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Previous issue date: 2015-11-24 / Estudo transversal de acur?cia diagn?stica, cujo objetivo foi validar clinicamente o diagn?stico de enfermagem Prote??o Ineficaz em pacientes submetidos ? hemodi?lise. Duzentos pacientes submetidos ? hemodi?lise em uma cl?nica no nordeste do Brasil foram selecionados por conveni?ncia, de forma consecutiva, durante os meses de mar?o e abril de 2015. Na coleta de dados, utilizou-se o prontu?rio e um instrumento estruturado de entrevista e exame f?sico. A acur?cia dos indicadores cl?nicos do diagn?stico Prote??o Ineficaz se deu a partir da an?lise de classe latente. Foram identificadas a preval?ncia do diagn?stico, os valores de sensibilidade e especificidade de cada indicador cl?nico investigado e os respectivos intervalos de confian?a de 95%. O estudo foi aprovado pelo comit? de ?tica em pesquisa, com parecer n?mero 387.837 e Certificado de Apresenta??o para Aprecia??o ?tica: 18486413.0.0000.5537. Os resultados indicam uma preval?ncia de 60,5% do diagn?stico Prote??o Ineficaz na clientela investigada. Os indicadores cl?nicos com maior sensibilidade ao diagn?stico Prote??o Ineficaz foram: Fadiga, Resposta mal adaptada ao estresse e Altera??o na coagula??o. Os espec?ficos foram: Fadiga, Febre, Aumento do n?mero de hospitaliza??es, Fraqueza, Acesso vascular infeccionado e Disfun??o do acesso vascular. Conclui-se que o diagn?stico estudado ? v?lido clinicamente para a clientela em hemodi?lise, pois a identifica??o do conjunto de indicadores cl?nicos acurados, por meio das medidas de sensibilidade e especificidade, permitiu a predi??o fidedigna do mesmo. Destaca-se o indicador Fadiga com melhores medidas de acur?cia para a ocorr?ncia do diagn?stico investigado. Ademais, os achados contribuem para a pr?tica cl?nica do enfermeiro, auxiliando no processo de infer?ncia diagn?stica e no plano de interven??es preciso e direcionado ? realidade do paciente em hemodi?lise. / Cross-sectional study of diagnostic accuracy, with purpose the clinical validation of the nursing diagnosis Ineffective Protection in patients undergoing hemodialysis. Two hundred patients undergoing hemodialysis at a clinic in northeastern Brazil were selected by convenience, consecutively, during the months of March and April 2015. In the data collection, we used the medical records and a structured instrument of interview and physical examination. The accuracy of the clinical indicators of diagnosis Ineffective Protection took from the latent class analysis. It was identified the prevalence of diagnosis, the sensitivity and specificity of each clinical indicator investigated and their confidence intervals of 95%. The ethics committee in research approved the study, with sound number 387 837 and Certificate Presentation to Ethics Assessment: 18486413.0.0000.5537. The results indicate a prevalence of 60.5% in the diagnosis Ineffective Protection investigated clientele. Clinical indicators with greater sensitivity to the diagnosis Ineffective Protection were: fatigue, maladaptive response to stress and coagulation alterations. Specific were: fatigue, fever, increase in the number of hospitalizations, weakness, vascular access dysfunction and infected vascular access. It concludes that the studied diagnosis is clinically valid for the clientele in hemodialysis, since the identification of the accuracy of set clinical indicators, by the measures of sensitivity and specificity, allows for the consistent prediction of the same. Noteworthy is the fatigue indicator with better accuracy measures for the occurrence of the investigated diagnosis. In addition, the findings contribute to the clinical nursing practice, assisting in diagnostic inference process and intervention plan precise and directed to the patient's reality in hemodialysis.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20619 |
| Date | 24 November 2015 |
| Creators | Tin?co, J?ssica Dantas de S? |
| Contributors | 64194892372, http://lattes.cnpq.br/4545130167501174, Enders, Bertha Cruz, 25444816415, http://lattes.cnpq.br/7658846319631166, Lopes, Marcos Ven?cios de Oliveira, 67729410397, http://lattes.cnpq.br/9321075005010548, Lima, Maria Alzete de, 91943540306, http://lattes.cnpq.br/8917202234995917, Lira, Ana Luisa Brand?o de Carvalho |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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