ACCURACY OF CLINICAL EVIDENCES OF DIAGNOSIS OF NURSING DIAGNOSIS IN FEEDING SELF-CARE DEFICIT IN PATIENTS WITH STROKE

Objectives: estimate the prevalence of the Nursing Diagnosis of Feeding Self-care Deficit (00102), verify the accuracy of the defining characteristics and verify the association between sociodemographic, clinical and functional variables with the nursing diagnosis in patients affected by Stroke. Method: This is a Phase II study of diagnostic accuracy, performed at the Neurovascular Ambulatory of a public and tertiary hospital in Brazil, located in the city of Campinas, SP. Sensitivity, specificity, positive and negative predictive values, positive and negative verisimilitude ratios, Odds Ratio and ROC Curve were calculated by SAS software (SAS Institute Inc, version 9.4) for analysis of the accuracy measures. Approved by the Research Ethics Committee under protocol 1.163.474. Results: None of the indicators were sensitive and, except for impaired ability to swallow food, all were specific. In the presence of impaired capacity to open containers and impaired ability to feed on an entire meal, the chance of presenting the diagnosis increased by 65 and 40 times, respectively. Conclusion: the most accurate indicators were impaired capacity to open containers and impaired ability to handle utensils. The definitive characteristics, when accurate, give more security to be considered valid for diagnostic inference, which will allow the nurse to list the nursing problem to be worked on and provide adequate care.