Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer.

Autor: Nunes MM; Nursing Department, Federal University of Ceará, Fortaleza, Brazil. Electronic address: marilia_mn@hotmail.com., Lopes MVO; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., da Silva VM; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., Leandro TA; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., Fróes NBM; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., Almeida AAP; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., Sobreira BA; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., Nunes VM; Faculty of Medicine, University of Fortaleza, Fortaleza, Ceará, Brazil., de Menezes AP; Nursing Department, Federal University of Ceará, Fortaleza, Brazil., Ferreira GL; Nursing Department, Federal University of Ceará, Fortaleza, Brazil.
Jazyk: angličtina
Zdroj: Journal of pediatric nursing [J Pediatr Nurs] 2018 Sep - Oct; Vol. 42, pp. e58-e65. Date of Electronic Publication: 2018 May 18.
DOI: 10.1016/j.pedn.2018.05.001
Abstrakt: Purpose: To validate the clinical indicators of the nursing diagnosis of Ineffective protection in adolescents with cancer based on diagnostic accuracy measurements.
Design and Methods: Measurements of sensitivity and specificity for the indicators were calculated using latent class analysis with random effects in a sample of 127 adolescents between 10 and 19 years of age.
Results: The prevalence of diagnosis was estimated at 93.7%. The indicators deficient immunity and weakness showed higher sensitivity values, whereas opportunistic infections, recurrent infections, insomnia, mucosal lesions, and coughing showed high specificity.
Conclusions: Seven indicators were clinically validated.
Practice Implications: The validation of clinical indicators provides nurses with the knowledge of useful signs and symptoms to identify early spectra of a nursing diagnosis or confirm their presence in a specific population. In clinical practice, this knowledge contributes to an accurate diagnostic inference and the planning of nursing interventions directed to the idiosyncrasies of individuals.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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