对接受保守治疗的慢性肾病患者的术语子集进行临床验证。

Revista da Escola de Enfermagem da U S P Pub Date : 2024-02-12 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0280en
Harlon França de Menezes, Alessandra Conceição Leite Funchal Camacho, Paola Paiva Monteiro, Isabele Silva Dos Santos, Ana Beatriz Pereira, Nanete Caroline da Costa Prado, José Rebberty Rodrigo Holanda, Richardson Augusto Rosendo da Silva
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引用次数: 0

摘要

目的:对国际护理实践分类(ICNP®)的术语子集进行临床验证:对《国际护理实践分类》(ICNP®)的术语子集进行临床验证,以护理接受保守治疗的慢性肾病患者:对 117 项护理诊断/结果陈述和 199 项护理干预陈述进行临床验证评估的前瞻性研究。该研究通过以下步骤进行操作:在巴西东南部的一家门诊诊所实施护理流程;准备案例研究;分析专科护士之间的一致意见。Kappa.结果:样本包括 50 名慢性肾病患者。结果:样本由 50 名慢性肾病患者组成,对诊断/结果和干预措施进行了评估,结果几乎完全一致,ICC 也非常好。Kruskal-Wallis 检验表明,评估之间没有显著差异。该研究对包含 110 项护理诊断/结果和 195 项护理干预措施的子集进行了临床验证:结论:根据提出的子集对接受保守治疗的慢性肾病患者进行护理已适用于临床实践。
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Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment.

Objective: To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) to care for people with chronic kidney disease undergoing conservative treatment.

Method: Prospective study of clinical validation assessment of 117 nursing diagnoses/outcomes statements and 199 nursing intervention statements. It was operationalized through the following steps: implementation of the Nursing Process in an outpatient clinic in Southeast Brazil; preparation of case studies; analysis of agreement between specialist nurses. The Kappa. Kruskal-Wallis coefficient of agreement and intraclass correlation coefficient (ICC) were used.

Results: The sample consisted of 50 people with chronic kidney disease. Diagnoses/outcomes and interventions were evaluated with almost perfect/perfect agreement and excellent ICC. The Kruskal-Wallis test showed that there was no significant difference between the assessments. The study allowed the clinical validation of a subset with 110 nursing diagnoses/outcomes and 195 nursing interventions.

Conclusion: Care for people with chronic kidney disease undergoing conservative treatment based on the proposed subset has become applicable to clinical practice.

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