{
    "abstract": "To analyze the causal factors of the nursing diagnosis of ineffective breathing pattern (IBP) in children with congenital heart disease.\nThis was a cross-sectional study carried out in a tertiary hospital located in northeastern Brazil. Our sample was composed of 340 children with congenital heart disease. The latent class model with adjusted random effects determined the IBP. Univariate logistic regression analysis was performed for each IBP nursing diagnosis causal factor.\nThe analysis of etiological factors for the nursing diagnosis of IBP in children with congenital heart disease revealed a high prevalence of all causal factors investigated. The causal factors with the greatest impact on the occurrence of IBP were body position that inhibits pulmonary expansion; physical effort; pain; age less than two years; increased resistance to air passages; and reduced pulmonary compliance.\nThe occurrence of causal factors, body position that inhibits pulmonary expansion, physical effort, pain and age less than two years increases the chance of IBP nursing diagnosis in children with congenital heart disease.\nThe results obtained in this investigation can guide pediatric nurses in making diagnostic decisions, as identifying the causal factors that trigger or potentiate IBP in children with congenital heart disease allows nurses to intervene early, facilitating the maintenance of breathing patterns.",
    "authors": [
        {
            "affiliation": "Federal University of Ceara, PhD in Nursing from the Federal University of Cear\u00e1, Fortaleza, CE, Brazil; Assistance Nurse in School Maternity Assis Chateubriand, EBSERH, Fortaleza, CE, Brazil. Electronic address: nayanamgs@hotmail.com.",
            "firstname": "Nayana Maria Gomes",
            "initials": "NMG",
            "lastname": "de Souza"
        },
        {
            "affiliation": "Federal University of Ceara, PhD in Nursing from the Federal University of Cear\u00e1, Fortaleza, CE, Brazil; Adjunct Professor at Federal University of Cear\u00e1, Fortaleza, CE, Brazil. Electronic address: viviane.silva@ufc.br.",
            "firstname": "Viviane Martins",
            "initials": "VM",
            "lastname": "da Silva"
        },
        {
            "affiliation": "Federal University of Ceara, PhD in Nursing from the Federal University of Cear\u00e1, Fortaleza, CE, Brazil; Adjunct Professor at Federal University of Cear\u00e1, Fortaleza, CE, Brazil. Electronic address: marcos@ufc.br.",
            "firstname": "Marcos Ven\u00edcios",
            "initials": "MV",
            "lastname": "de Oliveira Lopes"
        },
        {
            "affiliation": "Federal University of Maranh\u00e3o, PhD in Nursing from the Federal University of Cear\u00e1, Imperatriz, MA, Brazil.",
            "firstname": "L\u00edvia Maia",
            "initials": "LM",
            "lastname": "Pascoal"
        },
        {
            "affiliation": "Federal University of Ceara, PhD in Nursing from the Federal University of Cear\u00e1, Fortaleza, CE, Brazil.",
            "firstname": "L\u00edvia Zulmyra Cintra",
            "initials": "LZC",
            "lastname": "de Andrade"
        },
        {
            "affiliation": "Federal University of Ceara, PhD in Nursing from the Federal University of Cear\u00e1, Fortaleza, CE, Brazil; , Nurse in Walter Cant\u00eddio University Hospital, EBSERH, Fortaleza, CE, Brazil.",
            "firstname": "Beatriz Amorim",
            "initials": "BA",
            "lastname": "Beltr\u00e3o"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2025 Elsevier Inc. All rights reserved.",
    "doi": "10.1016/j.pedn.2025.01.022",
    "journal": "Journal of pediatric nursing",
    "keywords": [
        "Causality",
        "Child",
        "Congenital heart disease",
        "Nursing diagnosis",
        "Ventilation"
    ],
    "methods": null,
    "publication_date": "2025-02-02",
    "pubmed_id": "39892027",
    "results": "The analysis of etiological factors for the nursing diagnosis of IBP in children with congenital heart disease revealed a high prevalence of all causal factors investigated. The causal factors with the greatest impact on the occurrence of IBP were body position that inhibits pulmonary expansion; physical effort; pain; age less than two years; increased resistance to air passages; and reduced pulmonary compliance.",
    "title": "Analysis of the causal factors of the nursing diagnosis of ineffective breathing pattern in children with congenital heart disease.",
    "xml": "<Element 'PubmedArticle' at 0x788506204400>"
}