Diagnósticos de enfermagem memória prejudicada e confusão crônica para idosos: validação de conteúdo diagnóstico

Souza, Priscilla Alfradique de; Avant, Kay Coalson; Berndt, Andrea E.

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 2) • 2021 • https://doi.org/10.1590/0034-7167-2020-0370 copiar

Diagnósticos de enfermagem memória prejudicada e confusão crônica para idosos: validação de conteúdo diagnóstico

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

Validar as características definidoras dos diagnósticos de enfermagem memória prejudicada e confusão crônica para idosos, testando as definições dos diagnósticos entre enfermeiros especialistas.

Método:

Validação de conteúdo diagnóstico utilizando um questionário online para enfermeiros clínicos especialistas.

Resultados:

195 enfermeiras especialistas realizaram as validações diagnósticas. Os resultados demonstraram a validade de memória prejudicada com 11 características definidoras principais, e confusão crônica com 11 características definidoras principais e uma secundária. Em ambos os diagnósticos, o índice de validade de conteúdo foi de 0,85. A análise fatorial forneceu quatro para memória prejudicada e cinco fatores para confusão crônica.

Conclusão:

O estudo forneceu evidências de validade dos dois diagnósticos, tornando-os mais claros. Por meio do uso desses diagnósticos de enfermagem atualizados, os enfermeiros podem melhorar a precisão e a qualidade do atendimento a pacientes idosos, contribuindo para um cuidado gerontológico de enfermagem mais preciso.

Descritores:
Diagnóstico de Enfermagem; Transtornos da Memória; Confusão; Enfermagem Geriátrica; Estudo de Validação

Defining Characteristics of Impaired Memory	R -CVI	C -CVI	I -CVI	T -CVI
Persistent forgetfulness	0.89	0.85	0.88	0.87
Consistently forgets to perform a behavior at the scheduled time	0.87	0.85	0.86	0.86
Persistent inability to recall if a behavior was performed	0.89	0.86	0.88	0.88
Persistent inability to recall familiar names, words, or objects	0.89	0.84	0.87	0.87
Persistent inability to recall factual information or events	0.88	0.84	0.87	0.86
Persistent inability to perform a previously learned skill	0.89	0.88	0.89	0.89
Persistent inability to learn a new skill	0.82	0.83	0.79	0.81
Persistent inability to learn new information	0.83	0.85	0.82	0.83
Persistent inability to retain a new skill	0.81	0.83	0.79	0.81
Persistent inability to retain new information	0.86	0.86	0.83	0.85
Preserved capacity to perform daily activities independently^* * Activities of Daily Living & Instrumental Activities of Daily Living. (CVI represents the proportion of raters in agreement about a given rating. CVI of 0.80 or greater is considered critical evidence.).	0.86	0.87	0.85	0.86
MEAN SCORE	0.86	0.86	0.84	0.85

Defining Characteristics of Chronic Confusion	R -CVI	C -CVI	I -CVI	T -CVI
Progressive impairment in cognitive functioning	0. 92	0. 88	0. 92	0. 91
Insidious and irreversible onset in cognitive impairment	0. 90	0. 85	0. 90	0. 88
Long -term cognitive impairment	0. 90	0. 86	0. 90	0. 89
Alteration in short-term memory	0. 86	0. 86	0.86	0. 86
Alteration in long-term memory	0. 89	0. 86	0. 87	0. 87
Alteration in at least one cognitive function other than memory	0. 87	0. 84	0. 86	0. 86
Alteration in personality	0. 84	0. 80	0. 83	0. 82
Alteration in behavior	0. 84	0. 83	0. 82	0. 83
Alteration in social functioning	0. 86	0. 86	0. 84	0. 85
Adequate alertness to surroundings	0. 81	0. 80	0. 79	0. 80
No changes on level of alertness	0. 73	0. 73	0. 73	0. 73
Inability to perform at least one daily activity*	0. 88	0. 89	0. 88	0. 88
MEAN SCORE	0. 86	0. 84	0. 86	0. 85

Defining Characteristics	Factor Loadings				C
Defining Characteristics	1	2	3	4	C
Persistent forgetfulness: R			0.75		0.64
Persistent forgetfulness: I			0.74		0.63
Consistently forgets to perform a behavior at the scheduled time: R			0.92		0.81
Consistently forgets to perform a behavior at the scheduled time: I			0.84		0.76
Persistent inability to recall if a behavior was performed: R		0.52			0.72
Persistent inability to recall if a behavior was performed: I		0.50			0.72
Persistent inability to recall familiar names, words, or objects: R		0.84			0.71
Persistent inability to recall familiar names, words, or objects: I		0.92			0.74
Persistent inability to recall factual information or events: R		0.59			0.65
Persistent inability to recall factual information or events: I		0.72			0.64
Persistent inability to perform a previously learned skill: R		0.77			0.71
Persistent inability to perform a previously learned skill: I		0.79			0.73
Persistent inability to learn a new skill: R	0.84				0.76
Persistent inability to learn a new skill: I	0.86				0.79
Persistent inability to learn new information: R	0.85				0.80
Persistent inability to learn new information: I	0.86				0.80
Persistent inability to retain a new skill: R	0.90				0.81
Persistent inability to retain a new skill: I	0.89				0.77
Persistent inability to retain new information: R	0.84				0.80
Persistent inability to retain new information: I	0.81				0.77
Preserved capacity to perform daily activities independently: R				0.93	0.87
Preserved capacity to perform daily activities independently: I				0.96	0.93
Rotation Sums of Squared Loadings in Pattern Matrix	9.38	9.03	7.28	4.92

Defining Characteristics	Factor Loadings					C
Defining Characteristics	1	2	3	4	5
Progressive impairment in cognitive functioning: R		0.84				0.72
Progressive impairment in cognitive functioning: I		0.85				0.71
Insidious and irreversible onset in cognitive impairment: R		0.91				0.77
Insidious and irreversible onset in cognitive impairment: I		0.95				0.78
Long-term cognitive impairment: R			0.42		0.43	0.71
Long-term cognitive impairment: I			0.47		0.53	0.72
Alteration in short-term memory: C			0.74			0.67
Alteration in short-term memory: I			0.84			0.75
Alteration in long-term memory: R			0.80			0.77
Alteration in long-term memory: I			0.81			0.70
Alteration in at least one CF other than memory: R		0.59				0.64
Alteration in at least one CF other than memory: I		0.52				0.61
Alteration in personality: R	0.79					0.81
Alteration in personality: I	0.77					0.78
Alteration in behavior: R	0.78					0.77
Alteration in behavior: I	0.82					0.80
Alteration in social functioning: R	0.75					0.80
Alteration in social functioning: I	0.71					0.78
Adequate alertness to surroundings: R				0.76		0.76
Adequate alertness to surroundings: I				0.76		0.78
No changes on level of alertness: R				0.88		0.80
No changes on level of alertness: I				0.92		0.81
Inability to perform at least one daily activity: R					0.89	0.81
Inability to perform at least one daily activity: I					0.96	0.83
Rotation Sums of Squared Loadings in Pattern Matrix	7.84	7.18	7.32	6.43	6.26

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Priscilla Alfradique de Souza. E-mail: priscillalfradique@gmail.com