Nursing Diagnostics in the Chagas Cardiomyopathy Carrier: Integrative Literature Review
Daniele Melo Sardinha *
Institute Evandro Chagas (PPGEVS) – (IEC/SVS/MS), Ananindeua-PA, Brazil.
Ana Gracinda Ignácio Da Silva
Metropolitan Amazon University Center – UNIFAMAZ, Belém-PA, Brazil.
Dayara De Nazaré Rosa De Carvalho
University of State of Pará (UEPA), Brazil.
Vviane Ferraz Ferreira De Aguiar
Federal University of Pará (UFPA), Belém-PA, Brazil.
Alziney Simor
University of State of Pará (UEPA), Brazil.
*Author to whom correspondence should be addressed.
Abstract
Chagas' cardiomyopathy is a complication of Chagas' disease that presents in the cardiac form, which involves the manifestation of a clinical picture of dilated cardiomyopathy, with global left ventricular dysfunction and heart failure syndrome. In this context, the aim is to describe the Nursing Diagnosis evidenced in the literature in patients with Chagasic Cardiomyopathy. This is a descriptive and exploratory study of the Integrative Literature Review (ILR), with a qualitative approach. We searched the LILACS and PubMed databases for articles published without time limit, in Portuguese, English, and Spanish, with the descriptors: Chagasic Cardiomyopathy; Nursing Diagnosis; Nursing Care. Data were analyzed by tabulation. Three articles were sought for the sample. The following Nursing diagnoses were highlighted: Decreased Cardiac Output; Intolerance to Activity; Poor Knowledge; Sleep and Rest impaired; Anxiety; Excessive fluid volume; Risk of impaired skin integrity; and Comfort impaired. It is concluded that the diagnoses are directly related to heart failure caused by ventricular damage, and that interventions are essential for the improvement in the quality of life of patients. It is also noteworthy that the applicability of the Systematization of Nursing Care in these patients only improves the quality of service and has repercussions on patient safety, being also a way to promote the health of patients.
Keywords: Chagas cardiomyopathy, nursing diagnoses, nursing care.