Clinical validation of the nursing diagnosis decreased diversional activity engagement in patients with diabetes.

IF 1.2 4区 医学 Q3 NURSING
Eliana Brugin Serra, Isaura Leticia T P Rolim, Lívia M Pascoal, Geysa S G Lopes, Marcos Venícios O Lopes
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Abstract

Background: Diagnostic accuracy studies are important to identify the best set of defining characteristics for a given nursing diagnosis. The reliability of nursing inferences can be increased by using clinical indicators with high prediction capacity helping nurses to be more accurate in their clinical practice.

Objective: To clinically validate the nursing diagnosis Decreased diversional activity engagement in adult patients with diabetes.

Method: A diagnostic accuracy study with a cross-sectional design was carried out patients with type 2 diabetes. A latent class model with random effects was used to measure the sensitivity and specificity.

Results: The diagnosis of Decreased diversional activity engagement was present in 62.2% of the patients. The defining characteristics with high sensitivity (good indicators for confirmation) were discontent with situation, physical deconditioning, and altertion in mood. Boredom, flat affect, discontent with situation, and frequent naps were the defining characteristics with the highest specificity values. These factors are considered good integrating components of the diagnosis under investigation in patients with diabetes.

Conclusion: The nursing diagnosis decreased diversional activity engagement is frequent in patients with diabetes, and discontent with situation can be considered a good predictor of its occurrence due to its high values of specificity and sensitivity.

Impact: The use of accurate clinical indicators in the diagnostic reasoning of nurses contributes to the achievement of outcomes centered on the patient's human responses.

护理诊断的临床验证降低了糖尿病患者的转移活动参与。
背景:诊断准确性研究对于确定给定护理诊断的最佳定义特征集非常重要。采用具有较高预测能力的临床指标,可以提高护理推断的可靠性,帮助护士在临床实践中更加准确。目的:临床验证成人糖尿病患者转移活动参与度降低的护理诊断。方法:采用横断面设计对2型糖尿病患者进行诊断准确性研究。采用随机效应的潜类模型来衡量敏感性和特异性。结果:62.2%的患者诊断为转移活动参与减少。具有高敏感性的定义特征(良好的确认指标)是对处境的不满、身体状况的改善和情绪的改变。无聊、平淡情绪、对情境不满和频繁小睡是具有最高特异性值的定义特征。这些因素被认为是糖尿病患者诊断的良好综合组成部分。结论:糖尿病患者易出现转移活动参与度下降的护理诊断,对现状不满具有较高的特异性和敏感性,可作为其发生的良好预测指标。影响:在护士的诊断推理中使用准确的临床指标有助于实现以患者的人类反应为中心的结果。
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来源期刊
Contemporary Nurse
Contemporary Nurse 医学-护理
CiteScore
2.00
自引率
6.20%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice. Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives. Contemporary Nurse publishes original research articles, reviews and discussion papers.
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