دورية أكاديمية
أعرض في EDS

Clinical validation of the nursing diagnosis "Ineffective health self-management" in people living with HIV.

التفاصيل البيبلوغرافية
العنوان: Clinical validation of the nursing diagnosis "Ineffective health self-management" in people living with HIV.
المؤلفون: Júnior AD; Federal University of Maranhão, Nursing Department, São Luís, Maranhão, Brazil., Rabêlo PPC; Federal University of Maranhão, Nursing Department, São Luís, Maranhão, Brazil., Lopes MVO; Federal University of Ceará, Nursing Department, Fortaleza, Ceará, Brazil., Rodrigues LDS; University Hospital of the Federal University of Maranhão, Nursing, São Luís, Maranhão, Brazil., Lopes CT; Federal University of São Paulo, Nursing Department, São Paulo, São Paulo, Brazil., Silva RARD; Federal University of Rio Grande do Norte, Nursing Department, Natal, Rio Grande do Norte, Brazil.
المصدر: International journal of nursing knowledge [Int J Nurs Knowl] 2023 Jan; Vol. 34 (1), pp. 13-20. Date of Electronic Publication: 2022 Apr 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 101582422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-3095 (Electronic) Linking ISSN: 20473087 NLM ISO Abbreviation: Int J Nurs Knowl
أسماء مطبوعة: Original Publication: Malden, MA : Wiley
مواضيع طبية MeSH: Self-Management* , HIV Infections*/diagnosis, Humans ; Nursing Diagnosis ; Sensitivity and Specificity ; Risk Factors
مستخلص: Objective: Check diagnostic accuracy of the defining characteristics of the nursing diagnosis "Ineffective health self-management" in people living with HIV.
Methods: Methodological study conducted in a specialized public service for people living with HIV in Northeastern Brazil, between February and April 2021, with a sample of 203 people. Latent class analysis was used to calculate the accuracy measurements of the defining characteristics, as well as the sensitivity and specificity values with their respective 95% confidence intervals. The likelihood ratio test (G 2 ) was applied to evaluate the adequacy of the fit of the models obtained (p > 0.05).
Results: The prevalence of Ineffective health self-management estimated through the latent class model was 67.5%. "Exacerbation of diseases symptoms," "failure to take action that reduces risk factor," "exacerbation of diseases signs," and "ineffective choices in daily living for meeting health goal" had the highest sensitivity values (0.80-0.9429). "Exhibits disease sequelae," "inattentive to diseases signs," and "inattentive to disease symptoms" had the highest specificity values (0.9999-1.0000).
Conclusions: The useful characteristics for discriminating PLHIV with and without diagnosis are "exacerbation of diseases symptoms," "failure to take action that reduces risk factor," "exacerbation of diseases signs," and "ineffective choices in daily living for meeting health goal." The diagnosis can be confirmed by the indicators "exhibits disease sequelae", "inattentive to diseases signs," and "inattentive to disease symptoms."
Implications for Nursing Practices: The study demonstrates the levels of importance of the defining characteristics of "Ineffective health self-management" in people living with HIV contributes to suspicion and accurate diagnostic identification of nurses and researchers.
(© 2022 NANDA International, Inc.)
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فهرسة مساهمة: Keywords: HIV infections; nursing; nursing diagnosis; validation study
Local Abstract: [Publisher, Portuguese] Verificar a acurácia diagnóstica das características definidoras do Diagnóstico de Enfermagem “Autogestão Ineficaz da Saúde” em pessoas vivendo com HIV. MÉTODOS: Estudo metodológico realizado em um serviço público de atendimento para pessoas que vivem com HIV no Nordeste brasileiro, entre fevereiro e abril de 2021 com amostra de 203 indivíduos. A análise de classe latente foi utilizada para calcular as medidas de acurácia das características definidoras, bem como os valores de sensibilidade e especificidade com seus respectivos intervalos de confiança a 95%. O teste da razão de verossimilhança (G 2 ) foi aplicado para avaliar a adequação do ajuste dos modelos obtidos (p>0,05). [Publisher, Portuguese] A prevalência da “Autogestão Ineficaz da Saúde” estimada pelo modelo de classe latente foi de 67,5%. “Exacerbação dos sintomas da doença”, “Falha em tomar medidas para reduzir os fatores de risco”, “Exacerbação dos sinais da doença” e “Escolhas ineficazes na vida diária para cumprir a meta de saúde” tiveram os mais altos valores de sensibilidade (0.803-0.9429).  “Exibir sequelas da doença”, “Desatento aos sinais da doença” e “Desatento aos sintomas da doença” obtiveram os mais altos valores de especificidade (0.9999-1.0000). CONCLUSÕES: As características úteis para discriminar pessoas vivendo com HIV com e sem o diagnóstico são: “Exacerbação dos sintomas da doença”, “Falha em tomar medidas para reduzir os fatores de risco”, “Exacerbação dos sinais da doença” e “Escolhas ineficazes na vida diária para cumprir a meta de saúde”. O diagnóstico também pode ser confirmado pelos indicadores “Exibir sequelas da doença”, “Desatento aos sinais da doença” e “Desatento aos sintomas da doença”. IMPLICAÇÕES PARA AS PRÁTICAS DE ENFERMAGEM: Estudo demonstra os níveis de importância das características definidoras de “Autogestão Ineficaz da Saúde” em pessoas vivendo com HIV, contribui para suspeição e identificação diagnóstica acurada de enfermeiros e pesquisadores.
تواريخ الأحداث: Date Created: 20220422 Date Completed: 20230110 Latest Revision: 20230111
رمز التحديث: 20231215
DOI: 10.1111/2047-3095.12367
PMID: 35451576
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-3095
DOI:10.1111/2047-3095.12367