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.

Objective The aim of the study was to develop the conceptual and operational definitions for the defining characteristics of each nursing diagnosis related to self-care deficits of patients with stroke and to validate these definitions with experts. Methods This was a methodological study. The definitions were evaluated by 32 specialists and analyzed using binomial testing. Results All the defining characteristics analyzed were statistically significant (p < .05); three indicators showed agreement at a level lower than the ideal (<0.85). Conclusion The definitions achieved validity for measuring self-care deficit for bathing, toileting, dressing, and eating. Implications for Nursing Practice These defining characteristics of each nursing diagnosis related to self-care deficits may enable more accurate assessment, driving relevant and individualized action plans in rehabilitation.

Objectives: estimate the prevalence of the Nursing Diagnosis of Feeding Self-care Deficit (00102), verify the accuracy of the defining characteristics and verify the association between sociodemographic, clinical and functional variables with the nursing diagnosis in patients affected by Stroke. Method: This is a Phase II study of diagnostic accuracy, performed at the Neurovascular Ambulatory of a public and tertiary hospital in Brazil, located in the city of Campinas, SP. Sensitivity, specificity, positive and negative predictive values, positive and negative verisimilitude ratios, Odds Ratio and ROC Curve were calculated by SAS software (SAS Institute Inc, version 9.4) for analysis of the accuracy measures. Approved by the Research Ethics Committee under protocol 1.163.474. Results: None of the indicators were sensitive and, except for impaired ability to swallow food, all were specific. In the presence of impaired capacity to open containers and impaired ability to feed on an entire meal, the chance of presenting the diagnosis increased by 65 and 40 times, respectively. Conclusion: the most accurate indicators were impaired capacity to open containers and impaired ability to handle utensils. The definitive characteristics, when accurate, give more security to be considered valid for diagnostic inference, which will allow the nurse to list the nursing problem to be worked on and provide adequate care.

The objective of the study was to investigate in patients affected by stroke the health profile, the nursing diagnoses and hospital care. Descriptive, exploratory, quantitative study in Neurovascular Ambulatory, in a public and tertiary hospital in Campinas. It was investigated socio-demographic data, clinical profile and nursing diagnoses listed of all patients seen in 2015 at the clinic, who made the initial consultation the first follow-up. Data were analyzed using SPSS, version 20.0 under analysis with a descriptive statistical approach. The study was sent to the Research Ethics Committe and approved protocol with 1.163.474. The patients were mostly male, with a mean age of 60 years, with low education levels, people with hypertension, diabetes mellitus, stroke / TIA prior, with sensory, cognitive and motor changes. The degree of disability and dependence, the study revealed that between stroke and outpatient consultation, patients had one decreased autonomy and greater disability. The most listed Nursing diagnoses were those pertecentes the activity / rest area (5) NANDA-I.