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青少年发育迟缓的诊断准确性。

The Diagnostic Accuracy of Delayed Development in Adolescents.

机构信息

Isadora Lorenna Alves Nogueira, PhD, is a nurse; Isabel Neves Duarte Lisboa, MD, is a nursing profressor; Isabel Neves Duarte Lisboa, PhD, is a nurse at Department of Nursing, Federal University of Rio Grande of Norte, Natal, Rio Grande do Norte, Brazil.

Jéssica Dantas de Sá Tinôco and Maria Isabel da Conceição Dias Fernandes, PhD, are a nursing profressor, are from Nursing Department, State University of Rio Grande of Norte, Caicó, Rio Grande do Norte, Brazil.

出版信息

Int J Nurs Knowl. 2021 Jul;32(3):150-156. doi: 10.1111/2047-3095.12304. Epub 2020 Sep 2.

Abstract

INTRODUCTION

The early identification of developmental delay in adolescents by health professionals is relevant for a good prognosis. However, the clinical indicators of development delay are unclear in nursing science.

PURPOSE

To analyze the clinical indicators of delayed development in school adolescents.

METHODS

A diagnostic accuracy study that investigated delayed development among 385 adolescents in public schools between July and September of 2017. The accuracy measures were analyzed using a latent class analysis based on sensitivity and specificity values.

FINDINGS

The delayed development is present in 18.26% of school adolescents. The best accuracy values were as follows: low self-esteem (0.9838), dissatisfaction with own image (0.8400), impaired daily activities (0.9815), internalization behavior (0.8304), outsourcing behavior (0.6367), eating disorders (1.0000), emotional insecurity (0.7093), dependent behavior (0.9836), and altered sexual maturation (0.6085).

CONCLUSION

Thus, this set of nine clinical indicators can be used by nurse practitioners to confirm delayed development in school adolescents.

IMPLICATIONS FOR NURSING PRACTICE

This research contributes by providing accurate clinical indicators of delayed development in adolescents. Thus, nurses should recognize delayed development in adolescents through accurate clinical indicators and propose nursing interventions that have positive health results.

摘要

简介

健康专业人员早期识别青少年发育迟缓与良好预后相关。然而,在护理科学中,发育迟缓的临床指标尚不清楚。

目的

分析学校青少年发育迟缓的临床指标。

方法

这是一项诊断准确性研究,于 2017 年 7 月至 9 月调查了 385 名公立学校青少年的发育迟缓情况。使用基于灵敏度和特异性值的潜在类别分析来分析准确性测量。

结果

18.26%的在校青少年存在发育迟缓。最佳准确性值如下:低自尊(0.9838)、对自身形象不满(0.8400)、日常活动受损(0.9815)、内化行为(0.8304)、外化行为(0.6367)、饮食失调(1.0000)、情绪不安(0.7093)、依赖行为(0.9836)和性成熟改变(0.6085)。

结论

因此,这组九个临床指标可由执业护士用于确认在校青少年的发育迟缓。

对护理实践的意义

本研究提供了青少年发育迟缓的准确临床指标,这具有一定意义。因此,护士应通过准确的临床指标识别青少年的发育迟缓,并提出具有积极健康结果的护理干预措施。

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