Accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns

• Autor(a) principal: Aquino,Wislla Ketlly Menezes de
• Data de Publicação: 2018
• Outros Autores: Lopes,Marcos Venícios de Oliveira, Silva,Viviane Martins da, Fróes,Nathaly Bianka Moraes, Menezes,Angélica Paixão de, Almeida,Aline de Aquino Peres, Sobreira,Bianca Alves
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000200357
• topic: Nursing Diagnosis; Hyperthermia; Newborn; Control of Body Temperature; Neonatology

ABSTRACT Objective: to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns. Method: a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity. Results: Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively). Conclusion: four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.