International journal of nursing knowledge · 2019
Accuracy of Defining Characteristics for Nursing Diagnoses Related to Patients with Respiratory Deterioration.
СтатьяНазвание и аннотация: Перевод в очереди
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Vieira Laura F, Fernandes Vivian R, Papathanassoglou Elizabeth, Azzolin Karina de O
Аннотация
PURPOSE: To evaluate accuracy of defining characteristics (DCs) for impaired gas exchange (IGE), impaired spontaneous ventilation (ISV), and ineffective breathing pattern (IBP) in respiratory deterioration.
METHODS: This study is a retrospective analysis of medical records. The accuracy and predictive ability of DC or of clusters are calculated.
FINDINGS: In this study, 391 records were evaluated. For IGE, DCs or clusters with higher efficiency were "hypercapnia" (78%), "somnolence" (74.4%), and "hypercapnia + tachycardia" (88%); for ISV, the cluster with higher efficiency was "increased heart rate ± decrease in cooperation" (70.1%); and for IBP, no DC or cluster exceeded 70% efficiency. These were confirmed by logistic regression.
CONCLUSION: Few DCs had adequate efficiency for respiratory nursing diagnoses, while in some cases clusters accounted for higher efficiency.
IMPLICATIONS FOR NURSING PRACTICE: Clusters of DC may be relevant for respiratory diagnoses.
METHODS: This study is a retrospective analysis of medical records. The accuracy and predictive ability of DC or of clusters are calculated.
FINDINGS: In this study, 391 records were evaluated. For IGE, DCs or clusters with higher efficiency were "hypercapnia" (78%), "somnolence" (74.4%), and "hypercapnia + tachycardia" (88%); for ISV, the cluster with higher efficiency was "increased heart rate ± decrease in cooperation" (70.1%); and for IBP, no DC or cluster exceeded 70% efficiency. These were confirmed by logistic regression.
CONCLUSION: Few DCs had adequate efficiency for respiratory nursing diagnoses, while in some cases clusters accounted for higher efficiency.
IMPLICATIONS FOR NURSING PRACTICE: Clusters of DC may be relevant for respiratory diagnoses.