Camila Maciel Diniz

Validation of Clinical Indicators of Imbalanced Nutrition: Less Than Body Requirements in Early Childhood

This is a clinical validation study of the nursing diagnosis of imbalanced nutrition: less than body requirements based on the diagnostic accuracy measures. Measures of sensitivity and specificity were calculated based on the latent class analysis method using a random effects model in a sample of 123 children between 0 and 6 years old. The prevalence of the diagnosis was estimated to be 27.6% using the latent class model. Indicators that exhibited the best measures of diagnostic accuracy included insufficient interest in food and satiety immediately upon ingesting food. A total of seven clinical indicators were validated clinically.

Clinical validation of the NANDA-I diagnosis of impaired memory in elderly patients

PURPOSE The aim of this study was to perform a clinical validation of the defining characteristics of impaired memory (IM) in elderly patients at a long-term care institution. METHODS A sample of 123 elderly patients was evaluated with a questionnaire designed to identify IM according to the NANDA-I taxonomy. Accuracy measures were calculated for the total sample and for males and females separately. RESULTS Sensitivity and specificity values indicated that: (1) inability to learn new skills is useful in screening IM, and (2) forgets to perform a behavior at a scheduled time, forgetfulness, inability to learn new information, inability to recall events, and inability to recall factual information are confirmatory indicators. CONCLUSION Specific factors can affect the manifestation of IM by elderly patients. The results may be useful in improving diagnostic accuracy and efficiency of the IM nursing diagnosis.

Clinical validation of the nursing diagnosis of impaired memory in patients with a stroke: Impaired memory

To validate the clinical indicators for the nursing diagnosis of impaired memory among patients with a stroke. A sample of 123 patients who had been admitted with a stroke was evaluated by using a questionnaire that was designed to identify the presence of the clinical indicators for the diagnosis of impaired memory, according to the NANDA International taxonomy. Measures of sensitivity and specificity were calculated for each clinical indicator by using random-effects latent class analysis. The clinical indicators that demonstrated high levels of diagnostic accuracy included the following: an inability to learn new skills and an inability to retain new skills. The inability to learn new skills and the inability to carry out previously learned skills were identified as the clinical indicators with high sensitivity and specificity in the latent class model with adjustment for age. The inability to retain new skills indicator showed better diagnostic accuracy in individuals with lower educational levels. The clinical indicators of the impaired memory diagnosis were observed frequently in patients with a stroke; in these patients, impaired memory was characterized by the inability to learn or retain new skills and was influenced by the age and educational level.

Nursing diagnoses associated with the national policy for health promotion

OBJECTIVES To identify the relationships between nursing diagnoses proposed by NANDA-I taxonomy II and the priority themes (PT) of the National Policy for Health Promotion (PNPS in Portuguse). METHODS An integrative literature review was carried out in the Scopus, Cinahl and SciELO databases, using the descriptors: health promotion, food habits, traffic accidents, drugs abuse, environment and public health. The search considered scientific articles published between 2000 and 2016. RESULTS Twelve articles were selected to identify and explore nursing actions related to PT. It was identified that although the said taxonomy offers a Domain called Health promotion, there is a need to relate the diagnoses of other domains to include the health actions described in the aforementioned Policy. It was observed that there is an attention and concern of the nursing professionals to address topics such as the training of managers and the promotion of healthy eating. In relation to the priority themes promotion of safe mobility and sustainable development, no nursing diagnoses were identified due to the scarcity of diagnoses related to them in the mentioned taxonomy. CONCLUSIONS Although the NANDA-I taxonomy presents a specific domain on health promotion, these are not sufficient to meet the needs of the priority themes proposed by PNPS.

ELABORAÇÃO DE INSTRUMENTO DE COLETA DE DADOS PARA INFERÊNCIA DOS DIANÓSTICOS DE ENFERMAGEM BAIXA AUTOESTIMA CRÔNICA E BAIXA AUTOESTIMA SITUACIONAL EM PACIENTES COM HUMOR DEPRIMIDO

2Enfermeiro. Doutor. Professor Associado IV da Universidade Federal do Ceará (UFC). Enfermeira. Doutora. Professora adjunta da Universidade Estadual do Ceará (UECE). Enfermeira. Mestre. Universidade Federal do Ceará (UFC). Enfermeira. Universidade Federal do Ceará (UFC). Enfermeiro. Coordenador de Enfermagem do CAPS AD do Município de QuixeramobimCeará. Enfermeiro. Especialista. Coordenador de Enfermagem do Hospital de Saúde Mental Professor Frota Pinto (HSM). ELABORAÇÃO DE INSTRUMENTO DE COLETA DE DADOS PARA INFERÊNCIA DOS DIANÓSTICOS DE ENFERMAGEM BAIXA AUTOESTIMA CRÔNICA E BAIXA AUTOESTIMA SITUACIONAL EM PACIENTES COM HUMOR DEPRIMIDO

Estilo de vida sedentário em indivíduos com hipertensão arterial

OBJECTIVE to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension. METHOD cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. RESULTS SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL. CONCLUSION the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.

Sedentary lifestyle in individuals with hypertension

OBJECTIVE to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension. METHOD cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. RESULTS SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL. CONCLUSION the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.

Estilo de vida sedentario en individuos con hipertensión

OBJECTIVE to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension. METHOD cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. RESULTS SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL. CONCLUSION the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.