Classification tree to screen for the nursing diagnosis Ineffective airway clearance

Chaves, Daniel Bruno Resende; Pascoal, Lí­via Maia; Beltrão, Beatriz Amorim; Nunes, Marília Mendes; Leandro, Tânia Alteniza; Silva, Viviane Martins da; Lopes, Marcos Venícios de Oliveira

doi:10.1590/0034-7167-2017-0085

Cited by 10 publications

(18 citation statements)

References 8 publications

(7 reference statements)

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“…After the activation of these mechanisms of compensation, the individual presents a sensation of respiratory discomfort, focusing on dyspnea. 22 The factors that influence a greater occurrence of the diagnosis of ineffective airway clearance are the narrow airway and propensity to secretion retention, since the infant's respiratory system is immature. In the present study, the narrowing is explained by the micrognathia and glossoptosis that reduce the nasopharyngeal space.…”

Section: Discussionmentioning

confidence: 99%

Sequência De Robin Isolada: Diagnósticos De Enfermagem

Souza¹,

Pereira²,

Farinha³

et al. 2018

Texto contexto - enferm.

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RESUMO Objetivo: identificar os diagnósticos de enfermagem em lactentes com Sequência de Robin isolada. Método: estudo descritivo desenvolvido em um hospital especializado em anomalias craniofaciais e síndromes relacionadas, no período de novembro de 2015 a março de 2016. Participaram 20 lactentes com Sequência de Robin isolada. Para a coleta de dados utilizou-se o histórico de enfermagem. Os diagnósticos de enfermagem foram elencados segundo a Nanda-Internacional. Para confecção dos resultados utilizou-se a análise estatística descritiva. Resultados: foram identificados oito diagnósticos, sendo cinco com foco no problema e três de risco, incluindo: risco de aspiração (n=20, 100%); risco de infecção (n=20, 100%); amamentação ineficaz (n=19, 95%); nutrição desequilibrada: menor do que as necessidades corporais (n=19, 95%); padrão ineficaz de alimentação do lactente (n=19, 95%); risco de integridade da pele prejudicada (n=18, 90%); desobstrução ineficaz das vias aéreas (n=11, 55%) e ventilação espontânea prejudicada (n=11, 55%). Conclusão: lactentes com Sequência de Robin isolada apresentaram diagnósticos de enfermagem que se relacionaram a problemas respiratórios, alimentares, de segurança e conforto e favoreceram o planejamento e implementação dos cuidados de enfermagem ao traçarem um perfil assistencial.

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Section: Discussionmentioning

confidence: 99%

Sequência De Robin Isolada: Diagnósticos De Enfermagem

Souza¹,

Pereira²,

Farinha³

et al. 2018

Texto contexto - enferm.

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“…Considering that patients with Chronic Kidney Disease (CKD) have several signs and symptoms and that many of these clinical indicators are associated with similar ND, errors in the inference of the diagnosis can compromise the care plan and lead to unsatisfactory results, impairing the nursing practice (5) . Therefore, it is important to have an accurate diagnostic process that reflects the real situation, giving the patient the possibility of receiving adequate treatment, both regarding time and quality, and preventing other complications and death (6) .…”

Section: Introductionmentioning

confidence: 99%

“…Aiming to enhance the diagnostic process, ND validation studies attempt to refine the classifications and consolidate this knowledge based on results with specific populations (7) . This includes the use of strategies that help identifying clinical indicators that characterize the phenomenon presented by patients, making clinical reasoning and decision making more accurate (5) .…”

Section: Introductionmentioning

confidence: 99%

“…One of these is an advanced method called Classification Trees (CT), which refers to the construction of graphic models based on computer algorithms, which allow a clearer and more precise view of the decision possibilities in situations with multiple courses of action (7) . CT are based on conditional probabilities and can assist in the identification and/ or prediction of the presence or absence of a specific ND, based on a set of elements/indicators (5,(7)(8) . CT are the result of an ordered sequence of questions/inferences and depend on the answers to the previous questions.…”

Section: Introductionmentioning

confidence: 99%

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Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Botelho

Correia

Manzoli

et al. 2021

Rev. esc. enferm. USP

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Objective: To generate a Classification Tree for the correct inference of the Nursing Diagnosis Fluid Volume Excess (00026) in chronic renal patients on hemodialysis. Method: Methodological, cross-sectional study with patients undergoing renal treatment. The data were collected through interviews and physical evaluation, using an instrument with socio-demographic variables, related factors, associated conditions and defining characteristics of the studied diagnosis. The classification trees were generated by the Chi-Square Automation Interaction Detection method, which was based on the Chi-square test. Results: A total of 127 patients participated, of which 79.5% (101) presented the diagnosis studied. The trees included the elements “Excessive sodium intake” and “Input exceeds output”, which were significant for the occurrence of the event, as the probability of occurrence of the diagnosis in the presence of these was 0.87 and 0.94, respectively. The prediction accuracy of the trees was 63% and 74%, respectively. Conclusion: The construction of the trees allowed to quantify the probability of the occurrence of Fluid Volume Excess (00026) in the studied population and the elements “Excessive sodium intake” and “Input exceeds output” were considered predictors of this diagnosis in the sample.

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“…This may be related to unfavorable health conditions due to low income, inappropriate health and nutritional conditions, as well as an unexpected immune response (3) . Among the main signs and symptoms that can be identified in children with respiratory infections, the presence of respiratory effort, such as intercostal drawing and nasal flaring, cyanosis, apnea, drowsiness, irritability, slow perfusion and tachycardia (1) .…”

Section: Introductionmentioning

confidence: 99%

Accuracy and prevalence of defining characteristics of the diagnosis Impaired gas exchange in children

et al. 2019

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Objective: to evaluate the accuracy and to determine the prevalence of the defining characteristics of the nursing diagnosis Impaired gas exchange in children with respiratory diseases. Methods: cross-sectional study carried out with 236 children who were in the initial 48 hours of hospital admission. A questionnaire was used with sociodemographic data and physical examination of the respiratory system to identify the defining characteristics of the studied diagnosis. For the analysis of the accuracy, the sensitivity and specificity measures were calculated. Results: the diagnosis Impaired gas exchange was present in 21.6% of the sample and the most prevalent defining characteristics were dyspnea and tachycardia. Regarding the accuracy measures, the characteristics that presented high sensitivity values were dyspnea and abnormal respiratory pattern, while cyanosis, hypoxemia, and restlessness obtained high values of specificity. Conclusion: the characteristics that stood out both for the accuracy measures and for the prevalence were dyspnea and abnormal respiratory pattern. Descriptors: Respiratory Tract Infections; Data Accuracy; Nursing Diagnosis; Child. Objetivo: avaliar a acurácia e determinar a prevalência das características definidoras do diagnóstico de enfermagem Troca de gases prejudicada em crianças com doenças respiratórias. Métodos: estudo transversal realizado com 236 crianças que estavam nas 48 horas iniciais de internação hospitalar. Utilizou-se questionário com dados sociodemográficos e exame físico do sistema respiratório para identificação das características definidoras do diagnóstico estudado. Para análise da acurácia foram calculadas as medidas de sensibilidade e especificidade. Resultados: o diagnóstico Troca de gases prejudicada esteve presente em 21,6% da amostra e as características definidoras mais prevalentes foram Dispneia e Taquicardia. No que se refere às medidas de acurácia, as características que apresentaram altos valores de sensibilidade foram Dispneia e Padrão Respiratório anormal, enquanto Cianose, Hipoxemia e Inquietação obtiveram elevados valores de especificidade. Conclusão: as características que se destacaram tanto pelas medidas de acurácia quanto pela prevalência foram Dispneia e Padrão respiratório anormal. Descritores: Infecções Respiratórias; Acurácia dos Dados; Diagnóstico de Enfermagem; Criança.

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Classification tree to screen for the nursing diagnosis Ineffective airway clearance

Cited by 10 publications

References 8 publications

Sequência De Robin Isolada: Diagnósticos De Enfermagem

Sequência De Robin Isolada: Diagnósticos De Enfermagem

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Accuracy and prevalence of defining characteristics of the diagnosis Impaired gas exchange in children

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