Nursing diagnosis sedentary lifestyle in individuals with hypertension: an analysis of accuracy

Martins, Larissa Castelo Guedes; Lopes, Marcos Venícios de Oliveira; Guedes, Nirla Gomes; Teixeira, Iane Ximenes; Souza, Vanessa Emille Carvalho de; Montoril, Michelle Helcias

doi:10.1590/S0080-6234201400005000005

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Original Article • Rev. esc. enferm. USP 48 (05) • Oct 2014 • https://doi.org/10.1590/S0080-6234201400005000005 linkcopy

Nursing diagnosis sedentary lifestyle in individuals with hypertension: an analysis of accuracy^*

Diagnóstico de Enfermería Sedentarismo en los individuos con hipertensión: un análisis de la precisión

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstracts

Objective Assessing the accuracy of the defining characteristics (DC) of the nursing diagnosis Sedentary Lifestyle (SL) in people with hypertension.

Method A cross-sectional study carried out in a referral center in the outpatient care of people with hypertension and diabetes, with a sample of 285 individuals. The form used in the study was designed from operational definitions constructed for each DC of the diagnosis. Four nurses with training to carry out diagnostic inferences did the clinical assessment for the presence of SL.

Results The prevalence of SL was 55.8%. Regarding measures of accuracy, the main DC for SL was chooses a daily routine lacking physical exercise, with sensitivity of 100% and specificity of 84.13%. Two DC stood out in the logistic regression, namely: reports preference for activities low in physical activity and poor performance in instrumental activities of daily living (IADL).

Conclusion The results allowed identifying the best clinical indicators for SL in hypertensive adults.

Sedentary lifestyle; Hypertension; Nursing diagnosis

Variables	n	%	CI 95%
1. Sedentary lifestyle	159	55.8	50.04 – 61.56
2. Defining characteristics
Decreased flexibility of joints	267	93.7	92.27 – 95.13
Overweight	243	85.3	81.19 – 89.41
Does not perform physical activities in leisure time	239	83.9	79.63 – 88.17
Reports preference for activities low in physical activity	239	83.9	79.63 – 88.17
Chooses a daily routine lacking physical exercise	179	62.8	57.19 – 68.41
Decreased cardiorespiratory capacity	123	43.2	37.46 – 48.94
Poor performance in instrumental activities of daily living	113	39.6	33.93 – 45.27
Decreased muscle strength	21	7.4	4.37 – 10.43

Defining characteristics	Se	Sp	PV+	PV-	LR+ (CI 95%)	LR- (CI 95%)	DOR (CI 95%)	ROC
Poor performance in instrumental activities of daily living	45.28	67.46	63.72	49.42	1.39[1.04 - 1.86]	0.81[0.67 - 0.98]	1.71[1.03 - 2.88]	0.5637
Decreased cardiorespiratory capacity	52.83	69.05	68.29	53.70	1.71[1.28 - 2.28]	0.68[0.56 - 0.84]	2.49[1.49 - 4.21]	0.6094
Chooses a daily routine lacking physical exercise	100.00	84.13	88.83	100.00	6.30[4.21 - 9.42]	0.00[0.00 -NaN]	Inf[94.86 - Inf]	0.9206
Does not practice physical activities in leisure time	97.48	33.33	64.85	91.30	1.46[1.28 - 1.67]	0.08[0.03 - 0.20]	19.19[6.63 -76.19]	0.6541
Reports preference for activities low in physical activity	97.48	33.33	64.85	91.30	1.46[1.28 - 1.67]	0.08[0.03 - 0.20]	19.19[6.63 - 76.19]	0.6541

Nursing diagnosis / predictors	Wald (Sig)	OMN (Sig)	HL (Sig)	R2	-2 Log
Reports preference for activities low in physical activity	32.864 (< 0.001)	72.854 (< 0.001)	1.824 (0.402)	0.302	318.410
Low performance in instrumental activities of daily living	17.181 (< 0.001)
Constant	28.843 (< 0.001)

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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Nursing diagnosis sedentary lifestyle in individuals with hypertension: an analysis of accuracy*

Diagnóstico de Enfermería Sedentarismo en los individuos con hipertensión: un análisis de la precisión

Abstracts

Nursing diagnosis sedentary lifestyle in individuals with hypertension: an analysis of accuracy^*