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Revista brasileira de enfermagem

Accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.

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Wislla Ketlly Menezes de Aquino
Marcos Venícios de Oliveira Lopes
Viviane Martins da Silva
Nathaly Bianka Moraes Fróes
Angélica Paixão de Menezes
Aline de Aquino Peres Almeida
Bianca Alves Sobreira

Keywords

Abstract

OBJECTIVE

to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.

METHODS

a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity.

RESULTS

Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively).

CONCLUSIONS

four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.

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