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2015 ; 23
(6
): 1057-64
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Diagnostic accuracy of the defining characteristics of the excessive fluid volume
diagnosis in hemodialysis patients
#MMPMID26625996
Fernandes MI
; Bispo Mde M
; Leite ÉM
; Lopes MV
; da Silva VM
; Lira AL
Rev Lat Am Enfermagem
2015[Nov]; 23
(6
): 1057-64
PMID26625996
show ga
OBJECTIVE: To evaluate the accuracy of the defining characteristics of the excess
fluid volume nursing diagnosis of NANDA International, in patients undergoing
hemodialysis. METHOD: This was a study of diagnostic accuracy, with a
cross-sectional design, performed in two stages. The first, involving 100
patients from a dialysis clinic and a university hospital in northeastern Brazil,
investigated the presence and absence of the defining characteristics of excess
fluid volume. In the second step, these characteristics were evaluated by
diagnostic nurses, who judged the presence or absence of the diagnosis. To
analyze the measures of accuracy, sensitivity, specificity, and positive and
negative predictive values were calculated. Approval was given by the Research
Ethics Committee under authorization No. 148.428. RESULTS: The most sensitive
indicator was edema and most specific were pulmonary congestion, adventitious
breath sounds and restlessness. CONCLUSION: The more accurate defining
characteristics, considered valid for the diagnostic inference of excess fluid
volume in patients undergoing hemodialysis were edema, pulmonary congestion,
adventitious breath sounds and restlessness. Thus, in the presence of these, the
nurse may safely assume the presence of the diagnosis studied.