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Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients

OBJECTIVE: to evaluate the accuracy of the defining characteristics of the excess fluid volume nursing diagnosis of NANDA International, in patients undergoing hemodialysis. METHOD: this was a study of diagnostic accuracy, with a cross-sectional design, performed in two stages. The first, involving...

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Autores principales: Fernandes, Maria Isabel da Conceição Dias, Bispo, Miclécia de Melo, Leite, Érida Maria Diniz, Lopes, Marcos Venícios de Oliveira, da Silva, Viviane Martins, Lira, Ana Luisa Brandão de Carvalho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664005/
https://www.ncbi.nlm.nih.gov/pubmed/26625996
http://dx.doi.org/10.1590/0104-1169.0380.2649
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author Fernandes, Maria Isabel da Conceição Dias
Bispo, Miclécia de Melo
Leite, Érida Maria Diniz
Lopes, Marcos Venícios de Oliveira
da Silva, Viviane Martins
Lira, Ana Luisa Brandão de Carvalho
author_facet Fernandes, Maria Isabel da Conceição Dias
Bispo, Miclécia de Melo
Leite, Érida Maria Diniz
Lopes, Marcos Venícios de Oliveira
da Silva, Viviane Martins
Lira, Ana Luisa Brandão de Carvalho
author_sort Fernandes, Maria Isabel da Conceição Dias
collection PubMed
description OBJECTIVE: to evaluate the accuracy of the defining characteristics of the excess fluid volume nursing diagnosis of NANDA International, in patients undergoing hemodialysis. METHOD: this was a study of diagnostic accuracy, with a cross-sectional design, performed in two stages. The first, involving 100 patients from a dialysis clinic and a university hospital in northeastern Brazil, investigated the presence and absence of the defining characteristics of excess fluid volume. In the second step, these characteristics were evaluated by diagnostic nurses, who judged the presence or absence of the diagnosis. To analyze the measures of accuracy, sensitivity, specificity, and positive and negative predictive values were calculated. Approval was given by the Research Ethics Committee under authorization No. 148.428. RESULTS: the most sensitive indicator was edema and most specific were pulmonary congestion, adventitious breath sounds and restlessness. CONCLUSION: the more accurate defining characteristics, considered valid for the diagnostic inference of excess fluid volume in patients undergoing hemodialysis were edema, pulmonary congestion, adventitious breath sounds and restlessness. Thus, in the presence of these, the nurse may safely assume the presence of the diagnosis studied.
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spelling pubmed-46640052015-12-11 Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients Fernandes, Maria Isabel da Conceição Dias Bispo, Miclécia de Melo Leite, Érida Maria Diniz Lopes, Marcos Venícios de Oliveira da Silva, Viviane Martins Lira, Ana Luisa Brandão de Carvalho Rev Lat Am Enfermagem Original Articles OBJECTIVE: to evaluate the accuracy of the defining characteristics of the excess fluid volume nursing diagnosis of NANDA International, in patients undergoing hemodialysis. METHOD: this was a study of diagnostic accuracy, with a cross-sectional design, performed in two stages. The first, involving 100 patients from a dialysis clinic and a university hospital in northeastern Brazil, investigated the presence and absence of the defining characteristics of excess fluid volume. In the second step, these characteristics were evaluated by diagnostic nurses, who judged the presence or absence of the diagnosis. To analyze the measures of accuracy, sensitivity, specificity, and positive and negative predictive values were calculated. Approval was given by the Research Ethics Committee under authorization No. 148.428. RESULTS: the most sensitive indicator was edema and most specific were pulmonary congestion, adventitious breath sounds and restlessness. CONCLUSION: the more accurate defining characteristics, considered valid for the diagnostic inference of excess fluid volume in patients undergoing hemodialysis were edema, pulmonary congestion, adventitious breath sounds and restlessness. Thus, in the presence of these, the nurse may safely assume the presence of the diagnosis studied. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015 /pmc/articles/PMC4664005/ /pubmed/26625996 http://dx.doi.org/10.1590/0104-1169.0380.2649 Text en http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Fernandes, Maria Isabel da Conceição Dias
Bispo, Miclécia de Melo
Leite, Érida Maria Diniz
Lopes, Marcos Venícios de Oliveira
da Silva, Viviane Martins
Lira, Ana Luisa Brandão de Carvalho
Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
title Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
title_full Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
title_fullStr Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
title_full_unstemmed Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
title_short Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
title_sort diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664005/
https://www.ncbi.nlm.nih.gov/pubmed/26625996
http://dx.doi.org/10.1590/0104-1169.0380.2649
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