Ineffective health control: concept analysis

Santos, Wenysson Noleto dos; Silva, Rudval Souza da; Souza, Francisca Marta de Lima Costa; Santos, Rebecca Stefany da Costa; Oliveira, Izaque Cavalcanti de; Silva, Richardson Augusto Rosendo da

doi:10.1590/0034-7167-2019-0158

Cited by 1 publication

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References 48 publications

(154 reference statements)

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“…Data from the study by Santos et al. (2021) with analysis of the concept of this ND show reduced access to treatment, treatment, and increased mortality, when related to the use of illicit drugs among PLHIV. The lack of social support is a predictive factor to induce and increase the use of tobacco, alcohol, and drugs, due to stigmatizing experiences.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Under the effect of these substances, the patient is susceptible to forgetting the use of his medications or even, renouncing ART by the symbolic interactionism of not needing to mix it with alcohol. Such associations may favor risky sexual behavior leading to opportunistic infections and sexually transmitted infections(Santos et al, 2021).Health professionals feel it is imperative to reflect on this ND from the perspective of supporting PLHIV to overcome it and understanding the vulnerability in which they are. Considering the stressful sources as a rigid routine for daily use of medications and examinations, the adverse effects of ART, vigilant screening and monitoring of their health, in addition to biopsychosocial issues, including social representations of HIV, will bring humanization in care and strengthening the bond with the care network(CARDOSO, 2015).The results shown in this research refer specifically to PLHIV.…”

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confidence: 99%

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Clinical validation of the nursing diagnosis “Ineffective health self‐management” in people living with HIV

Júnior

Rabêlo

Lopes

et al. 2022

Int J of Nursing Knowl

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Objective Check diagnostic accuracy of the defining characteristics of the nursing diagnosis “Ineffective health self‐management” in people living with HIV. Methods Methodological study conducted in a specialized public service for people living with HIV in Northeastern Brazil, between February and April 2021, with a sample of 203 people. Latent class analysis was used to calculate the accuracy measurements of the defining characteristics, as well as the sensitivity and specificity values with their respective 95% confidence intervals. The likelihood ratio test (G2) was applied to evaluate the adequacy of the fit of the models obtained (p > 0.05). Results The prevalence of Ineffective health self‐management estimated through the latent class model was 67.5%. “Exacerbation of diseases symptoms,” “failure to take action that reduces risk factor,” “exacerbation of diseases signs,” and “ineffective choices in daily living for meeting health goal” had the highest sensitivity values (0.80–0.9429). “Exhibits disease sequelae,” “inattentive to diseases signs,” and “inattentive to disease symptoms” had the highest specificity values (0.9999–1.0000). Conclusions The useful characteristics for discriminating PLHIV with and without diagnosis are “exacerbation of diseases symptoms,” “failure to take action that reduces risk factor,” “exacerbation of diseases signs,” and “ineffective choices in daily living for meeting health goal.” The diagnosis can be confirmed by the indicators “exhibits disease sequelae”, “inattentive to diseases signs,” and “inattentive to disease symptoms.” Implications for nursing practices The study demonstrates the levels of importance of the defining characteristics of “Ineffective health self‐management” in people living with HIV contributes to suspicion and accurate diagnostic identification of nurses and researchers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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