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

Authors

  • Richardson Augusto Rosendo da Silva Universidade Federal do Rio Grande do Norte; Departamento de Enfermagem
  • Mayara Mirna do Nascimento Costa Prefeitura de Parnamirim; Hospital Maternidade Divino Amor
  • Vinicius Lino de Souza Neto Universidade Federal do Rio Grande do Norte
  • Bárbara Coeli Oliveira da Silva Universidade Potiguar; Escola Técnica Potiguar
  • Cristiane da Silva Costa Universidade Federal do Rio Grande do Norte; Departamento de Enfermagem
  • Itaísa Fernandes Cardoso de Andrade

DOI:

https://doi.org/10.1590/1518-8345.1582.2940

Keywords:

Nursing Diagnosis, Validation Studies, Signs and Symptoms, Sensitivity and Specificity, Medication Adherence, Acquired Immunodeficiency Syndrome

Abstract

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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Published

2017-01-01

Issue

Vol. 25 (2017)

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

Noncompliance in people living with HIV: accuracy of defining characteristics of the nursing diagnosis. (2017). Revista Latino-Americana De Enfermagem, 25, e2940-. https://doi.org/10.1590/1518-8345.1582.2940