Diagnostic accuracy of clinical indicators of Imbalanced nutrition in pediatric patients submitted to chemotherapy.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2023-12-01 Epub Date: 2022-03-25 DOI:10.1177/13674935211058011
Priscilla Magalhães de Oliveira Carvalho, Marcos Venícios de Oliveira Lopes, Iane Ximenes Teixeira, Marília Mendes Nunes, Camila Maciel Diniz, Viviane Martins da Silva, Angélica Paixão de Menezes
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Abstract

To analyze the accuracy of clinical indicators of nursing diagnosis, Imbalanced nutrition: less than the body requirements in pediatric patients undergoing chemotherapy. A cross-sectional study was carried out in a pediatric oncohematology unit. A total of 123 children aged 5-18 years were evaluated. The Standards for Reporting Diagnostic Accuracy Studies (STARD) protocol was used. Latent class analysis was performed to obtain sensitivity and specificity of clinical indicators. The diagnosis was identified in six children (5.23%). The most frequent clinical indicator in the study was report of food intake less than recommended daily allowance (n = 61; 49.6%), followed by excessive hair loss (n = 49; 39.8%), misperception (n = 42; 34.1%), satiety immediately upon ingesting food (n = 32; 26%), lack of information (n = 30; 24.4%), and pale mucous membranes (n = 22; 17.9%). The 10 indicators that sensitivity and specificity were statistically superior to 50% were food intake less than recommended daily allowance, misperception, insufficient interest in food, lack of food, hyperactive bowel sounds, body weight 20% or more below ideal weight range, insufficient muscle tone, food aversion, abdominal cramping, and misinformation. The clinical indicators Food intake less than recommended daily allowance and Misperception can be considered the most important indicators for the initial inference of the diagnosis due to their high values of specificity and sensitivity. It is essential that nurses provide targeted and qualified assistance based on the signs and symptoms presented by patients, as they will be able to design appropriate interventions to obtain the desired results.

儿科化疗患者营养不均衡临床指标的诊断准确性。
分析儿科化疗患者营养不均衡:低于身体需要的临床护理诊断指标的准确性。一项横断面研究在儿科肿瘤血液学单位进行。对123名5-18岁的儿童进行了评估。采用诊断准确性研究报告标准(standard for Reporting Diagnostic Accuracy Studies,简称standard)协议。进行潜在分类分析,获得临床指标的敏感性和特异性。确诊6例(5.23%)。研究中最常见的临床指标是报告的食物摄入量低于每日推荐摄入量(n = 61;49.6%),其次是过度脱发(n = 49;39.8%),误解(n = 42;34.1%),进食后立即产生饱腹感(n = 32;26%),缺乏信息(n = 30;24.4%),粘膜苍白(n = 22;17.9%)。灵敏度和特异性统计上优于50%的10个指标是:食物摄入量低于推荐的每日摄入量、误解、对食物缺乏兴趣、缺乏食物、肠道声音过度活跃、体重低于理想体重范围20%或更多、肌肉张力不足、厌恶食物、腹部痉挛和信息错误。临床指标食物摄取量低于每日推荐摄取量和错觉是诊断初步推断最重要的指标,具有较高的特异性和敏感性。护士必须根据患者呈现的体征和症状提供有针对性和合格的援助,因为他们将能够设计适当的干预措施以获得预期的结果。
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
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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