Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer

被引：6

作者：

Nunes, Marilia Mendes ^{[1
]}

de Oliveira Lopes, Marcos Venicios ^{[1
]}

da Silva, Viviane Martins ^{[1
]}

Leandro, Tania Alteniza ^{[1
]}

Moraes Froes, Nathaly Bianka ^{[1
]}

Peres Almeida, Aline de Aquino ^{[1
]}

Sobreira, Bianca Alves ^{[1
]}

Nunes, Vinicius Mendes ^{[2
]}

de Menezes, Angelica Paixao ^{[1
]}

Ferreira, Gabriele de Lima ^{[1
]}

机构：

[1] Univ Fed Ceara, Dept Nursing, Fortaleza, Ceara, Brazil

[2] Univ Fortaleza, Fac Med, Fortaleza, Ceara, Brazil

来源：

JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2018年 / 42卷

关键词：

Nursing diagnosis; Protection; Cancer; Adolescent; LATENT CLASS ANALYSIS; LYMPHOBLASTIC-LEUKEMIA; CHILDHOOD; CHILDREN; THERAPY;

D O I：

10.1016/j.pedn.2018.05.001

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose: To validate the clinical indicators of the nursing diagnosis of Ineffective protection in adolescents with cancer based on diagnostic accuracy measurements. Design and Methods: Measurements of sensitivity and specificity for the indicators were calculated using latent class analysis with random effects in a sample of 127 adolescents between 10 and 19 years of age. Results: The prevalence of diagnosis was estimated at 93.7%. The indicators deficient immunity and weakness showed higher sensitivity values, whereas opportunistic infections, recurrent infections, insomnia, mucosal lesions, and coughing showed high specificity. Conclusions: Seven indicators were clinically validated. Practice Implications: The validation of clinical indicators provides nurses with the knowledge of useful signs and symptoms to identify early spectra of a nursing diagnosis or confirm their presence in a specific population. In clinical practice, this knowledge contributes to an accurate diagnostic inference and the planning of nursing interventions directed to the idiosyncrasies of individuals. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：E58 / E65

页数：8

共 42 条

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