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

Author

Listed:
  • 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
  • Marcos Venícios de Oliveira Lopes

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.

Suggested Citation

  • 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 Vasconce, 2021. "Clinical Validation of Nursing Diagnoses Related to Self-Care Deficits in Patients with Stroke," Clinical Nursing Research, , vol. 30(4), pages 494-501, May.
    • Handle: RePEc:sae:clnure:v:30:y:2021:i:4:p:494-501
    DOI: 10.1177/1054773819883352
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    References listed on IDEAS

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    1. Huiying Liu & Vivian W. Q. Lou, 2019. "Functional recovery of older stroke patients discharged from hospital to home: The effects of cognitive status and different levels of therapy intensity," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(1-2), pages 47-55, January.
    2. Mia I Loft & Ingrid Poulsen & Bente A Esbensen & Helle K Iversen & Lone L Mathiesen & Bente Martinsen, 2017. "Nurses’ and nurse assistants’ beliefs, attitudes and actions related to role and function in an inpatient stroke rehabilitation unit—A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4905-4914, December.
    3. Teresa Connolly & Ellen Mahoney, 2018. "Stroke survivors’ experiences transitioning from hospital to home," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(21-22), pages 3979-3987, November.
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