intensive care; nursing diagnosis