IDEAS home Printed from https://ideas.repec.org/a/sae/clnure/v28y2019i5p602-614.html
   My bibliography  Save this article

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

Author

Listed:
  • 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
  • Ana Luisa Brandão de Carvalho Lira

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.

Suggested Citation

  • 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, 2019. "Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study," Clinical Nursing Research, , vol. 28(5), pages 602-614, June.
    • Handle: RePEc:sae:clnure:v:28:y:2019:i:5:p:602-614
    DOI: 10.1177/1054773817754021
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/1054773817754021
    Download Restriction: no
    File URL: https://libkey.io/10.1177/1054773817754021?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Amani A Khalil & Muhammad Darawad & Eklas Al Gamal & Ayman M Hamdan‐Mansour & Mona A Abed, 2013. "Predictors of dietary and fluid non‐adherence in Jordanian patients with end‐stage renal disease receiving haemodialysis: a cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(1-2), pages 127-136, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eileen Suk Ying Ng & Poh Yoong Wong & Ahmad Teguh Hakiki Kamaruddin & Christopher Thiam Seong Lim & Yoke Mun Chan, 2020. "Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia," IJERPH, MDPI, vol. 17(14), pages 1-14, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:clnure:v:28:y:2019:i:5:p:602-614. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.