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- Title
Accuracy of the Defining Characteristics of the Nursing Diagnosis Hypothermia in Newborns.
- Authors
Aquino, Wislla Ketlly Menezes; Lopes, Marcos Venícios de Oliveira; da Silva, Viviane Martins; Fróes, Nathaly Bianka Moraes; Menezes, Angélica Paixão; Almeida, Aline de Aquino Peres; Sobreira, Bianca Alves
- Abstract
PURPOSE: To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS: A cross‐sectional accuracy study with statistical analysis. FINDINGS: Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity. CONCLUSION: Slow gastric emptying, skin cool to touch, irritability, and bradycardia are good clinical indicators to infer initial stages of hypothermia and to confirm its presence. IMPLICATIONS FOR NURSING PRACTICE: Accuracy measures may contribute to the improvement of the diagnostic inferential process. OBJETIVO: Analisar acurácia das características definidoras de Hipotermia em recém‐nascidos e identificar a associação delas com variáveis clínicas. MÉTODO: Estudo de acurácia transversal com análise estatística. RESULTADOS: Preenchimento capilar lento, diminuição da ventilação, vasoconstrição periférica e ganho de peso insuficiente apresentaram valores altos de especificidade enquanto esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia apresentaram valores elevados de sensibilidade e especificidade. CONCLUSÃO: Esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia são úteis para inferir estágios iniciais de hipotermia e para confirmação diagnóstica. IMPLICAÇÕES PARA PRÁTICA DE ENFERMAGEM: Medidas de acurácia podem contribuir para o processo de inferência do diagnóstico hipotermia.
- Subjects
BRAZIL; HYPOTHERMIA; BRADYCARDIA; CHI-squared test; CLINICAL medicine; CONFIDENCE intervals; FISHER exact test; GASTROINTESTINAL motility; RESEARCH methodology; NEONATAL intensive care; NURSING; NURSING diagnosis; STATISTICAL sampling; KEY performance indicators (Management); NEONATAL intensive care units; CROSS-sectional method; NANDA International; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; MANN Whitney U Test; CHILDREN; DIAGNOSIS
- Publication
International Journal of Nursing Knowledge, 2019, Vol 30, Issue 1, p21
- ISSN
2047-3087
- Publication type
Article
- DOI
10.1111/2047-3095.12188