Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients

Authors

  • Maria Isabel da Conceição Dias Fernandes Universidade Federal do Rio Grande do Norte; Departamento de Enfermagem
  • Miclécia de Melo Bispo Universidade Federal do Rio Grande do Norte
  • Érida Maria Diniz Leite Universidade Federal do Rio Grande do Norte; Hospital Universitário Onofre Lopes
  • Marcos Venícios de Oliveira Lopes Universidade Federal do Ceará; Departamento de Enfermagem
  • Viviane Martins da Silva Universidade Federal do Ceará; Departamento de Enfermagem
  • Ana Luisa Brandão de Carvalho Lira Universidade Federal do Rio Grande do Norte; Departamento de Enfermagem

DOI:

https://doi.org/10.1590/0104-1169.0380.2649

Abstract

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.

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Published

2015-12-01

Issue

Vol. 23 No. 6 (2015)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients . (2015). Revista Latino-Americana De Enfermagem, 23(6), 1057-1064. https://doi.org/10.1590/0104-1169.0380.2649