Premium
Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics
Author(s) -
Beltrão Beatriz Amorim,
Herdman Tracy Heather,
Pascoal Lívia Maia,
Chaves Daniel Bruno Resende,
Silva Viviane Martins,
Lopes Marcos Venícios
Publication year - 2015
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12838
Subject(s) - medicine , breathing , heart disease , population , pediatrics , cardiology , anesthesia , environmental health
Aims and objectives The purpose of this study was to assess the prevalence of ineffective breathing pattern and the accuracy of its defining characteristics, among children and adolescents with congenital heart disease. Background The NANDA International nursing diagnosis, ineffective breathing pattern , has been noted to have high prevalence in different clinical contexts and age groups. Despite that, nurses continue to report difficulties in confirming this diagnosis. The lack of data regarding the sensitivity, specificity and predictive values of the defining characteristics contribute to decreased certainty in diagnosing ineffective breathing pattern . Design A diagnostic accuracy study. Methods This study of diagnostic accuracy was conducted with 61 children and adolescents with congenital heart disease. Two nurses were trained by the primary investigator on use of defining characteristics in the diagnostic process for ineffective breathing pattern . Results Ineffective breathing pattern was present in 26·2% of the children and adolescents sampled. When analysing the defining characteristics, alterations in depth of breathing, showed high values of sensitivity and specificity. In addition, orthopnoea , tachypnoea and use of accessory muscles to breathe, showed high values of specificity; d yspnoea showed high values of sensitivity. Finally, assumption of three‐point position , bradypnoea and increased anterior–posterior diameter were not found to be statistically significant for this sample population. Conclusion Five defining characteristics of ineffective breathing pattern presented measures of accuracy with statistically significant values in children with congenital heart disease. Relevance to clinical practice The findings can help nurses during the diagnostic process, as they identify which defining characteristics can be used to confirm or rule out the probability of occurrence of the diagnosis.