Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

Detalhes bibliográficos
Autor(a) principal: Seganfredo, Deborah Hein
Data de Publicação: 2017
Outros Autores: Beltrão, Beatriz Amorim, Silva, Viviane Martins da, Lopes, Marcos Venícios de Oliveira, Castro, Stela Maris de Jezus, Almeida, Miriam de Abreu
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UFRGS
Texto Completo: http://hdl.handle.net/10183/173022
Resumo: Objective: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. Method: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. Results: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. Conclusion: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.
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spelling Seganfredo, Deborah HeinBeltrão, Beatriz AmorimSilva, Viviane Martins daLopes, Marcos Venícios de OliveiraCastro, Stela Maris de JezusAlmeida, Miriam de Abreu2018-02-28T02:27:45Z20170104-1169http://hdl.handle.net/10183/173022001055633Objective: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. Method: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. Results: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. Conclusion: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.application/pdfporRevista latino-americana de enfermagem. Ribeirão Preto. Vol. 25 (Dec. 2017), p. e2954Diagnóstico de enfermagemProcessos de enfermagemEstatística médicaNursingNursing diagnosisNursing processAnalysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapyinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001055633.pdf001055633.pdfTexto completo (inglês)application/pdf688795http://www.lume.ufrgs.br/bitstream/10183/173022/1/001055633.pdf31ea51e2bfafeed259ffb0639fff875bMD51TEXT001055633.pdf.txt001055633.pdf.txtExtracted Texttext/plain40112http://www.lume.ufrgs.br/bitstream/10183/173022/2/001055633.pdf.txt275eddcf345c2c03baccc52c9b6f403eMD52THUMBNAIL001055633.pdf.jpg001055633.pdf.jpgGenerated Thumbnailimage/jpeg1613http://www.lume.ufrgs.br/bitstream/10183/173022/3/001055633.pdf.jpgf4e019158cd654798eb654888f3cfeeaMD5310183/1730222018-10-29 09:12:41.926oai:www.lume.ufrgs.br:10183/173022Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-29T12:12:41Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.pt_BR.fl_str_mv Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
spellingShingle Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
Seganfredo, Deborah Hein
Diagnóstico de enfermagem
Processos de enfermagem
Estatística médica
Nursing
Nursing diagnosis
Nursing process
title_short Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_full Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_fullStr Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_full_unstemmed Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
title_sort Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy
author Seganfredo, Deborah Hein
author_facet Seganfredo, Deborah Hein
Beltrão, Beatriz Amorim
Silva, Viviane Martins da
Lopes, Marcos Venícios de Oliveira
Castro, Stela Maris de Jezus
Almeida, Miriam de Abreu
author_role author
author2 Beltrão, Beatriz Amorim
Silva, Viviane Martins da
Lopes, Marcos Venícios de Oliveira
Castro, Stela Maris de Jezus
Almeida, Miriam de Abreu
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Seganfredo, Deborah Hein
Beltrão, Beatriz Amorim
Silva, Viviane Martins da
Lopes, Marcos Venícios de Oliveira
Castro, Stela Maris de Jezus
Almeida, Miriam de Abreu
dc.subject.por.fl_str_mv Diagnóstico de enfermagem
Processos de enfermagem
Estatística médica
topic Diagnóstico de enfermagem
Processos de enfermagem
Estatística médica
Nursing
Nursing diagnosis
Nursing process
dc.subject.eng.fl_str_mv Nursing
Nursing diagnosis
Nursing process
description Objective: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. Method: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. Results: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. Conclusion: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.
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dc.relation.ispartof.pt_BR.fl_str_mv Revista latino-americana de enfermagem. Ribeirão Preto. Vol. 25 (Dec. 2017), p. e2954
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