Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study
Purpose This study aims to perform specific causal validation of nursing diagnosis Risk for thrombosis (00291) of the NANDA International (NANDA‐I) classification. Methods This is a case–control study conducted in a university hospital from January to October 2020. A total of 516 adult patients were...
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| Veröffentlicht in: | International journal of nursing knowledge 2024-10, Vol.35 (4), p.345-353 |
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| creator | Souza Hilário, Thamires Mantovani, Vanessa Monteiro Aliti, Graziella Badin Fátima Lucena, Amália Oliveira Lopes, Marcos Venícios Rabelo‐Silva, Eneida Rejane |
| description | Purpose
This study aims to perform specific causal validation of nursing diagnosis Risk for thrombosis (00291) of the NANDA International (NANDA‐I) classification.
Methods
This is a case–control study conducted in a university hospital from January to October 2020. A total of 516 adult patients were included—344 in the Case Group (with venous or arterial thrombosis evidenced by imaging) and 172 in the Control Group (without thrombosis). Statistical analysis was performed by univariate and multivariate logistic regression test, and odds ratios were calculated to measure the effect of exposure between groups. The study was approved by the Research Ethics Committee.
Findings
The patients were predominantly female and aged 59 ± 16 years. In the univariate logistic analysis, five risk factors were significantly associated with thrombosis, two at‐risk populations and 12 associated conditions. In the multivariate regression model, the following risk factors remained independently associated (p |
| doi_str_mv | 10.1111/2047-3095.12451 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2892659526</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3114414648</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3261-d5e7c14ee36d3c538e17634e210253770a8b4942a8063241b4d5d63edee35c9b3</originalsourceid><addsrcrecordid>eNqFkLtKBDEUhoMoKmptJwEbm3Vzz4ydiFcWBS-VRcgkGY3OTtZkRtnOd_ANfRKzrm5h42kSDt__c_gA2MZoH-cZEsTkgKKS72PCOF4C64vN8uJfyDWwldITyiMRlUW5CtaoLEskJVsH9zcTZ3ztDTS6T7qBr7rxVnc-tDDUsO1j8u0DtF4_tCH5BK99eoZ1iLB7jGFczXYH8DCnk_t8_zCh7WJoYOp6O90EK7Vuktv6eTfA3cnx7dHZYHR1en50OBoYSgQeWO6kwcw5Kiw1nBYOS0GZIxgRTqVEuqhYyYgukKCE4YpZbgV1Nie4KSu6AfbmvZMYXnqXOjX2ybim0a0LfVKkKIngJScio7t_0KfQxzZfpyjGjGEmWJGp4ZwyMaQUXa0m0Y91nCqM1Ey9mslVM9HqW31O7Pz09tXY2QX_KzoDYg68-cZN_-tT5xeXt_PmL2DajVQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3114414648</pqid></control><display><type>article</type><title>Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Souza Hilário, Thamires ; Mantovani, Vanessa Monteiro ; Aliti, Graziella Badin ; Fátima Lucena, Amália ; Oliveira Lopes, Marcos Venícios ; Rabelo‐Silva, Eneida Rejane</creator><creatorcontrib>Souza Hilário, Thamires ; Mantovani, Vanessa Monteiro ; Aliti, Graziella Badin ; Fátima Lucena, Amália ; Oliveira Lopes, Marcos Venícios ; Rabelo‐Silva, Eneida Rejane</creatorcontrib><description>Purpose
This study aims to perform specific causal validation of nursing diagnosis Risk for thrombosis (00291) of the NANDA International (NANDA‐I) classification.
Methods
This is a case–control study conducted in a university hospital from January to October 2020. A total of 516 adult patients were included—344 in the Case Group (with venous or arterial thrombosis evidenced by imaging) and 172 in the Control Group (without thrombosis). Statistical analysis was performed by univariate and multivariate logistic regression test, and odds ratios were calculated to measure the effect of exposure between groups. The study was approved by the Research Ethics Committee.
Findings
The patients were predominantly female and aged 59 ± 16 years. In the univariate logistic analysis, five risk factors were significantly associated with thrombosis, two at‐risk populations and 12 associated conditions. In the multivariate regression model, the following risk factors remained independently associated (p < 0.05): inadequate knowledge of modifiable factors (OR: 3.03; 95% CI: 1.25–8.56) and ineffective medication self‐management (OR: 3.2; 95% CI:1.77–6.26); at‐risk populations with history (OR: 2.16; 95% CI: 1.29–3.66) and family history of thrombosis (OR:2.60; 95% CI: 1.03–7.49); and the conditions associated with vascular diseases (OR:6.12; 95% CI:1.69–39.42), blood coagulation disorders (OR: 5.14; 95% CI:1.85–18.37), atherosclerosis (OR:2.07; 95% CI: 1.32–3.27), critical illness (OR: 2.28; 95% CI: 1.42–3.70), and immobility (OR: 2.09; 95% CI: 1.10–4.12).
Conclusions
The clinical validation allowed to establish strong evidence for the refinement of the diagnosis Risk for thrombosis and, consequently, to raise its level of evidence in the classification of NANDA‐I.
Implications for nursing practice
The evidence pointed out by this study favors the establishment of thrombosis diagnosis in an accurate way by nurses in clinical practice, directing preventive interventions to patients in this risk condition.
Objetivo
Realizar a validação causal específica do diagnóstico de enfermagem Risco de trombose (00291) da classificação diagnóstica da NANDA International, Inc.
Métodos
Estudo de caso‐controle, realizado em hospital universitário entre janeiro e outubro de 2020. Foram incluídos 516 pacientes adultos ‐ 344 no Grupo Caso (com trombose venosa ou arterial evidenciada em exame de imagem) e 172 no Grupo Controle (sem trombose). A análise estatística ocorreu por teste de regressão logística univariada e multivariada, e Odds ratios calculados para medir o efeito da exposição entre os grupos. O estudo foi aprovado em Comitê de Ética.
Resultados
Os pacientes foram predominantemente do sexo feminino e idade de 59±16 anos. Na análise logística univariada foi associado significativamente á trombose: cinco fatores de risco, duas populações em risco e 12 condições associadas. No modelo de regressão multivariada permaneceram independentemente associados (P<0,05) os fatores de risco conhecimento inadequado sobre os fatores modificáveis (OR:3,03; IC95%:1,25‐8,56) e autogestão ineficaz de medicamentos (OR:3,24; IC95%:1,77‐6,26); as populações em risco com história prévia (OR:2,16; IC95%:1,29‐3,66) e história familiar de trombose (OR:2,60; IC95%:1,03‐7,49); e as condições associadas a doenças vasculares (OR:6,12; IC95%:1,69‐39,42), distúrbios de coagulaçõo (OR:5,14; IC95%:1,85‐18,37),aterosclerose (OR:2,07; IC95%:1,32‐3,27), doença crítica (OR:2,28; IC95%:1,42‐3,70) e imobilidade (OR:2,09; IC95%:1,10‐4,12).
Conclusões
A validação clínica permitiu estabelecer fortes evidências para o refinamento do diagnóstico Risco de trombose e, consequentemente, elevar seu nível de evidência na classificação da NANDA‐I.
Implicações para a prática
As evidências apontadas pelo estudo favorecem o estabelecimento deste diagnóstico de forma acurada pelos enfermeiros na prática clínica, direcionando intervenções preventivas aos pacientes nesta condiçõo de risco.</description><identifier>ISSN: 2047-3087</identifier><identifier>ISSN: 2047-3095</identifier><identifier>EISSN: 2047-3095</identifier><identifier>DOI: 10.1111/2047-3095.12451</identifier><identifier>PMID: 37990774</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Arterial thrombosis ; At risk populations ; Atherosclerosis ; Case-Control Studies ; Classification ; Clinical medicine ; Clinical nursing ; Directing ; Drugs ; Ethics ; Female ; Humans ; Male ; Medical diagnosis ; Middle Aged ; Nursing ; Nursing Diagnosis ; Professional practice ; Research ethics ; Risk Factors ; Statistical analysis ; Thrombosis ; Thrombosis - diagnosis ; Thrombosis - nursing ; validation study</subject><ispartof>International journal of nursing knowledge, 2024-10, Vol.35 (4), p.345-353</ispartof><rights>2023 NANDA International, Inc.</rights><rights>2024 NANDA International, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3261-d5e7c14ee36d3c538e17634e210253770a8b4942a8063241b4d5d63edee35c9b3</cites><orcidid>0000-0002-4374-4419 ; 0000-0002-2684-2746 ; 0000-0001-5867-8023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F2047-3095.12451$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F2047-3095.12451$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37990774$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Souza Hilário, Thamires</creatorcontrib><creatorcontrib>Mantovani, Vanessa Monteiro</creatorcontrib><creatorcontrib>Aliti, Graziella Badin</creatorcontrib><creatorcontrib>Fátima Lucena, Amália</creatorcontrib><creatorcontrib>Oliveira Lopes, Marcos Venícios</creatorcontrib><creatorcontrib>Rabelo‐Silva, Eneida Rejane</creatorcontrib><title>Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study</title><title>International journal of nursing knowledge</title><addtitle>Int J Nurs Knowl</addtitle><description>Purpose
This study aims to perform specific causal validation of nursing diagnosis Risk for thrombosis (00291) of the NANDA International (NANDA‐I) classification.
Methods
This is a case–control study conducted in a university hospital from January to October 2020. A total of 516 adult patients were included—344 in the Case Group (with venous or arterial thrombosis evidenced by imaging) and 172 in the Control Group (without thrombosis). Statistical analysis was performed by univariate and multivariate logistic regression test, and odds ratios were calculated to measure the effect of exposure between groups. The study was approved by the Research Ethics Committee.
Findings
The patients were predominantly female and aged 59 ± 16 years. In the univariate logistic analysis, five risk factors were significantly associated with thrombosis, two at‐risk populations and 12 associated conditions. In the multivariate regression model, the following risk factors remained independently associated (p < 0.05): inadequate knowledge of modifiable factors (OR: 3.03; 95% CI: 1.25–8.56) and ineffective medication self‐management (OR: 3.2; 95% CI:1.77–6.26); at‐risk populations with history (OR: 2.16; 95% CI: 1.29–3.66) and family history of thrombosis (OR:2.60; 95% CI: 1.03–7.49); and the conditions associated with vascular diseases (OR:6.12; 95% CI:1.69–39.42), blood coagulation disorders (OR: 5.14; 95% CI:1.85–18.37), atherosclerosis (OR:2.07; 95% CI: 1.32–3.27), critical illness (OR: 2.28; 95% CI: 1.42–3.70), and immobility (OR: 2.09; 95% CI: 1.10–4.12).
Conclusions
The clinical validation allowed to establish strong evidence for the refinement of the diagnosis Risk for thrombosis and, consequently, to raise its level of evidence in the classification of NANDA‐I.
Implications for nursing practice
The evidence pointed out by this study favors the establishment of thrombosis diagnosis in an accurate way by nurses in clinical practice, directing preventive interventions to patients in this risk condition.
Objetivo
Realizar a validação causal específica do diagnóstico de enfermagem Risco de trombose (00291) da classificação diagnóstica da NANDA International, Inc.
Métodos
Estudo de caso‐controle, realizado em hospital universitário entre janeiro e outubro de 2020. Foram incluídos 516 pacientes adultos ‐ 344 no Grupo Caso (com trombose venosa ou arterial evidenciada em exame de imagem) e 172 no Grupo Controle (sem trombose). A análise estatística ocorreu por teste de regressão logística univariada e multivariada, e Odds ratios calculados para medir o efeito da exposição entre os grupos. O estudo foi aprovado em Comitê de Ética.
Resultados
Os pacientes foram predominantemente do sexo feminino e idade de 59±16 anos. Na análise logística univariada foi associado significativamente á trombose: cinco fatores de risco, duas populações em risco e 12 condições associadas. No modelo de regressão multivariada permaneceram independentemente associados (P<0,05) os fatores de risco conhecimento inadequado sobre os fatores modificáveis (OR:3,03; IC95%:1,25‐8,56) e autogestão ineficaz de medicamentos (OR:3,24; IC95%:1,77‐6,26); as populações em risco com história prévia (OR:2,16; IC95%:1,29‐3,66) e história familiar de trombose (OR:2,60; IC95%:1,03‐7,49); e as condições associadas a doenças vasculares (OR:6,12; IC95%:1,69‐39,42), distúrbios de coagulaçõo (OR:5,14; IC95%:1,85‐18,37),aterosclerose (OR:2,07; IC95%:1,32‐3,27), doença crítica (OR:2,28; IC95%:1,42‐3,70) e imobilidade (OR:2,09; IC95%:1,10‐4,12).
Conclusões
A validação clínica permitiu estabelecer fortes evidências para o refinamento do diagnóstico Risco de trombose e, consequentemente, elevar seu nível de evidência na classificação da NANDA‐I.
Implicações para a prática
As evidências apontadas pelo estudo favorecem o estabelecimento deste diagnóstico de forma acurada pelos enfermeiros na prática clínica, direcionando intervenções preventivas aos pacientes nesta condiçõo de risco.</description><subject>Adult</subject><subject>Aged</subject><subject>Arterial thrombosis</subject><subject>At risk populations</subject><subject>Atherosclerosis</subject><subject>Case-Control Studies</subject><subject>Classification</subject><subject>Clinical medicine</subject><subject>Clinical nursing</subject><subject>Directing</subject><subject>Drugs</subject><subject>Ethics</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Diagnosis</subject><subject>Professional practice</subject><subject>Research ethics</subject><subject>Risk Factors</subject><subject>Statistical analysis</subject><subject>Thrombosis</subject><subject>Thrombosis - diagnosis</subject><subject>Thrombosis - nursing</subject><subject>validation study</subject><issn>2047-3087</issn><issn>2047-3095</issn><issn>2047-3095</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkLtKBDEUhoMoKmptJwEbm3Vzz4ydiFcWBS-VRcgkGY3OTtZkRtnOd_ANfRKzrm5h42kSDt__c_gA2MZoH-cZEsTkgKKS72PCOF4C64vN8uJfyDWwldITyiMRlUW5CtaoLEskJVsH9zcTZ3ztDTS6T7qBr7rxVnc-tDDUsO1j8u0DtF4_tCH5BK99eoZ1iLB7jGFczXYH8DCnk_t8_zCh7WJoYOp6O90EK7Vuktv6eTfA3cnx7dHZYHR1en50OBoYSgQeWO6kwcw5Kiw1nBYOS0GZIxgRTqVEuqhYyYgukKCE4YpZbgV1Nie4KSu6AfbmvZMYXnqXOjX2ybim0a0LfVKkKIngJScio7t_0KfQxzZfpyjGjGEmWJGp4ZwyMaQUXa0m0Y91nCqM1Ey9mslVM9HqW31O7Pz09tXY2QX_KzoDYg68-cZN_-tT5xeXt_PmL2DajVQ</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Souza Hilário, Thamires</creator><creator>Mantovani, Vanessa Monteiro</creator><creator>Aliti, Graziella Badin</creator><creator>Fátima Lucena, Amália</creator><creator>Oliveira Lopes, Marcos Venícios</creator><creator>Rabelo‐Silva, Eneida Rejane</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4374-4419</orcidid><orcidid>https://orcid.org/0000-0002-2684-2746</orcidid><orcidid>https://orcid.org/0000-0001-5867-8023</orcidid></search><sort><creationdate>202410</creationdate><title>Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study</title><author>Souza Hilário, Thamires ; Mantovani, Vanessa Monteiro ; Aliti, Graziella Badin ; Fátima Lucena, Amália ; Oliveira Lopes, Marcos Venícios ; Rabelo‐Silva, Eneida Rejane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3261-d5e7c14ee36d3c538e17634e210253770a8b4942a8063241b4d5d63edee35c9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arterial thrombosis</topic><topic>At risk populations</topic><topic>Atherosclerosis</topic><topic>Case-Control Studies</topic><topic>Classification</topic><topic>Clinical medicine</topic><topic>Clinical nursing</topic><topic>Directing</topic><topic>Drugs</topic><topic>Ethics</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Diagnosis</topic><topic>Professional practice</topic><topic>Research ethics</topic><topic>Risk Factors</topic><topic>Statistical analysis</topic><topic>Thrombosis</topic><topic>Thrombosis - diagnosis</topic><topic>Thrombosis - nursing</topic><topic>validation study</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Souza Hilário, Thamires</creatorcontrib><creatorcontrib>Mantovani, Vanessa Monteiro</creatorcontrib><creatorcontrib>Aliti, Graziella Badin</creatorcontrib><creatorcontrib>Fátima Lucena, Amália</creatorcontrib><creatorcontrib>Oliveira Lopes, Marcos Venícios</creatorcontrib><creatorcontrib>Rabelo‐Silva, Eneida Rejane</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing knowledge</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Souza Hilário, Thamires</au><au>Mantovani, Vanessa Monteiro</au><au>Aliti, Graziella Badin</au><au>Fátima Lucena, Amália</au><au>Oliveira Lopes, Marcos Venícios</au><au>Rabelo‐Silva, Eneida Rejane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study</atitle><jtitle>International journal of nursing knowledge</jtitle><addtitle>Int J Nurs Knowl</addtitle><date>2024-10</date><risdate>2024</risdate><volume>35</volume><issue>4</issue><spage>345</spage><epage>353</epage><pages>345-353</pages><issn>2047-3087</issn><issn>2047-3095</issn><eissn>2047-3095</eissn><abstract>Purpose
This study aims to perform specific causal validation of nursing diagnosis Risk for thrombosis (00291) of the NANDA International (NANDA‐I) classification.
Methods
This is a case–control study conducted in a university hospital from January to October 2020. A total of 516 adult patients were included—344 in the Case Group (with venous or arterial thrombosis evidenced by imaging) and 172 in the Control Group (without thrombosis). Statistical analysis was performed by univariate and multivariate logistic regression test, and odds ratios were calculated to measure the effect of exposure between groups. The study was approved by the Research Ethics Committee.
Findings
The patients were predominantly female and aged 59 ± 16 years. In the univariate logistic analysis, five risk factors were significantly associated with thrombosis, two at‐risk populations and 12 associated conditions. In the multivariate regression model, the following risk factors remained independently associated (p < 0.05): inadequate knowledge of modifiable factors (OR: 3.03; 95% CI: 1.25–8.56) and ineffective medication self‐management (OR: 3.2; 95% CI:1.77–6.26); at‐risk populations with history (OR: 2.16; 95% CI: 1.29–3.66) and family history of thrombosis (OR:2.60; 95% CI: 1.03–7.49); and the conditions associated with vascular diseases (OR:6.12; 95% CI:1.69–39.42), blood coagulation disorders (OR: 5.14; 95% CI:1.85–18.37), atherosclerosis (OR:2.07; 95% CI: 1.32–3.27), critical illness (OR: 2.28; 95% CI: 1.42–3.70), and immobility (OR: 2.09; 95% CI: 1.10–4.12).
Conclusions
The clinical validation allowed to establish strong evidence for the refinement of the diagnosis Risk for thrombosis and, consequently, to raise its level of evidence in the classification of NANDA‐I.
Implications for nursing practice
The evidence pointed out by this study favors the establishment of thrombosis diagnosis in an accurate way by nurses in clinical practice, directing preventive interventions to patients in this risk condition.
Objetivo
Realizar a validação causal específica do diagnóstico de enfermagem Risco de trombose (00291) da classificação diagnóstica da NANDA International, Inc.
Métodos
Estudo de caso‐controle, realizado em hospital universitário entre janeiro e outubro de 2020. Foram incluídos 516 pacientes adultos ‐ 344 no Grupo Caso (com trombose venosa ou arterial evidenciada em exame de imagem) e 172 no Grupo Controle (sem trombose). A análise estatística ocorreu por teste de regressão logística univariada e multivariada, e Odds ratios calculados para medir o efeito da exposição entre os grupos. O estudo foi aprovado em Comitê de Ética.
Resultados
Os pacientes foram predominantemente do sexo feminino e idade de 59±16 anos. Na análise logística univariada foi associado significativamente á trombose: cinco fatores de risco, duas populações em risco e 12 condições associadas. No modelo de regressão multivariada permaneceram independentemente associados (P<0,05) os fatores de risco conhecimento inadequado sobre os fatores modificáveis (OR:3,03; IC95%:1,25‐8,56) e autogestão ineficaz de medicamentos (OR:3,24; IC95%:1,77‐6,26); as populações em risco com história prévia (OR:2,16; IC95%:1,29‐3,66) e história familiar de trombose (OR:2,60; IC95%:1,03‐7,49); e as condições associadas a doenças vasculares (OR:6,12; IC95%:1,69‐39,42), distúrbios de coagulaçõo (OR:5,14; IC95%:1,85‐18,37),aterosclerose (OR:2,07; IC95%:1,32‐3,27), doença crítica (OR:2,28; IC95%:1,42‐3,70) e imobilidade (OR:2,09; IC95%:1,10‐4,12).
Conclusões
A validação clínica permitiu estabelecer fortes evidências para o refinamento do diagnóstico Risco de trombose e, consequentemente, elevar seu nível de evidência na classificação da NANDA‐I.
Implicações para a prática
As evidências apontadas pelo estudo favorecem o estabelecimento deste diagnóstico de forma acurada pelos enfermeiros na prática clínica, direcionando intervenções preventivas aos pacientes nesta condiçõo de risco.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>37990774</pmid><doi>10.1111/2047-3095.12451</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4374-4419</orcidid><orcidid>https://orcid.org/0000-0002-2684-2746</orcidid><orcidid>https://orcid.org/0000-0001-5867-8023</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2047-3087 |
| ispartof | International journal of nursing knowledge, 2024-10, Vol.35 (4), p.345-353 |
| issn | 2047-3087 2047-3095 2047-3095 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2892659526 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Arterial thrombosis At risk populations Atherosclerosis Case-Control Studies Classification Clinical medicine Clinical nursing Directing Drugs Ethics Female Humans Male Medical diagnosis Middle Aged Nursing Nursing Diagnosis Professional practice Research ethics Risk Factors Statistical analysis Thrombosis Thrombosis - diagnosis Thrombosis - nursing validation study |
| title | Specific causal validation of nursing diagnosis Risk for thrombosis: A case–control study |
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