癌症青少年无效防护护理诊断临床指标的验证
Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer.
作者信息
Nunes Marília Mendes, Lopes Marcos Venícios de Oliveira, da Silva Viviane Martins, Leandro Tânia Alteniza, Fróes Nathaly Bianka Moraes, Almeida Aline de Aquino Peres, Sobreira Bianca Alves, Nunes Vinícius Mendes, de Menezes Angélica Paixão, Ferreira Gabriele de Lima
机构信息
Nursing Department, Federal University of Ceará, Fortaleza, Brazil.
Nursing Department, Federal University of Ceará, Fortaleza, Brazil.
出版信息
J Pediatr Nurs. 2018 Sep-Oct;42:e58-e65. doi: 10.1016/j.pedn.2018.05.001. Epub 2018 May 18.
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.
目的
基于诊断准确性测量，验证癌症青少年无效保护护理诊断的临床指标。
设计与方法
在127名10至19岁青少年样本中，采用随机效应的潜在类别分析计算指标的敏感性和特异性。
结果
诊断患病率估计为93.7%。免疫缺陷和虚弱指标显示出较高的敏感性值，而机会性感染、反复感染、失眠、粘膜病变和咳嗽显示出较高的特异性。
结论
七个指标得到临床验证。
实践意义
临床指标的验证为护士提供了有用体征和症状的知识，以识别护理诊断的早期谱或确认其在特定人群中的存在。在临床实践中，这些知识有助于准确的诊断推断和针对个体特质的护理干预计划。
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