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Ineffective breathing pattern in cardiac postoperative patients: Diagnostic accuracy study

Published on Nov 1, 2016in Applied Nursing Research1.327
· DOI :10.1016/j.apnr.2016.07.005
Vanessa Emille Carvalho de Sousa8
Estimated H-index: 8
(UIC: University of Illinois at Chicago),
Lívia Maia Pascoal3
Estimated H-index: 3
(UFMA: Federal University of Maranhão)
+ 4 Authorsde Oliveira Lopes Mv16
Estimated H-index: 16
(UFC: Federal University of Ceará)
Abstract
Abstract Purpose The aim of this study was to analyze the accuracy of the defining characteristics of ineffective breathing pattern (IBP) in postoperative cardiac patients. Methods A diagnostic accuracy study was performed with 98 patients. Measures of sensitivity, specificity, predictive values, likelihood ratios, diagnostic odds ratio, and area under the ROC curve were calculated. Results IBP was present in 23.5% of the patients. Alterations in depth of breathing (sensitivity 96%, negative likelihood ratio 0.11%) and pursed-lip breathing (sensitivity 99%, negative likelihood ratio 0.07%) were the most sensitive defining characteristics for IBP, while altered chest excursion (specificity 97%, positive likelihood ratio 11.41%) and prolonged expiration phase (specificity 99%, positive likelihood ratio 42.39%) were the most specific. Conclusion Some clinical indicators were more related to the presence or absence of IBP than others. Knowledge of such measures can help nurses to assess patients more accurately.
  • References (22)
  • Citations (1)
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References22
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#1de Oliveira Lopes Mv (UFC: Federal University of Ceará)H-Index: 16
#3de Araújo Tl (UFC: Federal University of Ceará)H-Index: 18
Last. Viviane Martins da SilvaH-Index: 13
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Marcos Venicios de Oliveira Lopes, RN, PhD, is a Statistician and Nursing Professor at the Department of Nursing, Federal University of Ceara, Fortaleza, Brazil, Viviane Martins da Silva, RN, PhD, is a Nursing Professor at the Department of Nursing, Federal University of Ceara, Fortaleza, Brazil, Thelma Leite de Araujo, RN, PhD, is a Nursing Professor at the Department of Nursing, Federal University of Ceara, Fortaleza, Brazil, and Jose Vieira da Silva Filho, BSE, is a Software Engineer at the H...
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#1Jessica Brier (Miriam Hospital)H-Index: 1
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Aims and objectives To develop a clinical algorithm to guide nurses' critical thinking through systematic surveillance, assessment, actions required and communication strategies. To achieve this, an international, multiphase project was initiated. Background Patients receive hospital care postoperatively because they require the skilled surveillance of nurses. Effective assessment of postoperative patients is essential for early detection of clinical deterioration and optimal care management. De...
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#1Anna Lee (CUHK: The Chinese University of Hong Kong)H-Index: 35
#2Po Tong ChuiH-Index: 12
Last. Tony GinH-Index: 40
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Objective: To evaluate the risks of perioperative respiratory complications and postoperative morbidity associated with active and passive cigarette smoking. Background: Environmental tobacco smoke is associated with perioperative respiratory events in children, but its effect in adults is unknown. Methods: We conducted a cohort study of 736 adult patients receiving general anesthesia for major elective surgery. Patients were classified according to their self-reported smoking history and urinar...
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Livia Maia Pascoal, RN, is a Master’s Degree, Nursing Professor at Federal University of Maranhao in Imperatriz, Brazil; Marcos Venicios de Oliveira Lopes, RN, PhD, is a Nursing Professor; Viviane Martins da Silva, RN, PhD, is a Nursing Professor; Beatriz Amorim Beltrao, RN, is a Doctoral Student; Daniel Bruno Resende Chaves, RN, is a Doctoral Student; Juliana Maria Vieira de Santiago, RN, is a Master’s Student at Federal University of Ceara in Fortaleza, Brazil; and T. Heather Herdman, RN, PhD,...
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Part I: Fundamental Concepts. Overview of Critical Care Nursing. Individual and Family Response to the Critical Care Experience. Ethical and Legal Issues in Critical Care. Part II: Tools for the Critical Care Nurse. Dysrhythmia Interpretation. Hemodynamic Monitoring. Ventilatory Assistance. Code Management. Part III: Nursing Care During Critical Illness. Shock. Cardiac Alterations. Nervous System Alterations. Acute Respiratory Failure. Acute Renal Failure. Hematologic and Immune Disorders. Gastr...
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#1Vanessa Emille Carvalho de Sousa (UFC: Federal University of Ceará)H-Index: 8
#2de Oliveira Lopes Mv (UFC: Federal University of Ceará)H-Index: 16
Last. Talita Ferreira Oliveira (UFC: Federal University of Ceará)H-Index: 2
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#1Lívia Maia Pascoal (UFMA: Federal University of Maranhão)H-Index: 3
#2de Oliveira Lopes Mv (UFC: Federal University of Ceará)H-Index: 16
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PURPOSE To verify the relevance of the clinical indicators, the clarity and precision of the conceptual, and operational definitions for Ineffective breathing pattern (IBP). METHODS A content analysis by 39 judges. FINDINGS The results showed 28 clinical indicators for IBP. However, only seven were not considered relevant for the diagnosis. These are not listed in NANDA International taxonomy. All conceptual and operational definitions were adequate, according to the analysis of the judges. CONC...
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#1Laura Fonseca Vieira (UFRGS: Universidade Federal do Rio Grande do Sul)
#2Vivian Rodrigues Fernandes (UFRGS: Universidade Federal do Rio Grande do Sul)
Last. Karina de Oliveira Azzolin (UFRGS: Universidade Federal do Rio Grande do Sul)H-Index: 7
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PURPOSE: To evaluate accuracy of defining characteristics (DCs) for impaired gas exchange (IGE), impaired spontaneous ventilation (ISV), and ineffective breathing pattern (IBP) in respiratory deterioration. METHODS: This study is a retrospective analysis of medical records. The accuracy and predictive ability of DC or of clusters are calculated. FINDINGS: In this study, 391 records were evaluated. For IGE, DCs or clusters with higher efficiency were "hypercapnia" (78%), "somnolence" (74.4%), and...
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#1Patricia Rezende do Prado (UNIFESP: Federal University of São Paulo)
#2Ana Rita de Cássia Bettencourt (UNIFESP: Federal University of São Paulo)H-Index: 9
Last. Juliana de Lima Lopes (UNIFESP: Federal University of São Paulo)H-Index: 9
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OBJECTIVE: To identify in the literature the defining characteristics and related factors of the nursing diagnosis "ineffective breathing pattern". METHOD: Integrative review with the steps: problem identification, literature search, evaluation and analysis of data and presentation of results. RESULTS: Twenty articles and two dissertations were included. In children, the most prevalent related factor was bronchial secretion, followed by hyperventilation. The main defining characteristics were dy...
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