Júnior Aurean D'Eça, Rabêlo Poliana Pereira Costa, Lopes Marcos Venícios de Oliveira, Rodrigues Livia Dos Santos, Lopes Camila Takáo, Silva Richardson Augusto Rosendo da
Federal University of Maranhão, Nursing Department, São Luís, Maranhão, Brazil.
Federal University of Ceará, Nursing Department, Fortaleza, Ceará, Brazil.
Int J Nurs Knowl. 2023 Jan;34(1):13-20. doi: 10.1111/2047-3095.12367. Epub 2022 Apr 22.
Check diagnostic accuracy of the defining characteristics of the nursing diagnosis "Ineffective health self-management" in people living with HIV.
Methodological study conducted in a specialized public service for people living with HIV in Northeastern Brazil, between February and April 2021, with a sample of 203 people. Latent class analysis was used to calculate the accuracy measurements of the defining characteristics, as well as the sensitivity and specificity values with their respective 95% confidence intervals. The likelihood ratio test (G ) was applied to evaluate the adequacy of the fit of the models obtained (p > 0.05).
The prevalence of Ineffective health self-management estimated through the latent class model was 67.5%. "Exacerbation of diseases symptoms," "failure to take action that reduces risk factor," "exacerbation of diseases signs," and "ineffective choices in daily living for meeting health goal" had the highest sensitivity values (0.80-0.9429). "Exhibits disease sequelae," "inattentive to diseases signs," and "inattentive to disease symptoms" had the highest specificity values (0.9999-1.0000).
The useful characteristics for discriminating PLHIV with and without diagnosis are "exacerbation of diseases symptoms," "failure to take action that reduces risk factor," "exacerbation of diseases signs," and "ineffective choices in daily living for meeting health goal." The diagnosis can be confirmed by the indicators "exhibits disease sequelae", "inattentive to diseases signs," and "inattentive to disease symptoms."
The study demonstrates the levels of importance of the defining characteristics of "Ineffective health self-management" in people living with HIV contributes to suspicion and accurate diagnostic identification of nurses and researchers.
检验护理诊断“健康自我管理无效”的定义特征对HIV感染者的诊断准确性。
于2021年2月至4月在巴西东北部为HIV感染者提供专门公共服务的机构开展方法学研究，样本为203人。采用潜在类别分析计算定义特征的准确性测量值，以及敏感性和特异性值及其各自的95%置信区间。应用似然比检验（G）评估所得模型的拟合优度（p>0.05）。
通过潜在类别模型估计的健康自我管理无效患病率为67.5%。“疾病症状加重”“未采取降低风险因素的行动”“疾病体征加重”以及“为实现健康目标在日常生活中做出无效选择”的敏感性值最高（0.80 - 0.9429）。“出现疾病后遗症”“对疾病体征不关注”以及“对疾病症状不关注”的特异性值最高（0.9999 - 1.0000）。
用于区分已诊断和未诊断HIV感染者的有用特征为“疾病症状加重”“未采取降低风险因素的行动”“疾病体征加重”以及“为实现健康目标在日常生活中做出无效选择”。可通过“出现疾病后遗症”“对疾病体征不关注”以及“对疾病症状不关注”这些指标来确诊。
该研究表明“健康自我管理无效”的定义特征在HIV感染者中的重要程度，有助于护士和研究人员进行怀疑和准确的诊断识别。
