Ineffective breathing pattern in cardiac postoperative patients: Diagnostic accuracy study

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• 作者：Vanessa Emille Carvalho de Sousa ; PhD ; RN^a ; ^{vanessaemille@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Lí ; via Maia Pascoal ; PhD ; RN^b ; ^{livia_mp@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Ranielly Vidal do Nascimento ; RN^c ; ^{ranielly_vidal@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Talita Ferreira Oliveira de Matos ; RN^c ; ^{talitaferreiraoliveira@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Beatriz Amorim Beltrã ; o ; PhD ; RN^d ; ^{beatriz.enfermagem@yahoo.com.br" class="auth_mail" title="E-mail the corresponding author} ; Viviane Martins da Silva ; PhD ; RN^c ; ^{viviane.silva@ufc.br" class="auth_mail" title="E-mail the corresponding author} ; Marcos Vení ; cios de Oliveira Lopes ; PhD ; RN^c ; ^{marcos@ufc.br" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Nursing assessment ; Nursing diagnosis ; Respiratory signs and symptoms ; Postoperative care
• 刊名：Applied Nursing Research
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：32
• 期：Complete
• 页码：134-138
• 全文大小：253 K

文摘

The aim of this study was to analyze the accuracy of the defining characteristics of ineffective breathing pattern (IBP) in postoperative cardiac patients.

Methods

A diagnostic accuracy study was performed with 98 patients. Measures of sensitivity, specificity, predictive values, likelihood ratios, diagnostic odds ratio, and area under the ROC curve were calculated.

Results

IBP was present in 23.5% of the patients. Alterations in depth of breathing (sensitivity 96%, negative likelihood ratio 0.11%) and pursed-lip breathing (sensitivity 99%, negative likelihood ratio 0.07%) were the most sensitive defining characteristics for IBP, while altered chest excursion (specificity 97%, positive likelihood ratio 11.41%) and prolonged expiration phase (specificity 99%, positive likelihood ratio 42.39%) were the most specific.

Conclusion

Some clinical indicators were more related to the presence or absence of IBP than others. Knowledge of such measures can help nurses to assess patients more accurately.