1. Clinical indicators of ineffective airway clearance in children with acute respiratory infection
- Author
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Daniel Bruno Resende Chaves, Iane Ximenes Teixeira, Viviane Martins da Silva, Alice Gabrielle de Sousa Costa, Lívia Maia Pascoal, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira, T. Heather Herdman, and Beatriz Amorim Beltrão
- Subjects
medicine.medical_specialty ,Nursing Diagnosis ,Respiratory rate ,Acute infection ,Pediatrics ,03 medical and health sciences ,0302 clinical medicine ,Respiratory Rate ,Ineffective airway clearance ,Statistical significance ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,Respiratory system ,Prospective cohort study ,Respiratory Tract Infections ,Respiratory Sounds ,030504 nursing ,business.industry ,Infant ,Respiratory infection ,Pediatric Nursing ,Airway Obstruction ,Pediatrics, Perinatology and Child Health ,Emergency medicine ,0305 other medical science ,business ,Nursing diagnosis - Abstract
The identification of clinical indicators with good predictive ability allows the nurse to minimize the existing variability in clinical situations presented by the patient and to accurately identify the nursing diagnosis, which represents the true clinical condition. The purpose of this study was to analyze the accuracy of NANDA-I clinical indicators of the nursing diagnosis ineffective airway clearance (IAC) in children with acute respiratory infection. This was a prospective cohort study conducted with a group of 136 children and followed for a period of time ranging from 6 to 10 consecutive days. For data analysis, the measures of accuracy were calculated for clinical indicators, which presented statistical significance in a generalized estimated equation model. IAC was present in 91.9% of children in the first assessment. Adventitious breath sounds presented the best measure of accuracy. Ineffective cough presented a high value of sensitivity. Changes in respiratory rate, wide-eyed, diminished breath sounds, and difficulty vocalizing presented high positive predictive values. In conclusion, adventitious breath sounds showed the best predictive ability to diagnose IAC in children with respiratory acute infection.
- Published
- 2016