护理诊断在重症监护病房患者无效气道清除中的准确性。
Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients.
机构信息
Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.
Universidade Estadual do Rio Grande do Norte. Caicó, Rio Grande do Norte, Brazil.
出版信息
Rev Bras Enferm. 2023 Jan 30;76(1):e20220174. doi: 10.1590/0034-7167-2022-0174. eCollection 2023.
OBJECTIVES
to analyze the accuracy of the clinical indicators of ineffective airway clearance in adult intensive care unit patients.
METHODS
diagnostic accuracy study, performed in the intensive care unit of a university hospital in northeastern Brazil. The sample consisted of 104 patients hospitalized between June and October 2019.
RESULTS
the prevalence of ineffective airway clearance was 36.54%. The indicators with high specificity included absence of cough (0.8326), orthopnea (0.6817), adventitious breath sounds (0.8175), and diminished breath sounds (0.8326). The clinical indicators with high sensitivity and specificity were alteration in respiratory rate (0.9999) and alteration in respiratory pattern (0.9999).
CONCLUSIONS
six clinical indicators provided an accurate identification of ineffective airway clearance. The clinical indicators alteration in respiratory rate and alteration in respiratory pattern were the most accurate for critical adult patients. The findings of this study contribute to accurate diagnostic inferences and to prevention of respiratory complications in these patients.
目的
分析成人重症监护病房患者无效气道清除的临床指标的准确性。
方法
诊断准确性研究，在巴西东北部一所大学医院的重症监护病房进行。样本包括 2019 年 6 月至 10 月期间住院的 104 名患者。
结果
无效气道清除的患病率为 36.54%。特异性较高的指标包括无咳嗽（0.8326）、端坐呼吸（0.6817）、附加呼吸音（0.8175）和呼吸音减弱（0.8326）。具有较高敏感性和特异性的临床指标为呼吸频率改变（0.9999）和呼吸模式改变（0.9999）。
结论
六个临床指标能准确识别无效气道清除。呼吸频率改变和呼吸模式改变的临床指标对重症成人患者最准确。本研究的结果有助于对这些患者进行准确的诊断推断，并预防呼吸并发症。
Zotero 插件