da Silva Ricardo Costa, de Lima Nathália Xavier, Lopes Marcos Venícios de Oliveira, da Silva Viviane Martins, Cavalcante Agueda Maria Ruiz Zimmer
Nursing College, Federal University of Goias, Goiania, Brazil.
Nursing College, Federal University of Ceara, Fortaleza, Brazil.
Int J Nurs Knowl. 2023 Jan;34(1):55-64. doi: 10.1111/2047-3095.12370. Epub 2022 May 10.
To analyze the accuracy of the clinical indicators of the nursing diagnosis Ineffective Health Management in people with hypertension.
This is a cross-sectional diagnostic accuracy study. The ineffective health management was investigated in 120 people with hypertension in a referral public outpatient clinic in Brazil between August and November 2020. The accuracy measures were analyzed using Rasch analysis, considering the difficulty of clinical indicator and person's ability.
Ineffective health management is probably present in 37.5% of people with hypertension. 'Failure to include treatment regimen in daily living' was the clinical indicator with the highest sensitivity value, and 'failure to take action to reduce risk factor' had the highest specificity value.
Rasch analysis demonstrated that all clinical indicators contribute significantly to estimating the presence of ineffective health management in people with hypertension in the outpatient scenario.
This research contributes by providing accurate clinical indicators of ineffective health management, helping nurses prescribe and deliver the appropriate nursing interventions for people with hypertension by telenursing.
分析高血压患者护理诊断“健康管理无效”临床指标的准确性。
这是一项横断面诊断准确性研究。2020年8月至11月期间，在巴西一家转诊公立门诊诊所对120例高血压患者进行了健康管理无效情况调查。采用Rasch分析方法，综合考虑临床指标的难度和患者的能力，对准确性指标进行分析。
37.5%的高血压患者可能存在健康管理无效的情况。“日常生活中未纳入治疗方案”是敏感性值最高的临床指标，“未采取行动降低危险因素”具有最高的特异性值。
Rasch分析表明，在门诊场景中，所有临床指标对评估高血压患者健康管理无效的存在情况均有显著贡献。
本研究通过提供健康管理无效的准确临床指标做出了贡献，有助于护士通过远程护理为高血压患者制定并提供适当的护理干预措施。
