Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study

IF 1.4 4区医学 Q3 NURSING

International Journal of Nursing Knowledge Pub Date : 2023-11-21 DOI:10.1111/2047-3095.12451

Thamires de Souza Hilário MSc, ScD, Vanessa Monteiro Mantovani MSc, ScD, Graziella Badin Aliti MSc, ScD, Amália de Fátima Lucena PhD, Marcos Venícios de Oliveira Lopes PhD, Eneida Rejane Rabelo-Silva MSc, ScD

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引用次数: 0

Abstract

Purpose

This study aims to perform specific causal validation of nursing diagnosis Risk for thrombosis (00291) of the NANDA International (NANDA-I) classification.

Methods

This is a case–control study conducted in a university hospital from January to October 2020. A total of 516 adult patients were included—344 in the Case Group (with venous or arterial thrombosis evidenced by imaging) and 172 in the Control Group (without thrombosis). Statistical analysis was performed by univariate and multivariate logistic regression test, and odds ratios were calculated to measure the effect of exposure between groups. The study was approved by the Research Ethics Committee.

Findings

The patients were predominantly female and aged 59 ± 16 years. In the univariate logistic analysis, five risk factors were significantly associated with thrombosis, two at-risk populations and 12 associated conditions. In the multivariate regression model, the following risk factors remained independently associated (p < 0.05): inadequate knowledge of modifiable factors (OR: 3.03; 95% CI: 1.25–8.56) and ineffective medication self-management (OR: 3.2; 95% CI:1.77–6.26); at-risk populations with history (OR: 2.16; 95% CI: 1.29–3.66) and family history of thrombosis (OR:2.60; 95% CI: 1.03–7.49); and the conditions associated with vascular diseases (OR:6.12; 95% CI:1.69–39.42), blood coagulation disorders (OR: 5.14; 95% CI:1.85–18.37), atherosclerosis (OR:2.07; 95% CI: 1.32–3.27), critical illness (OR: 2.28; 95% CI: 1.42–3.70), and immobility (OR: 2.09; 95% CI: 1.10–4.12).

Conclusions

The clinical validation allowed to establish strong evidence for the refinement of the diagnosis Risk for thrombosis and, consequently, to raise its level of evidence in the classification of NANDA-I.

Implications for nursing practice

The evidence pointed out by this study favors the establishment of thrombosis diagnosis in an accurate way by nurses in clinical practice, directing preventive interventions to patients in this risk condition.

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护理诊断血栓形成风险的具体因果验证:一项病例对照研究。

目的:本研究旨在对NANDA国际(NANDA- i)护理诊断血栓形成风险(00291)进行具体的因果验证。方法:采用2020年1 - 10月在某大学医院开展的病例对照研究。共纳入516例成人患者，其中病例组344例(经影像学证实有静脉或动脉血栓形成)，对照组172例(无血栓形成)。采用单因素和多因素logistic回归检验进行统计分析，并计算比值比来衡量组间暴露的影响。这项研究得到了研究伦理委员会的批准。结果:患者以女性为主，年龄59±16岁。在单变量logistic分析中，5个危险因素与血栓形成显著相关，2个高危人群和12个相关条件。在多变量回归模型中，以下危险因素仍然独立相关(p)。结论:临床验证为改进血栓形成的诊断风险建立了强有力的证据，从而提高了NANDA-I分类的证据水平。对护理实践的启示:本研究指出的证据有利于护士在临床实践中准确地建立血栓诊断，指导对这一危险状况的患者进行预防性干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Knowledge NURSING-

CiteScore

2.90

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.