{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:57:17Z","timestamp":1791367037967,"version":"4.3.1"},"reference-count":43,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intestinal ostomies affect physical, emotional, and social dimensions of life, requiring systematic assessment and individualized nursing care. Although the NANDA-I Classification of Nursing Diagnoses (NDs) supports diagnostic reasoning and care planning, systematic evidence on the most frequent NDs in this population remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze the available evidence on the prevalence of the NANDA-I NDs in individuals with intestinal ostomies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A systematic review with meta-analysis was conducted following the Cochrane guidelines in Web of Science, Scopus, Embase, CINAHL, MEDLINE\/PubMed, and the Virtual Health Library, with no language or time restrictions. Quantitative studies reporting the prevalence of NANDA-I NDs were included. The methodological quality was assessed, and prevalence proportions were pooled using the DerSimonian-Laird random-effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six studies published between 2000 and 2023 were included, five of which met quality criteria for the meta-analysis, totaling 508 participants. The most prevalent NDs were Ineffective sleep pattern (53%; 95% CI 28\u201377%); Risk for impaired skin integrity (34%; 95% CI 0\u201390%)\n                      <jats:italic toggle=\"yes\">;<\/jats:italic>\n                      Disrupted body image (33%; 95% CI 8\u201364%); Impaired resilience (31%; 95% CI 23\u201340%); Situational low self-esteem (27%; 95% CI: 21\u201334%)\n                      <jats:italic toggle=\"yes\">;<\/jats:italic>\n                      Impaired sexual function (23%; 95% CI 16\u201332%)\n                      <jats:italic toggle=\"yes\">;<\/jats:italic>\n                      Impaired physical mobility (23%; 95% CI 11\u201336%)\n                      <jats:italic toggle=\"yes\">;<\/jats:italic>\n                      Acute pain (22%; 95% CI 13\u201333%)\n                      <jats:italic toggle=\"yes\">;<\/jats:italic>\n                      Inadequate nutritional intake (21%; 95% CI: 10\u201333%)\n                      <jats:italic toggle=\"yes\">.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The most prevalent NDs identified reflect common altered human responses in individuals with intestinal ostomies. Identifying these NDs can support diagnostic assessment and care planning targeted at optimizing sleep, protecting skin integrity, promoting satisfactory body image perception, and enhancing emotional adaptation and resilience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261443251","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T14:47:31Z","timestamp":1778078851000},"page":"452-465","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of NANDA-I Diagnoses in Individuals with Intestinal Ostomies: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3262-9503","authenticated-orcid":false,"given":"Luis Fernando","family":"Reis Macedo","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3739-2020","authenticated-orcid":false,"given":"Igor Emanuel","family":"Soares-Pinto","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade Norte da Cruz Vermelha Portuguesa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"de Lima Lopes","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenya Wal\u00e9ria","family":"de Siqueira Coelho Lisboa","sequence":"additional","affiliation":[{"name":"Universidade Regional do Cariri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5130-5523","authenticated-orcid":false,"given":"Vinicius Batista","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renan Alves","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Campina Grande"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6243-6497","authenticated-orcid":false,"given":"Camila Takao","family":"Lopes","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16466"},{"issue":"2","key":"e_1_3_3_3_1","article-title":"Living with elimination ostomies: A study in light of the theory of social representations","volume":"13","author":"Alves D. d. 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