Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

Rev Lat Am Enfermagem. 2013 Jan-Feb:21 Spec No:250-8. doi: 10.1590/s0104-11692013000700031.
[Article in English, Portuguese]

Abstract

Objective: the study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA).

Method: a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts.

Results: the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration.

Conclusion: the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.

Publication types

  • Observational Study
  • Validation Study

MeSH terms

  • Cohort Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nursing Diagnosis*
  • Prospective Studies
  • Respiratory Aspiration / diagnosis*
  • Respiratory Aspiration / etiology*
  • Risk Factors
  • Stroke / complications*