Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study
| Autor: | Ana Beatriz de Almeida Medeiros, Juliane Rangel Dantas, Maria das Graças Mariano Nunes de Paiva, Jéssica Dantas de Sá Tinôco, Marcos Venícios de Oliveira Lopes, Maria Isabel da Conceição Dias Fernandes, Ana Luisa Brandão de Carvalho Lira, Isadora Lorenna Alves Nogueira |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Nursing assessment Disease Sensitivity and Specificity Medication Adherence 03 medical and health sciences 0302 clinical medicine Clinical Protocols Renal Dialysis Humans Medicine 030212 general & internal medicine Renal Insufficiency Chronic Intensive care medicine Nursing Assessment General Nursing Dialysis 030504 nursing Health management system business.industry Data Collection Attendance Disease Management Middle Aged medicine.disease Latent class model Patient Compliance Female Hemodialysis 0305 other medical science business Kidney disease |
| Zdroj: | Clinical Nursing Research. 28:602-614 |
| ISSN: | 1552-3799 1054-7738 |
| DOI: | 10.1177/1054773817754021 |
| Popis: | This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|