Defining Characteristics and Related Factors of Decreased Cardiac Tissue Perfusion: Proposal of a New Nursing Diagnosis

Int J Nurs Knowl. 2016 Jul;27(3):175-80. doi: 10.1111/2047-3095.12095. Epub 2015 May 12.

Abstract

Purpose: To identify the possible defining characteristics (DCs) and related factors of the nursing diagnosis (ND) decreased cardiac tissue perfusion.

Methods: Cross-sectional study using medical charts of adults admitted to an emergency department with the chief complaint of chest pain in a hospital in São Paulo, Brazil.

Findings: DCs identified: crushing chest pain, elevated markers of myocardial necrosis, ischemic electrocardiogram changes, sweating, nausea, and vomiting. Related factors identified: interruption of arterial blood flow and coronary spasm.

Conclusion: This ND was clinically identified due to significant differences in the DCs of patients with and without the diagnosis.

Practice implications: The clinical indicators identified in this study can be the starting point for the DCs for this ND.

Keywords: Acute coronary syndrome; chest pain; nursing diagnosis.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Heart / physiopathology*
  • Humans
  • Nursing Diagnosis*
  • Nursing Records
  • Perfusion