USE OF THE TERMINOLOGICAL SUBSET "COMMUNITY NURSING" FOR HYPERTENSIVE AND/OR DIABETIC USERS

Costa, Paula Cristina Pereira da; Ribeiro, Elaine; Manzoli, Juliana Prado Biani; Ferreira, Raisa Camilo; Botelho, Micnéias Tatiana de Souza Lacerda; Duran, Erika Christiane Marocco

doi:10.1590/1980-265X-TCE-2019-0279

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Original Article • Texto contexto - enferm. 29 • 2020 • https://doi.org/10.1590/1980-265X-TCE-2019-0279 copy

USE OF THE TERMINOLOGICAL SUBSET "COMMUNITY NURSING" FOR HYPERTENSIVE AND/OR DIABETIC USERS

USO DEL SUBCONJUNTO TERMINOLÓGICO “ENFERMERÍA COMUNITARIA” PARA USUARIOS HIPERTENSOS Y/O DIABÉTICOS

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to determine the accuracy measures of clinical indicators of nursing diagnoses contained in the Terminological Subset "Community Nursing" for hypertensive and/or diabetic users.

Method:

methodological diagnostic accuracy study. The study population consisted of 363 hypertensive and/or diabetic users under follow-up care in three Health Centers in the city of Campinas, from August 2017 to February 2018. Data were collected through anamnesis. Data analysis consisted of the characterization of the population through descriptive statistics, and the analysis of clinical indicators and their respective Nursing Diagnoses was performed through accuracy measures.

Results:

25 Nursing diagnoses were listed, related to 37 clinical indicators, which could be used in the hypertensive and/or diabetic population. It is emphasized that three were not contained in the Terminological Subset "Community Nursing", and it is recommended that they be introduced in the International Council of Nurses.

Conclusion:

through the evaluation of accuracy measures, the Terminological Subset "Community Nursing" can and should be used in Brazil in the hypertensive and/or diabetic population.

DESCRIPTORS:
Standardized terminology in nursing; Nursing process; Nursing care; Primary health care; Terminology; Classification

Nursing Diagnoses	Clinical indicators	Se*	SP†	PPV‡	NPV§	p-value
Side effect of the medication (10011626)	Headache	1.0	0.9	0.5	1.0	<0.003\|\|
Blood pressure changed (10022954)	Headache	1.0	0.9	0.5	1.0	<0.001\|\|
	Blood Pressure increase	1.0	1.0	1.0	1.0	<0.001\|\|
	Microalbuminuria	1.0	09	0.4	1.0	0.010\|\|

Nursing Diagnoses	Clinical indicators	Se*	SP§	PPV\|\|	NPV¶	p-value
Acute confusion (10000449)	Hypoglycemia	-	0.9	0	1.0	-
Lack of knowledge about disease (10021994)	Amputation	1.0	0.9	0.3	1.0	0.019^†
Hyperglycemia (10027550)	Increased blood glucose	1.0	1.0	1.0	1.0	<0.001*
	Decreased tactile sensitivity	1.0	0.9	0.5	1.0	<0.001^†
	Decreased pain sensitivity	1.0	0.9	0.5	1.0	<0.001^†
	Microalbuminuria	1.0	0.9	0.8	1.0	<0.001^†
	Nocturia	1.0	1.0	1.0	1.0	<0.001^†
	Polydipsia	1.0	1.0	1.0	1.0	<0.001^†
	Polyphagy	1.0	1.0	1.0	1.0	<0.001^†
	Polyuria	1.0	0.9	0.6	1.0	<0.001^†
Hypoglycemia (10027566)	Hypoglycemia	1.0	1.0	1.0	1.0	0.006^†
	Weakness	1.0	1.0	1.0	1.0	0.006^†
	Sweating	-	1.0	-	1.0	-
	Tachycardia	-	1.0	-	1.0	-
	Tremor	-	1.0	-	1.0	-
Impaired mobility (10001219)	Amputation	1.0	0.9	0.3	1.0	0.019^†
Impaired mobility (10001219)	Lower extremity ulcer	1.0	0.6	0.2	1.0	0.019*
Non-compliance to the security regime (10022140)	Increased glycated hemoglobin	1.0	1.0	1.0	1.0	<0.001*
	Decreased painful sensitivity	1.0	0.9	0.5	1.0	<0.001^†
	Decreased tactile sensitivity	1.0	0.9	0.5	1.0	<0.001^†
Impaired tactile perception (10022619)	Decreased tactile sensitivity	1.0	1.0	1.0	1.0	<0.001^†
Impaired peripheral tissue perfusion (10044239)	Amputation	1.0	1.0	1.0	1.0	<0.001^†
Impaired peripheral tissue perfusion (10044239)	Decrease in capillary filling	1.0	1.0	1.0	1.0	<0.001^†
Risk of diabetic foot ulcer (10042666)	Decreased tactile sensitivity	1.0	1.0	1.0	1.0	<0.001^†
Risk of diabetic foot ulcer (10042666)	Decreased pain sensitivity	1.0	1.0	1.0	1.0	<0.001^†
Diabetic ulcer (10042181)	Lower extremity ulcer	1.0	0.9	0.9	1.0	<0.001^†

Nursing Diagnoses	Clinical indicators	Se.	SP§	PPV\|\|	NPV¶	p-value
Alcohol abuse (10022234)	Verbal report of alcoholism	1.0	1.0	1.0	1.0	<0.001*
Tobacco abuse (10022247)	Verbal report of smoking	1.0	1.0	1.0	1.0	<0.001*
Anxiety (10000477)	Verbal account of being anxious	1.0	1.0	1.0	1.0	<0.001*
Acceptance of the health condition, impaired (10029480)	Does not accept the diagnosis of the disease and treatment	1.0	1.0	1.0	1.0	<0.001*
Ability to manage (control) the dietary regimen, impaired (10022592)	Individual making negative eating choices.	-	-	-	-	-
Ability to manage (control) the physical exercise regime, impaired (10022603)	Individual making negative choices about the practice of physical exercise	-	-	-	-	-
Ability to monitor the disease, impaired (10029613)	Verbal report of the individual who does not monitor blood glucose when it should be done.	-	-	-	-	-
Able to perform health maintenance (10023452)	User choices which collaborate with dietary regimen	1.0	1.0	1.0	1.0	<0.001^†
Peripheral edema (10027482)	Edema	1.0	0.9	0.9	1.0	<0.001^†
Lack of family support (10022473)	Inappropriate family activities	1.0	1.0	1.0	1.0	<0.001^†
Lack of knowledge about disease (10021994)	Verbal report of lack of knowledge about the disease process	0.9	1.0	1.0	0.9	<0.001^†
Lack of knowledge about disease (10021994)	Verbal report of lack of knowledge about the disease process	1.0	1.0	1.0	1.0	<0.001^†
Lack of knowledge about physical exercise (10022585)	Sedentary lifestyle	1.0	0.2	0.1	1.0	0.001*
Lack of knowledge about dietary regimen (10021939)	Overweight	0.9	0.6	0.1	0.9	<0.001*
Nutritional intake, impaired (10023009)	Dyslipidemia	1.0	0.9	0.8	1.0	<0.001^†
	Overweight	1.0	0.6	0.2	1.0	<0.001*
	Obesity	1.0	0.9	0.8	1.0	<0.001^†
Mobility impaired (10001219)	Verbal report of pain in lower extremities	1.0	1.0	1.0	1.0	<0.001^†
Non-compliance to the security regime (10022140)	Decreased visual acuity	1.0	0.9	0.3	1.0	<0.001^†
	Dyslipidemia	1.0	0.9	0.8	1.0	<0.001^†
	User choices that do not collaborate with dietary regimen	1.0	1.0	1.0	1.0	<0.001*
	User choices that do not collaborate with treatment	1.0	1.0	1.0	1.0	<0.001^†
	Obesity	1.0	0.9	0.8	1.0	<0.001*
	Verbal report of lack of knowledge about the disease process	1.0	0.9	0.3	1.0	<0.001^†
	Sedentary lifestyle	1.0	0.8	0.9	1.0	<0.001*
Overweight (10027300)	Overweight	1.0	1.0	1.0	1.0	<0.001*
Sleep, impaired (10027226)	Verbal report of sleep alterations	1.0	1.0	1.0	1.0	<0.001*
Impaired vision (10022748)	Decreased visual acuity	1.0	0.9	0.9	1.0	<0.001^†

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Paula Cristina Pereira da Costa paulinhapcosta@hotmail.com