Aquino Wislla Ketlly Menezes de, Lopes Marcos Venícios de Oliveira, Silva Viviane Martins da, Fróes Nathaly Bianka Moraes, Menezes Angélica Paixão de, Almeida Aline de Aquino Peres, Sobreira Bianca Alves
Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil.
Universidade Federal do Ceará, Health Sciences Center, Department of Nursing. Fortaleza, Ceará, Brazil.
Rev Bras Enferm. 2018 Mar-Apr;71(2):357-362. doi: 10.1590/0034-7167-2017-0037.
to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.
a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity.
Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively).
four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.
临床验证新生儿高热护理诊断中界定性特征的准确性。
在福塔雷萨市（塞阿拉州）一家妇产医院的中高风险科室进行横断面研究。共评估了216例新生儿以确定诊断的界定性特征。采用具有随机效应的潜在类别模型来测量敏感性和特异性。
样本中5.6%的新生儿存在高热。最常见的特征包括吸吮维持能力缺乏（31.3%）；皮肤触之温暖（25.5%）；嗜睡（24.2%）；以及呼吸急促（21.4%）。昏迷的敏感性（99.9%）和特异性（100%）较高，而血管扩张特征、易激惹和嗜睡仅显示出显著的特异性值（分别为92.7%、91.6%和74.3%）。
四个具有高特异性的特征有助于诊断高热。然而，昏迷是唯一在早期识别高热时具有显著敏感性的特征。
