无效呼吸模式：急性呼吸道感染患儿的界定特征
Ineffective breathing pattern: defining characteristics in children with acute respiratory infection.
作者信息
Pascoal Livia Maia, Lopes Marcos Venícios de Oliveira, Silva Viviane Martins da, Beltrão Beatriz Amorim, Chaves Daniel Bruno Resende, Santiago Juliana Maria Vieira de, Herdman T Heather
机构信息
Federal University of Maranhão, Imperatriz, Brazil.
出版信息
Int J Nurs Knowl. 2014 Feb;25(1):54-61. doi: 10.1111/j.2047-3095.2013.01249.x. Epub 2013 Jul 16.
PURPOSE
To determine the accuracy of NANDA-I defining characteristics for the nursing diagnosis, ineffective breathing pattern, in children with acute respiratory infection.
METHODS
This was a prospective cohort study in 136 children. Measures of accuracy were calculated for the defining characteristics.
FINDINGS
Use of accessory muscles to breathe presented the best measure of accuracy. Alterations in depth of breathing presented a high value of sensitivity. Altered chest excursion and orthopnea presented high values of specificity.
CONCLUSIONS
Use of accessory muscles to breathe showed the best predictive capacity for ineffective breathing pattern.
IMPLICATIONS FOR NURSING PRACTICE
Measures of accuracy can contribute to an accurate diagnostic inference process, improving patient assessment and facilitating rapid, accurate diagnosis.
目的
确定北美护理诊断协会（NANDA - I）对急性呼吸道感染儿童护理诊断“无效呼吸模式”的定义特征的准确性。
方法
这是一项针对136名儿童的前瞻性队列研究。计算定义特征的准确性指标。
结果
使用辅助呼吸肌是最佳准确性指标。呼吸深度改变具有高敏感性。胸壁活动度改变和端坐呼吸具有高特异性。
结论
使用辅助呼吸肌对无效呼吸模式具有最佳预测能力。
对护理实践的启示
准确性指标有助于准确的诊断推理过程，改善患者评估并促进快速、准确的诊断。
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