Fatigue in patients with heart failure: A study of diagnostic accuracy fatigue in patients with heart failure

IF 1.4 4区 医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2023-09-27 DOI:10.1111/2047-3095.12448
Beatriz Medeiros de Macêdo Master in Nursing, Anna Thays Dias Almeida Master in Nursing, Ana Carolina Costa Carino Doctoral student in Nursing, Maria Isabel da Conceição Dias Fernandes PhD in Nursing, Jéssica Dantas de Sá Tinôco PhD in Nursing, Isadora Costa Andriola PhD in Nursing, Marcos Venícios de Oliveira Lopes PhD in Nursing, Ana Luisa Brandão de Carvalho Lira PhD in Nursing
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Abstract

Purpose

To analyze the accuracy of defining characteristics of the NANDA International nursing diagnosis, fatigue (00093), in patients with heart failure.

Methods

A cross-sectional study on the diagnostic accuracy of the defining characteristics of the nursing diagnosis. The sample consisted of 96 patients with heart failure in treatment in a public hospital. The latent class analysis method was used to test the accuracy measurements and estimate the prevalence of the diagnosis. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte.

Results

The prevalence of the fatigue nursing diagnosis was 42.54%. Increased physical symptoms (0.9988) and tiredness (0.9988) were the sensitive defining characteristics. Disinterested in surroundings (0.9999) was the specific defining characteristics.

Conclusions

A set of three defining characteristics of the nursing diagnosis of fatigue was accurate in patients with heart failure. Thus, this set can be used by nurses to confirm nursing diagnosis fatigue in patients with heart failure.

Implications for nursing practice

This research contributes by providing accurate defining characteristics of fatigue in patients with heart failure. Thus, nurses should recognize the nursing diagnosis of fatigue in patients with heart failure through accurate defining characteristics and propose rapid and effective nursing interventions that have positive health results.

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心力衰竭患者的疲劳:心力衰竭患者疲劳诊断准确性的研究。
目的:分析NANDA International护理诊断疲劳(00093)在心力衰竭患者中定义特征的准确性。方法:对诊断准确性进行横断面研究,明确护理诊断的特点。样本包括96名在公立医院接受治疗的心力衰竭患者。使用潜在类别分析方法来检验测量的准确性并估计诊断的患病率。这项研究得到了北里奥格兰德州联邦大学研究伦理委员会的批准。结果:疲劳护理诊断的发生率为42.54%,身体症状增加(0.9988)和疲劳(0.9988。对周围环境无兴趣(0.9999)是具体的定义特征。结论:护理诊断心力衰竭患者疲劳的三个明确特征是准确的。因此,护士可以使用该集合来确认心力衰竭患者的护理诊断疲劳。对护理实践的启示:这项研究提供了心力衰竭患者疲劳的准确定义特征。因此,护士应通过准确定义特征来识别心力衰竭患者疲劳的护理诊断,并提出具有积极健康效果的快速有效的护理干预措施。
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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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