Clinical validation of the nursing diagnosis "noncompliance" among people with hypertension

Cj, Oliveira; Tl, Araujo; Araújo, Thelma Leite de; Bertilia, Francisca; Costa, Chaves; Sousa, Alana Lislea de

doi:10.5935/1414-8145.20130003

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…The noncompliance diagnosis (code 00079) is included in the Domain 1 - Health promotion, Class 2 - Health management. Although the diagnoses proposed by this taxonomy are well recognized and used for different situations and scenarios, they are not definitive, because research in specific populations, by means of clinical validation studies, allow for their improvement 4 - 5 .…”

Section: Introductionmentioning

confidence: 99%

Noncompliance in people living with HIV: accuracy of defining characteristics of the nursing diagnosis

Silva

Costa

Neto

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the accuracy of the defining characteristics of the NANDA International nursing diagnosis, noncompliance, in people with HIV. Method:study of diagnostic accuracy, performed in two stages. In the first stage, 113 people with HIV from a hospital of infectious diseases in the Northeast of Brazil were assessed for identification of clinical indicators of noncompliance. In the second, the defining characteristics were evaluated by six specialist nurses, analyzing the presence or absence of the diagnosis. For accuracy of the clinical indicators, the specificity, sensitivity, predictive values and likelihood ratios were measured. Results:the presence of the noncompliance diagnosis was shown in 69% (n=78) of people with HIV. The most sensitive indicator was, missing of appointments (OR: 28.93, 95% CI: 1.112-2.126, p = 0.002). On the other hand, nonadherence behavior (OR: 15.00, 95% CI: 1.829-3.981, p = 0.001) and failure to meet outcomes (OR: 13.41; 95% CI: 1.272-2.508; P = 0.003) achieved higher specificity. Conclusion:the most accurate defining characteristics were nonadherence behavior, missing of appointments, and failure to meet outcomes. Thus, in the presence of these, the nurse can identify, with greater security, the diagnosis studied.

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Section: Introductionmentioning

confidence: 99%

Noncompliance in people living with HIV: accuracy of defining characteristics of the nursing diagnosis

Silva

Costa

Neto

et al. 2017

Rev. Latino-Am. Enfermagem

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“…Thus, blood pressure elevation was the most frequent among the signs of users with hypertension. 19,21,25,28,31 According to the Brazilian Hypertension Guidelines, hypertension is defined as systolic BP values ≥ 140 mmHg and / or diastolic BP ≥90 mmHg. The identification of the elevation of the blood pressure, on three different occasions, is given to the user for the diagnosis of hypertension.…”

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confidence: 99%

Evidências clínicas para hipertensos e diabéticos na saúde da família

Costa

Duran

2018

Rev enferm UFPE on line.

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RESUMO Objetivo: identificar evidências atribuídas aos usuários hipertensos e diabéticos na Estratégia Saúde da Família. Método: revisão integrativa, realizada de novembro a dezembro de 2015, nas bases de dados LILACS, SCOPUS, MEDLINE, CINAHL, na biblioteca virtual SCIELO. A avaliação dos estudos foi feita pela leitura dos títulos e resumos selecionando aqueles que apresentassem evidências dos usuários hipertensos e/ou diabéticos que frequentam a Estratégia Saúde da Família. Os resultados foram apresentados em forma de tabela e sínteses. Resultados: foram selecionados 25 artigos que relataram as preferências do usuário, os sinais e sintomas da doença, as complicações e fatores associados à hipertensão e ao diabetes. Conclusão: as 31 evidências relacionadas a usuários hipertensos e ou diabéticos que frequentam a ESF mostram-se importantes para um melhor acompanhamento dessa população, uma vez que o planejamento e a implementação do cuidado de Enfermagem devem ser individualizados e baseados no conhecimento dessas condições clínicas e preferências do usuário. A prestação do cuidado baseado nas evidências encontradas pode, ainda, fortalecer a APS enquanto porta de entrada do sistema de saúde e responsável pela prevenção de agravos e promoção da saúde. Descritores: Hipertensão; Diabetes Mellitus; Sinais e Sintomas; Diagnóstico de Enfermagem; Atenção Primária à Saúde; Estratégia Saúde da Família.ABSTRACT Objective: to identify evidence attributed to hypertensive and diabetic users in the Family Health Strategy. Method: integrative review, carried out from November to December 2015, in the databases LILACS, SCOPUS, MEDLINE, CINAHL, in the virtual library SCIELO. The evaluation of the studies was done by reading the titles and abstracts selecting those who presented evidence of the hypertensive and / or diabetic users that attend the Family Health Strategy. The results were presented in table form and summaries. Results: 25 articles were selected that reported on user preferences, signs and symptoms of the disease, complications and factors associated with hypertension and diabetes. Conclusion: the 31 evidences related to hypertensive and / or diabetic patients attending the FHS are important for a better follow-up of this population, since the planning and implementation of Nursing care should be individualized and based on the knowledge of these clinical conditions and preferences. The provision of evidence-based care can further strengthen PHC as a gateway to the health system and is responsible for the prevention of diseases and health promotion. Descriptors: Hypertension; Diabetes Mellitus; Signals and symptons; Nursing diagnosis; Primary Health Care; Family Health Strategy.RESUMENObjetivo: identificar evidencias atribuidas a los usuarios hipertensos y diabéticos en la Estrategia Salud de la Familia. Método: revisión integrativa, realizada de noviembre a diciembre de 2015, en las bases de datos LILACS, SCOPUS, MEDLINE, CINAHL, en la biblioteca virtual SCIELO. La evaluación de los estudios fue hecha por la lectura de los títulos y resúmenes seleccionando aquellos que presentaran evidencias de los usuarios hipertensos y / o diabéticos que frecuentan la Estrategia Salud de la Familia. Los resultados se presentaron en forma de tabla y síntesis. Resultados: se seleccionaron 25 artículos que relataron las preferencias del usuario, los signos y síntomas de la enfermedad, las complicaciones y factores asociados a la hipertensión y la diabetes. Conclusión: las 31 evidencias relacionadas a usuarios hipertensos y / o diabéticos que frecuentan la ESF se muestran importantes para un mejor acompañamiento de esa población, una vez que la planificación y la implementación del cuidado de Enfermería deben ser individualizados y basados en el conocimiento de esas condiciones clínicas y, preferencias del usuario. La prestación del cuidado basado en las evidencias encontradas puede, además, fortalecer la APS como puerta de entrada del sistema de salud y responsable por la prevención de agravios y promoción de la salud. Descriptores: Hipertensión; Diabetes Mellitus; Signos y Síntomas; Diagnóstico de Enfermería; Atención Primaria de Salud; Estrategia De Salud Familiar.

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Design and evaluation of a knowledge-based clinical decision support system for the psychiatric nursing process

Chou

Chao

et al. 2021

Computer Methods and Programs in Biomedicine

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Clinical validation of the nursing diagnosis "noncompliance" among people with hypertension

Cited by 3 publications

References 7 publications

Noncompliance in people living with HIV: accuracy of defining characteristics of the nursing diagnosis

Noncompliance in people living with HIV: accuracy of defining characteristics of the nursing diagnosis

Evidências clínicas para hipertensos e diabéticos na saúde da família

Design and evaluation of a knowledge-based clinical decision support system for the psychiatric nursing process

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