Clinical Differentiation of Respiratory Nursing Diagnoses among Children with Acute Respiratory Infection

Journal of Pediatric Nursing
Lívia Maia PascoalKarine Kerla Maia de Moura

Abstract

The aim of this study was to identify the defining characteristics that allow clinical differentiation of the nursing diagnoses, ineffective breathing pattern (IBP), ineffective airway clearance (IAC), and impaired gas exchange (IGE). A secondary analysis with a cohort design was developed from 1128 records obtained during the hospital stay of 136 children with acute respiratory infection. Groups of defining characteristics with greater differentiation capacity were identified by multiple correspondence analyses. The results showed that the defining characteristics that better differentiate the studied diagnoses are agitation, irritability and diaphoresis for IGE; dyspnea, use of accessory muscles to breathe, orthopnea, and abnormal breathing pattern for IBP and excessive sputum, absence of cough, difficulty verbalizing, nasal flaring, and adventitious breath sounds for IAC. Twelve defining characteristics that can assist clinicians to differentiate the three main respiratory nursing diagnoses among children with acute respiratory infection were identified in this study.

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Citations

Mar 28, 2019·Revista brasileira de enfermagem·Patricia Rezende do PradoJuliana de Lima Lopes
Apr 1, 2021·Revista gaúcha de enfermagem·Lívia Maia PascoalBeatriz Beltrão Amorim
Apr 29, 2021·Revista brasileira de enfermagem·Nayana Maria Gomes de SouzaBeatriz Amorim Beltrão
Nov 30, 2021·International Journal of Nursing Knowledge·Susana S A MiguelEmília Campos de Carvalho

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