Accuracy of the defining characteristics of the nursing diagnosis hypothermia in patients on hemodialysis
| Autor: | Jackson Rodrigues Damasceno, Tahissa Frota Cavalcante, José Erivelton de Souza Maciel Ferreira, Eloise da Silva Barbosa, Rafaella Pessoa Moreira, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira |
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| Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Revista Brasileira de Enfermagem, Vol 75, Iss 4 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1984-0446 0034-7167 |
| DOI: | 10.1590/0034-7167-2021-0620 |
| Popis: | ABSTRACT Objective: to analyze the accuracy of the defining characteristics of hypothermia in patients on hemodialysis. Methods: a diagnostic accuracy study was assembled within a cross-sectional study with 124 patients from two dialysis centers. A latent class model was used for data analysis. Results: the nursing diagnosis hypothermia was present in 13 (10.48%) study participants. The most prevalent defining characteristics were hypoxia (100%), decrease in blood glucose level (83.1%), hypertension (65.3%), piloerection (45.2%), and skin cool to touch (41.1%). The defining characteristics acrocyanosis (99.96%) and cyanotic nail beds (99.98%) had a high sensitivity. Acrocyanosis (91.8%), skin cool to touch (64.8%), and peripheral vasoconstriction (91.8%) had high specificity. Conclusion: specific and sensitive indicators of hypothermia work as good clinical indicators for confirming this diagnosis in patients on hemodialysis. The study findings can assist nurses in their clinical reasoning for a correct inference of hypothermia. |
| Databáze: | Directory of Open Access Journals |
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