Accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.

Autor: Aquino WKM; Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil., Lopes MVO; Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil., Silva VMD; Universidade Federal do Ceará, Health Sciences Center, Department of Nursing. Fortaleza, Ceará, Brazil., Fróes NBM; Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil., Menezes AP; Universidade Federal do Ceará, Graduate in Nursing. Fortaleza, Ceará, Brazil., Almeida AAP; Universidade Federal do Ceará, Graduate in Nursing. Fortaleza, Ceará, Brazil., Sobreira BA; Universidade Federal do Ceará, Graduate in Nursing. Fortaleza, Ceará, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista brasileira de enfermagem [Rev Bras Enferm] 2018 Mar-Apr; Vol. 71 (2), pp. 357-362.
DOI: 10.1590/0034-7167-2017-0037
Abstrakt: Objective: to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.
Method: a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity.
Results: Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively).
Conclusion: four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.
Databáze: MEDLINE
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