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青少年孕妇高危健康行为的诊断指标。

Diagnostic indicators of risk-prone health behaviors in pregnant adolescents.

机构信息

Federal University of Ceará, Fortaleza, Brazil.

Regional University of Cariri, Crato, Brazil.

出版信息

Int J Nurs Knowl. 2021 Oct;32(4):286-293. doi: 10.1111/2047-3095.12322. Epub 2021 Feb 23.

Abstract

PURPOSE

This study aimed to identify diagnostic indicators associated with the nursing diagnosis risk-prone health behaviors in pregnant adolescents.

METHODS

We conducted a cross-sectional study. The sample consisted of 181 pregnant adolescents. A latent class analysis was conducted to verify associations between the defining characteristics of risk-prone health behaviors and diagnostic accuracy measures. Logistic regression was used to identify factors associated with the manifestation of risk-prone health behavior.

FINDINGS

The prevalence of risk-prone health behaviors in this sample was 31.04%. The defining characteristics failure to take action that prevents health problems and inappropriate eating habits achieved a high sensitivity. The related factors such as insufficient social support, stressors, low self-efficacy, social anxiety, isolated region of residence, and restricted access to health services presented significant associations with risk-prone health behavior.

CONCLUSIONS

The diagnostic indicators associated with the nursing diagnosis of risk-prone health behavior were failure to take action that prevents health problems inappropriate eating habits, insufficient social support, stressors, low self-efficacy, social anxiety, isolated region of residence, and restricted access to health services.

IMPLICATIONS FOR NURSING PRACTICE

This study contributes to knowledge about the diagnostic indicators of risk-prone health behavior, which may help nurses reach the proper diagnosis. This will facilitate the application of clinical judgment in nursing care to assist pregnant adolescents.

摘要

目的

本研究旨在识别与护理诊断高危健康行为相关的诊断指标。

方法

我们进行了一项横断面研究。样本由 181 名孕妇组成。采用潜在类别分析验证高危健康行为的定义特征与诊断准确性指标之间的关联。采用逻辑回归识别高危健康行为表现的相关因素。

结果

本样本中高危健康行为的患病率为 31.04%。未能采取预防健康问题的行动和不适当的饮食习惯这两个定义特征具有较高的敏感性。相关因素如社会支持不足、压力源、自我效能低、社交焦虑、居住地区孤立和获得卫生服务受限,与高危健康行为呈显著相关。

结论

与高危健康行为护理诊断相关的诊断指标包括预防健康问题的行动不足、不适当的饮食习惯、社会支持不足、压力源、自我效能低、社交焦虑、居住地区孤立和获得卫生服务受限。

对护理实践的意义

本研究有助于了解高危健康行为的诊断指标,这可能有助于护士进行正确的诊断。这将有助于护士在护理中运用临床判断,为孕妇提供帮助。

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