%0 Journal Article
%T Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study
%A Ana Beatriz de Almeida Medeiros
%A Ana Luisa Brand£¿o de Carvalho Lira
%A Isadora Lorenna Alves Nogueira
%A Juliane Rangel Dantas
%A J¨¦ssica Dantas de S¨¢ Tin£¿co
%A Marcos Ven¨ªcios de Oliveira Lopes
%A Maria Isabel da Concei£¿£¿o Dias Fernandes
%A Maria das Gra£¿as Mariano Nunes de Paiva
%J Clinical Nursing Research
%@ 1552-3799
%D 2019
%R 10.1177/1054773817754021
%X 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
%K nursing diagnosis
%K nursing assessment
%K renal dialysis
%U https://journals.sagepub.com/doi/full/10.1177/1054773817754021