Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

被引:11
作者
Pascoal, Livia Maia
de Oliveira Lopes, Marcos Venicios [1 ]
da Silva, Viviane Martins [1 ]
Resende Chaves, Daniel Bruno [1 ]
Beltrao, Beatriz Amorim [1 ]
Nunes, Marilia Mendes [1 ]
Maia de Moura, Karine Kerla [1 ]
机构
[1] Univ Fed Ceara, Fortaleza, Ceara, Brazil
来源
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2016年 / 31卷 / 01期
关键词
Nursing diagnosis; Nursing assessment; Pediatrics; Respiratory signs and symptoms; INDICATORS; ACCURACY;
D O I
10.1016/j.pedn.2015.08.002
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The aim of this study was to identify the defining characteristics that allow clinical differentiation of the nursing diagnoses, ineffective breathing pattern (IBP), ineffective airway clearance (IAC), and impaired gas exchange (IGE). A secondary analysis with a cohort design was developed from 1128 records obtained during the hospital stay of 136 children with acute respiratory infection. Groups of defining characteristics with greater differentiation capacity were identified by multiple correspondence analyses. The results showed that the defining characteristics that better differentiate the studied diagnoses are agitation, irritability and diaphoresis for IGE; dyspnea, use of accessory muscles to breathe, orthopnea, and abnormal breathing pattern for IBP and excessive sputum, absence of cough, difficulty verbalizing, nasal flaring, and adventitious breath sounds for IAC. Twelve defining characteristics that can assist clinicians to differentiate the three main respiratory nursing diagnoses among children with acute respiratory infection were identified in this study. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:85 / 91
页数:7
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