Clinical validation of the nursing diagnosis risk for disturbed maternal–fetal dyad in high‐risk pregnancy: A case–control study

Abstract

PurposeTo obtain evidence of the clinical validity of the nursing diagnosis (ND) risk for disturbed maternal–fetal dyad in high‐risk pregnancy.MethodCausal validation of the ND through a case–control study performed in a university hospital with 155 high‐risk pregnant women: 31 cases and 124 controls. A causal association was found between the ND etiological factors and the occurrence of disruption of the symbiotic maternal–fetal dyad; an association was verified when the etiological factor presented a p‐value <0.05 and odds ratio >1.FindingsThe risk factor absent–inadequate prenatal care; populations at risk, such as young‐advanced maternal age and economically disadvantaged pregnant women; and association conditions, such as maternal conditions and compromised fetal oxygen transport, increased the outcome likelihood. The associated condition maternal illnesses appeared as a protective factor.ConclusionsEvidence of clinical validity of the ND risk for disturbed maternal–fetal dyad was obtained, and an association between etiological factors and disruption of the symbiotic maternal–fetal dyad was found.Implications for nursing practiceThe results contribute to advance scientific knowledge in nursing teaching, research, and practice and support the nursing process in high‐risk pregnancies.

Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory

“…There are published studies on concept analysis, content validation, and clinical validation of the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” ( 1 , 12 - 13 ) . However, a review of the scientific literature shows that no studies have yet addressed MRT for this phenomenon, making this study essential.…”

“…Há estudos publicados sobre análise de conceito, validação de conteúdo e validação clínica do diagnóstico de enfermagem Risco de binômio mãe-feto perturbado ( 1 , 12 - 13 ) . Entretanto, após busca na literatura científica, observa-se que ainda não há estudos que abordem a TMA desse fenômeno, tornando necessário o desenvolvimento deste estudo, pois contribuirá para a identificação precisa do diagnóstico e para a implementação de intervenções de enfermagem mais adequadas, especialmente aquelas voltadas para a promoção do autocuidado, visando estabelecer os cuidados que podem ser realizados pelas próprias gestantes de alto risco ou com a ajuda de enfermeiros.…”