Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calc...

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Bibliographic Details
Published in:Clinical nursing research 2019-06, Vol.28 (5), p.602-614
Main Authors: Paiva, Maria das Graças Mariano Nunes de, Tinôco, Jéssica Dantas de Sá, Fernandes, Maria Isabel da Conceição Dias, Dantas, Juliane Rangel, Nogueira, Isadora Lorenna Alves, Medeiros, Ana Beatriz de Almeida, Lopes, Marcos Venícios de Oliveira, Lira, Ana Luisa Brandão de Carvalho
Format: Article
Language:English
Subjects:
Accuracy
Activities of daily living
Clinical indicators
Dialysis
Disease management
Drugs
Health status
Hemodialysis
Inappropriate use
Inappropriateness
Infections
Kidney diseases
Latent class analysis
Medical diagnosis
Nurse practitioners
Nursing
Quality of care
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Summary:This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners.
ISSN:1054-7738
1552-3799
DOI:10.1177/1054773817754021