保守治疗的慢性肾脏病患者术语子集的临床验证。
Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment.
机构信息
Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa, Programa Acadêmico em Ciências do Cuidado em Saúde, Niterói, RJ, Brazil.
Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa, Departamento de Fundamentos de Enfermagem e Administração, Niterói, RJ, Brazil.
出版信息
Rev Esc Enferm USP. 2024 Feb 12;57:e20230280. doi: 10.1590/1980-220X-REEUSP-2023-0280en. eCollection 2024.
OBJECTIVE
To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) to care for people with chronic kidney disease undergoing conservative treatment.
METHOD
Prospective study of clinical validation assessment of 117 nursing diagnoses/outcomes statements and 199 nursing intervention statements. It was operationalized through the following steps: implementation of the Nursing Process in an outpatient clinic in Southeast Brazil; preparation of case studies; analysis of agreement between specialist nurses. The Kappa. Kruskal-Wallis coefficient of agreement and intraclass correlation coefficient (ICC) were used.
RESULTS
The sample consisted of 50 people with chronic kidney disease. Diagnoses/outcomes and interventions were evaluated with almost perfect/perfect agreement and excellent ICC. The Kruskal-Wallis test showed that there was no significant difference between the assessments. The study allowed the clinical validation of a subset with 110 nursing diagnoses/outcomes and 195 nursing interventions.
CONCLUSION
Care for people with chronic kidney disease undergoing conservative treatment based on the proposed subset has become applicable to clinical practice.
目的
对国际护理实践分类（ICNP®）中用于保守治疗的慢性肾病患者护理的术语子集进行临床验证。
方法
对 117 个护理诊断/结局陈述和 199 个护理干预陈述进行前瞻性临床验证评估的研究。通过以下步骤实现：在巴西东南部的一个门诊诊所实施护理过程；准备病例研究；分析专家护士之间的一致性。使用 Kappa、Kruskal-Wallis 一致性系数和组内相关系数（ICC）。
结果
该样本由 50 名慢性肾病患者组成。诊断/结局和干预措施的评估具有近乎完美/完美的一致性和优秀的 ICC。Kruskal-Wallis 检验显示评估之间没有显著差异。该研究允许对 110 个护理诊断/结局和 195 个护理干预进行临床验证。
结论
基于提出的子集对接受保守治疗的慢性肾病患者的护理已适用于临床实践。
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