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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2017
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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. |
format | Online Article Text |
id | pubmed-5738874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
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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