Nursing diagnoses in children with congenital heart disease: Cross mapping

Abstract

Objective: To identify the NANDA International nursing diagnoses from the terms found in the nursing records of hospitalized children with congenital heart defects, and verify the association between these terms and the mapped nursing diagnoses. Methods: Observational and cross sectional study, developed by mapping of the terms in the nursing records of hospitalized children up to two years of age with congenital heart disease. The association between the terms and the most frequent nursing diagnoses were evaluated using the Student's t-test or chi-square. Results: The most frequent nursing diagnoses in the 82 records analyzed were: Risk for infection (81.7%), impaired gas exchange (46.3%) and activity intolerance (36.6%). The terms "cyanotic" and "pallor" had significant associations with the diagnosis, impaired gas exchange. Conclusion: The terms recorded in the records of children with congenital heart disease allowed for the identification of NANDA International nursing diagnoses, in addition to verification of associations.