Abstract
Distances walked in walking tests are important functional markers, although they are not accepted as defining characteristics of Ineffective Peripheral Tissue Perfusion. The aims of this study were to verify the distances participants with and without this nursing diagnosis walked in the six-minute walk test and if these measures may be considered defining characteristics of this phenomenon. Participants with (group A; n=65) and without (group B; n=17) this nursing diagnosis were evaluated regarding physical examination, vascular function and functional capacity. Participants of group A seemed to have worse vascular function and functional capacity compared with those of group B. Pain-free travelled distance was predictive of the nursing diagnosis. These results are important for the refinement of this diagnosis. In conclusion, this study provides evidences that the distances walked in the six-minute walk test may be considered defining characteristics of Ineffective Peripheral Tissue Perfusion.
Highlights
Nursing diagnoses are an important framework for nurses in many settings, such as clinical, teaching and research
The aims of this study were to verify the total and pain-free distances walked by patients with Ineffective Peripheral Tissue Perfusion (IPTP) and to verify if distances travelled in the 6-MWT may be considered as defining characteristics (DC) of IPTP
Among the selected DC, all were more prevalent in group A, except for altered skin hair and temperature, which did not show statistical differences between groups, and shiny skin and edema, which were not observed in any participant
Summary
Nursing diagnoses are an important framework for nurses in many settings, such as clinical, teaching and research. Among the structural elements of nursing diagnoses, defining characteristics (DC) are cues or inferences that cluster as manifestations of these diagnoses[1]. DC are strongly linked to diagnostic accuracy, which is known to improve the quality of nursing care and patient safety[2]. The latest version of the NANDA-International (NANDA-I) taxonomy contains 201 approved nursing diagnoses[1]. Our research team has studied Ineffective Peripheral Tissue Perfusion (IPTP), which is defined as a “decrease in blood circulation to the periphery that may compromise health”(1). In 2008, IPTP was accepted as a new diagnosis in the NANDA-I classification[1]. It is interesting to highlight that our www.eerp.usp.br/rlae
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