Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

Author:

Paiva Maria das Graças Mariano Nunes de1,Tinôco Jéssica Dantas de Sá1ORCID,Fernandes Maria Isabel da Conceição Dias1,Dantas Juliane Rangel1,Nogueira Isadora Lorenna Alves1,Medeiros Ana Beatriz de Almeida1,Lopes Marcos Venícios de Oliveira2ORCID,Lira Ana Luisa Brandão de Carvalho1

Affiliation:

1. Federal University of Rio Grande do Norte, Natal, Brazil

2. Federal University of Ceará, Fortaleza, Brazil

Abstract

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.

Publisher

SAGE Publications

Subject

General Nursing

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