Author(s): Aquino,Wislla Ketlly Menezes de ; Lopes,Marcos Venícios de Oliveira ; Silva,Viviane Martins da ; Fróes,Nathaly Bianka Moraes ; Menezes,Angélica Paixão de ; Almeida,Aline de Aquino Peres ; Sobreira,Bianca Alves
Date: 2018
Origin: Oasisbr
Subject(s): Nursing Diagnosis; Hyperthermia; Newborn; Control of Body Temperature; Neonatology
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.
