Classification tree for the assessment of sedentary lifestyle among hypertensive

Abstract

Article derived from the research: Review of the defining characteristics and factors related to nursing diagnoses sedentary lifestyle in individuals with hypertension. Conflicts of interest: none.Received on: January 21, 2015. Classification tree for the assessment of sedentary lifestyle among hypertensiveObjective. To develop a classification tree of clinical indicators for the correct prediction of the nursing diagnosis "Sedentary lifestyle" (SL) in people with high blood pressure (HTN). Methods. A crosssectional study conducted in an outpatient care center specializing in high blood pressure and Mellitus diabetes located in northeastern Brazil. The sample consisted of 285 people between 19 and 59 years old diagnosed with high blood pressure and was applied an interview and physical examination, obtaining sociodemographic information, related factors and signs and symptoms that made the defining characteristics for the diagnosis under study. The tree was generated using the CHAID algorithm (Chi-square Automatic Interaction Detection). Results. The construction of the decision tree allowed establishing the interactions between clinical indicators that facilitate a probabilistic analysis of multiple situations allowing quantify the probability of an individual presenting a sedentary lifestyle. The tree included the clinical indicator Choose daily routine without exercise as the first node. People with this indicator showed a probability of 0.88 of presenting the SL. The second node was composed of the indicator Does not perform physical activity during leisure, with 0.99 probability of presenting the SL with these two indicators. The predictive capacity of the tree was established at 69.5%. Conclusion. Decision trees help nurses who care HTN people in decisionmaking in assessing the characteristics that increase the probability of SL nursing diagnosis, optimizing the time for diagnostic inference.

Clinical validation of nursing diagnosis “00085 Impaired Physical Mobility” in multiple traumas victims

“…The prevalence of male was identified, agreeing with the literature ( 1 , 25 - 27 ) , which shows greater involvement of men aged between 20 and 40 years. The greatest vulnerability is associated with socio-cultural and economic factors, which can be related to individual behavior and personality, such as hyperactivity, impulsiveness and aggressiveness, lack of prudence and maturity in transit, non use of safety devices such as seat belt or helmet, driving under the influence of alcohol or drugs, performing more dangerous activities, and inattention ( 2 ) .…”

“…The main mechanism of trauma was the traffic accident, especially those caused by motorcycles, followed by the falls and injuries caused by weapons and aggression, predominantly affecting the musculoskeletal, integumentary, and nervous systems, supporting the findings of other studies ( 25 - 27 , 30 - 34 ) .…”

“…It is also noteworthy the occurrence of the surgical approach as the main form of treatment for correction or fixation of fractures, relief of intracranial pressure, drainage of hematomas, identification or correction of internal injuries, which, in association with the prevalence of blunt traumas, corroborate the findings ( 1 , 5 , 25 - 27 , 33 - 34 ) .…”

Sociodemographic factors and physical activity pattern in people with systemic hypertension

“…Houve associação da dimensão trabalho com sexo e idade; da dimensão casa com sexo, idade e raça/cor; e da dimensão tempo gasto sentado com situação conjugal. Tal situação se assemelhou a outras investigações sobre o tema, sendo encontradas elevadas prevalências de padrão sedentário (77 e 55,8%) (10)(11) .…”

“…Ao considerar que os participantes eram hipertensos diagnosticados e em tratamento, a prática regular de atividade física deveria integrar a rotina destes, promovendo saúde e bem-estar, mas o padrão sedentário foi prevalente no grupo, constituindo grande e atual problema de saúde pública (5,11) . Pessoas que não praticam atividade física têm duas vezes mais risco de desenvolver doenças cardiovasculares, quando comparadas àquelas que seguem a recomendação da diretriz de prevenção cardiovascular, de 30 minutos de atividade física, cinco dias por semana, totalizando 150 minutos semanais.…”