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Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

OBJECTIVE: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult p...

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Autores principales: Seganfredo, Deborah Hein, Beltrão, Beatriz Amorim, da Silva, Viviane Martins, Lopes, Marcos Venícios de Oliveira, Castro, Stela Maris de Jezus, Almeida, Miriam de Abreu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738874/
https://www.ncbi.nlm.nih.gov/pubmed/29211196
http://dx.doi.org/10.1590/1518-8345.1950.2954
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author Seganfredo, Deborah Hein
Beltrão, Beatriz Amorim
da Silva, Viviane Martins
Lopes, Marcos Venícios de Oliveira
Castro, Stela Maris de Jezus
Almeida, Miriam de Abreu
author_facet Seganfredo, Deborah Hein
Beltrão, Beatriz Amorim
da Silva, Viviane Martins
Lopes, Marcos Venícios de Oliveira
Castro, Stela Maris de Jezus
Almeida, Miriam de Abreu
author_sort Seganfredo, Deborah Hein
collection PubMed
description OBJECTIVE: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. METHOD: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. RESULTS: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. CONCLUSION: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.
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spelling pubmed-57388742018-01-02 Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy Seganfredo, Deborah Hein Beltrão, Beatriz Amorim da Silva, Viviane Martins Lopes, Marcos Venícios de Oliveira Castro, Stela Maris de Jezus Almeida, Miriam de Abreu Rev Lat Am Enfermagem Original Article OBJECTIVE: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. METHOD: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. RESULTS: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. CONCLUSION: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2017-12-04 /pmc/articles/PMC5738874/ /pubmed/29211196 http://dx.doi.org/10.1590/1518-8345.1950.2954 Text en Copyright © 2017 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
Seganfredo, Deborah Hein
Beltrão, Beatriz Amorim
da Silva, Viviane Martins
Lopes, Marcos Venícios de Oliveira
Castro, Stela Maris de Jezus
Almeida, Miriam de Abreu
Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_full Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_fullStr Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_full_unstemmed Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_short Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_sort analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738874/
https://www.ncbi.nlm.nih.gov/pubmed/29211196
http://dx.doi.org/10.1590/1518-8345.1950.2954
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