Universidade Federal de Mato Grosso. Sinop, Mato Grosso, Brazil.
Universidade Federal de Viçosa.Viçosa, Minas Gerais, Brazil.
Rev Bras Enferm. 2022 May 9;75(4):e20210058. doi: 10.1590/0034-7167-2021-0058. eCollection 2022.
To analyze the content of the conceptual and operational definitions of the related factors, associated condition and defining characteristics of the nursing diagnosis "Excess fluid volume (00026)" in hemodialysis renal patients.
Methodological study, of the content analysis type, with 49 specialists who reached a score equal to or greater than 5, according to Fehring's criteria. Thirty elements were evaluated for relevance, clarity, and precision. The experts' profile was analyzed using descriptive statistics, and the binomial test analyzed the agreement between them in relation to the terms.
The main validated indicators were "Oliguria", "Anasarca", "Paroxysmal nocturnal dyspnea", "Dyspnea", "Change in blood pressure", "Edema", "Ingestion greater than elimination" and "Increased central venous pressure". This shows that this phenomenon is present in this population.
29 elements were validated for relevance, clarity, and precision. This result clarifies the terms that make up the phenomenon, providing a better understanding of the concept; and assists in the accurate diagnostic proposition.
分析血液透析肾患者护理诊断“体液过多（00026）”相关因素、相关情况和定义特征的概念和操作定义的内容。
这是一项内容分析法的方法论研究，共有 49 名专家根据 Fehring 标准达到了 5 分或以上的评分。对 30 个要素的相关性、清晰度和精确性进行了评估。使用描述性统计对专家的概况进行了分析，并使用二项式检验分析了他们在术语方面的一致性。
主要验证指标为“少尿”、“全身性水肿”、“阵发性夜间呼吸困难”、“呼吸困难”、“血压变化”、“水肿”、“摄入大于排出”和“中心静脉压升高”。这表明这种现象在该人群中存在。
有 29 个要素在相关性、清晰度和精确性方面得到了验证。这一结果澄清了构成该现象的术语，使人们对该概念有了更好的理解，并有助于准确提出诊断。
