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

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.

The analysis of nursing diagnoses determined by students for patients in rehabilitation units

“…It can also be seen that nursing students reflected not only the physical problems of rehabilitation patients, but also psy- chosocial problems in the nursing process. According to the preceding literature, the occurrence of self-care deficit after stroke is usually aftereffects of cerebral hypoperfusion (Everard et al, 2021;Oliveira-Kumakura et al, 2020;Oliveira-Kumakura et al, 2021), and nursing diagnosis associated with self-care deficits also show an association with motor and sensorial aftereffects. Third, it is necessary to examine the diagnostic indicators that includes defining characteristics, related/risk factors of each nursing diagnosis that nursing students select for rehabilitation patients.…”

Đánh giá kết quả chăm sóc, phục hồi chức năng cho người bệnh đột quỵ não sau giai đoạn cấp tại Bệnh viện Quân y 105

“…Oliveira-Kumakura ARS và cộng sự [5] đã nhận định giá trị lâm sàng các chẩn đoán điều dưỡng liên quan đến thiếu hụt sự tự chăm sóc ở bệnh nhân đột quỵ như việc cho ăn, tắm, đi vệ sinh và một số chỉ số khác trên cơ sở đó góp phần xây dựng kế hoạch chăm sóc bệnh nhân đột quỵ ngày càng tốt hơn.…”

Iktusa jasan duten pazienteetan ohikoak diren erizaintza-diagnostikoak

“…Esan da mugikortasun fisikoaren narriadura agertzen denean, eguneroko bizitzako oinarrizko jarduerak egiteko zailtasunak ager daitezkeela. Kalkulatzen da iktusa jasan dutenen ia erdiek laguntza behar izaten dutela oinarrizko jarduera horiek egiteko garaian (14). -Ahalik eta autonomia gehiena sustatzea.…”