An Overview of Nursing Diagnosis in Patients with Heart Failure in the Emergency Department

Nur Hidayati, Aprelia Afidatul Hanafi, Kumil Lailah, Hamidah Othman

Abstract


Heart failure is a leading global cause of mortality. Accurate diagnosis is crucial as the basis for appropriate nursing care. This study aims to identify nursing diagnoses observed in heart failure patients treated at the Emergency Department of Lamongan Muhammadiyah Hospital.
A retrospective descriptive-analytic design was applied to 284 medical records of heart failure patients such as admitted between January and December 2023 from 986 patients totally, selected through cluster random sampling. The Study conducted in February 2024. Data were collected via recapitulation and analyzed using frequency distribution.
Results indicate symptoms of heart failure including shortness of breath, increased respiratory rate, tachycardia, arrhythmias on ECG, nasal flaring, edema, hypertension, pain, anxiety, altered PCO2 levels, use of accessory muscles for breathing, reduced PO2, fatigue, hypotension, dyspnea, pale skin, CRT >3 seconds, cold extremities, and decreased consciousness. The most common nursing diagnoses included ineffective breathing patterns, acute pain, decreased cardiac output, activity intolerance, ineffective airway clearance, and hypervolemia.
The nursing diagnoses obtained in this study have different priorities with the theory because some patients have various condition in the first day admitted in the hospital. Further research is needed with a realtime data and compared with complicated heart failure.

Keywords


Nursing Diagnoses, Heart Failure

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References


Abbasi, A., Najafi Ghezeljeh, T., Ashghali Farahani, M., & Naderi, N. (2018). Effects of the self-management education program using the multi-method approach and multimedia on the quality of life of patients with chronic heart failure: A non-randomized controlled clinical trial. Contemporary Nurse, 54(4–5), 409–420. https://doi.org/10.1080/10376178.2018.1538705

Brasil, D., Cavalcanti, A., Carla, ;, De Melo, V., & Pereira, J. (2014). Universidade Federal Fluminense Nursing diagnoses of patients with heart failure: an integrative review. Online Brazilian Journal of Nursing, 13(1), 113–124. http://www.redalyc.org/articulo.oa?id=361442116013

Celano, C. M., Villegas, A. C., Albanese, A. M., Gaggin, H. K., & Huffman, J. C. (2018). Depression and Anxiety in Heart Failure: A Review. In Harvard Review of Psychiatry (Vol. 26, Issue 4, pp. 175–184). Lippincott Williams and Wilkins. https://doi.org/10.1097/HRP.0000000000000162

Dwi Prahasti, S., & Fauzi, L. (2021). Risiko Kematian Pasien Gagal Jantung Kongestif (GJK): Studi Kohort Retrospektif Berbasis Rumah Sakit. Indonesian Journal of Public Health and Nutrition Article Info. https://doi.org/10.15294/ijphn.v1i3.48101

El Haque, I. T., Gunawan, A., & Puspayanti, S. (2021). Application of Semi Fowler Position to Inaffectiveness of Breathing Patterns in Congestive Heart Failure (Chf) Patients. JURNAL VNUS (Vocational Nursing Sciences), 3(1), 29–37. https://doi.org/10.52221/jvnus.v3i1.325

Jurgens, C. Y., Moser, D. K., Armola, R., Carlson, B., Sethares, K., & Riegel, B. (2009). Symptom clusters of heart failure. Research in Nursing and Health, 32(5), 551–560. https://doi.org/10.1002/nur.20343

Khasanah, D. R. A. U., Pramudibyanto, H., & Widuroyekti, B. (2020). Pendidikan dalam Masa Pandemi Covid-19. Jurnal Sinestesia, 10(1), 41–48.

Nurhanani, R., Setyawan Susanto, H., Udiyono Bagian Epidemiologi dan Penyakit Tropik, A., & Kesehatan Masyarakat, F. (2020). Hubungan Faktor Pengetahuan Dengan Tingkat Kepatuhan Minum Obat Antihipertensi (Studi Pada Pasien Hipertensi Essential di Wilayah Kerja Puskesmas Bandarharjo Kota Semarang) Relationship of knowledge factors with the Level of Antihipertension Drug Compliance (Study of Essential Hypertension Patients in the Working Area of Bandarharjo Health Center in Semarang City). 8(1). http://ejournal3.undip.ac.id/index.php/jkm

Paulo Cesar, da C. G., Thaisa, R. F., Eduardo, T. G., & Simone, M. M. da S. B. (2016). Nursing Diagnosis Applied To Patients With Decompensated Heart Failure Diagnósticos De Enfermagem Aplicados A Pacientes Com Insuficiência Cardíaca Descompensada. Cogitare Enferm, 12(2), 1–8. http://revistas.ufpr.br/cogitare/

Pavlovic, N. V., GILOTRA, N. A., LEE, C. S., NDUMELE, C., MAMMOS, D., DENNISONHIMMELFARB, C., & AbshireSaylor, M. (2022). Fatigue in Persons With Heart Failure: A Systematic Literature Review and Meta-Synthesis Using the Biopsychosocial Model of Health. In Journal of Cardiac Failure (Vol. 28, Issue 2, pp. 283–315). Elsevier B.V. https://doi.org/10.1016/j.cardfail.2021.07.005

Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G. F., Coats, A. J. S., Falk, V., González-Juanatey, J. R., Harjola, V. P., Jankowska, E. A., Jessup, M., Linde, C., Nihoyannopoulos, P., Parissis, J. T., Pieske, B., Riley, J. P., Rosano, G. M. C., Ruilope, L. M., Ruschitzka, F., … Zamorano, J. L. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 18(8), 891–975. https://doi.org/10.1002/ejhf.592

PPNI, T. P. S. D. (2017). Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik. Dewan Pengurus PPN.

PPNI, T. P. S. D. (2019). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Prado, P. R. Do, Bettencourt, A. R. de C., & Lopes, J. de L. (2019a). Defining characteristics and related factors of the nursing diagnosis for ineffective breathing pattern. In Revista Brasileira de Enfermagem (Vol. 72, Issue 1, pp. 221–230). Associacao Brasilerira de Enfermagem. https://doi.org/10.1590/0034-7167-2018-0061

Prado, P. R. Do, Bettencourt, A. R. de C., & Lopes, J. de L. (2019b). Defining characteristics and related factors of the nursing diagnosis for ineffective breathing pattern. In Revista Brasileira de Enfermagem (Vol. 72, Issue 1, pp. 221–230). Associacao Brasilerira de Enfermagem. https://doi.org/10.1590/0034-7167-2018-0061

Rahmatiana, F., & Clara, H. (2020). Asuhan Keperawatan pada pasien Tn. A dengan Congestive Heart Failure. Buletin Kesehatan Publikasi Ilmiah Bidang Kesehatan, 3(1), 7–25.

Riskesdas. (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018.

Suddarth, B. &. (2017). Keperawatan Medical-Bedah Brunner & Suddarth (12th ed.). EGC.

World Health Organization. (2021, July 11). Cardiovascular diseases (CVDs).




DOI: https://doi.org/10.37311/jnj.v7i1.29363

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