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

Rev Bras Enferm. 2018 Mar-Apr;71(2):357-362. doi: 10.1590/0034-7167-2017-0037.
[Article in English, Portuguese]

Abstract

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

Method: 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).

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

MeSH terms

  • Chi-Square Distribution
  • Cross-Sectional Studies
  • Female
  • Fever / diagnosis*
  • Humans
  • Infant, Newborn
  • Male
  • Nursing Diagnosis / methods
  • Nursing Diagnosis / standards*
  • Odds Ratio
  • Pediatrics / methods