Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

Maria das Graças Mariano Nunes de Paiva, Jéssica Dantas de Sá Tinôco, Maria Isabel da Conceição Dias Fernandes, Juliane Rangel Dantas, Isadora Lorenna Alves Nogueira, Ana Beatriz de Almeida Medeiros, Marcos Venícios de Oliveira Lopes and Ana Luisa Brandão de Carvalho Lira

Clinical Nursing Research, 2019, vol. 28, issue 5, 602-614

Abstract: This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners.

Keywords: nursing diagnosis; nursing assessment; renal dialysis (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:28:y:2019:i:5:p:602-614

DOI: 10.1177/1054773817754021

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