Buscar en
Enfermería Clínica (English Edition)
Toda la web
Inicio Enfermería Clínica (English Edition) Accuracy of the defining characteristics of the nursing diagnosis: Ineffective t...
Journal Information
Vol. 30. Issue 6.
Pages 377-385 (November - December 2020)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 30. Issue 6.
Pages 377-385 (November - December 2020)
Original Article
Accuracy of the defining characteristics of the nursing diagnosis: Ineffective thermoregulation in newborns
Precisión de las características definitorias del diagnóstico de enfermería termorregulación ineficaz en recién nacidos
Visits
...
Wislla Ketlly Menezes-de-Aquinoa,b,
Corresponding author
wislla.aquino@hotmail.com

Corresponding author.
, Marcos Venícios de Oliveira-Lopesb,c, Viviane Martins da-Silvab,c, Reinaldo Gutiérrez Barreirob
a Unidad de Neonatología, Hospital de la Mujer de Fortaleza, Fortaleza, Brazil
b Grupo de Estudio Diagnósticos Intervenciones y Resultados de Enfermería (GEDIRE), Universidad Federal de Ceará, Fortaleza, Brazil
c Departamento de Enfermería, Universidad Federal do Ceará, Fortaleza, Brazil
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (5)
Table 1. Characterization of the clinical profile of newborns assessed in the NICU and CoNICU (n=216). Fortaleza, 2016.
Table 2. Operational definitions of the defining characteristics measured of the diagnosis of ineffective thermoregulation.
Table 3. Defining characteristics of the diagnosis of ineffective thermoregulation identified in the sample (n=216).
Table 4. Latent class model with a random effect for the nursing diagnosis of ineffective thermoregulatory in neonates in the neonatal intensive care unit (n=216).
Table 5. Subsequent probabilities of the presence/absence of the diagnosis of ineffective thermoregulation according to the presence/absence as a whole of the clinical indicators observed in the sample of newborns. Fortaleza, 2016.
Show moreShow less
Abstract
Objective

To identify the measures of accuracy for defining characteristics of the nursing diagnosis: Ineffective thermoregulation in newborns.

Method

Diagnostic accuracy study with cross-sectional design performed in medium and high-risk maternity units, located in Fortaleza city/Brazil. A total of 216 newborns were evaluated to identify the defining characteristics of the diagnosis under study. The measures of accuracy for defining characteristics were obtained from a latent class model with random effects for the calculation of sensitivity and specificity values.

Results

The characteristics of increased respiratory rate and warm skin to the touch had higher sensitivity values (99.9%) and lower specificity (79 and 75%) and the characteristics of body temperature fluctuations above and below the normal parameters and hypertension had the highest specificity (80.4 and 100%, respectively).

Conclusion

The characteristic fluctuation of the body temperature above and below the normal parameters may be better to confirm the diagnosis, having presented a higher specificity value.

Keywords:
Nursing diagnosis
Newborn
Body temperature regulation
Neonatology
Resumen
Objetivo

Identificar las medidas de precisión de las características definitorias del diagnóstico de enfermería termorregulación ineficaz en los recién nacidos.

Método

Estudio de precisión diagnóstica de diseño transversal realizado en unidades de maternidad de medio y alto riesgo, localizada en la ciudad de Fortaleza-CE. Se evaluaron 216 recién nacidos para la identificación de las características definitorias del diagnóstico en estudio. Las medidas de precisión de las características definitorias se obtuvieron a partir de un modelo de 2 clases latentes con efectos aleatorios para el cálculo de los valores de sensibilidad y especificidad.

Resultados

Las características de frecuencia respiratoria aumentada y piel caliente al tacto presentaron valores de sensibilidad más altos (99,9%) y de especificidades menores (79 y 75%) y las características fluctuaciones de la temperatura corporal por encima y por debajo de los parámetros normales e hipertensión fueron las de mayor especificidad (80,4%) y sensibilidad (100%), respectivamente.

Conclusión

La característica fluctuación de la temperatura corporal por encima y por debajo de los parámetros normales puede ser más adecuadas para confirmar la presencia del diagnóstico, por haber presentado un mayor valour de especificidad.

Palabras clave:
Diagnóstico de enfermería
Recién nacido
Regulación de la temperatura corporal
Neonatología

Article

These are the options to access the full texts of the publication Enfermería Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Enfermería Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos