Clinical Validation of Nursing Diagnoses Related to Self-Care Deficits in Patients with Stroke

Ana Railka de Souza Oliveira-Kumakura, Cássia Milena Freitas Machado Sousa, Jessica Aparecida Biscaro, Kelly Cristina Rodrigues da Silva, Juliany Lino Gomes Silva, Sheila Coelho Ramalho Vasconcelos Morais and Marcos Venícios de Oliveira Lopes

Clinical Nursing Research, 2021, vol. 30, issue 4, 494-501

Abstract: To clinically validate the defining characteristics of nursing diagnoses related to self-care deficits in feeding, bathing, toileting, and dressing in patients with stroke. A diagnostic accuracy study was conducted with a sample of 135 patients with stroke. Sensitivity and specificity were calculated based on the latent class analysis method using the random effects model. The prevalence of diagnoses was 23.5% for Bathing self-care deficit, 18.5% for Dressing self-care deficit, 13.3% for Toileting self-care deficit, and 7.5% for Feeding self-care deficit. Fourteen defining characteristics were sensitive, and 17 were specific. Hemorrhagic stroke and note 4 on the Rankin scale was associated with self-care deficits. Of the 37 defining characteristics of the four diagnoses studied, 19 were clinically validated according to the latent class analysis model. These most accurate clinical indicators contribute to the development of the care plan for patients with stroke.

Keywords: stroke; self-care; nursing diagnosis; validation studies (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:30:y:2021:i:4:p:494-501

DOI: 10.1177/1054773819883352

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