Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

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• 作者：Lí ; via Maia Pascoal ; RN ; PhD^a ; Marcos Vení ; cios de Oliveira Lopes ; RN ; PhD^b ; ^{marcos@ufc.br" class="auth_mail" title="E-mail the corresponding author} (Statistician) ; Viviane Martins da Silva ; RN ; PhD^b ; Daniel Bruno Resende Chaves ; RN ; MsD^b ; Beatriz Amorim Beltr&atilde ; o ; RN ; MsD^b ; Marí ; lia Mendes Nunes ; RN^b ; Karine Kerla Maia de Moura ; RN^b
• 关键词：Nursing diagnosis ; Nursing assessment ; Pediatrics ; Respiratory signs and symptoms
• 刊名：Journal of Pediatric Nursing
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：31
• 期：1
• 页码：85-91
• 全文大小：315 K

文摘

The aim of this study was to identify the defining characteristics that allow clinical differentiation of the nursing diagnoses, ineffective breathing pattern (IBP), ineffective airway clearance (IAC), and impaired gas exchange (IGE). A secondary analysis with a cohort design was developed from 1128 records obtained during the hospital stay of 136 children with acute respiratory infection. Groups of defining characteristics with greater differentiation capacity were identified by multiple correspondence analyses. The results showed that the defining characteristics that better differentiate the studied diagnoses are agitation, irritability and diaphoresis for IGE; dyspnea, use of accessory muscles to breathe, orthopnea, and abnormal breathing pattern for IBP and excessive sputum, absence of cough, difficulty verbalizing, nasal flaring, and adventitious breath sounds for IAC. Twelve defining characteristics that can assist clinicians to differentiate the three main respiratory nursing diagnoses among children with acute respiratory infection were identified in this study.