title: Diagnostic accuracy of the defining characteristics of the excessive fluid volume diagnosis in hemodialysis patients.
abstract: OBJECTIVE
  To evaluate the accuracy of the defining characteristics of the excess fluid volume nursing diagnosis of NANDA International, in patients undergoing hemodialysis.
  
  
  METHODS
  This was a study of diagnostic accuracy, with a cross-sectional design, performed in two stages. The first, involving 100 patients from a dialysis clinic and a university hospital in northeastern Brazil, investigated the presence and absence of the defining characteristics of excess fluid volume. In the second step, these characteristics were evaluated by diagnostic nurses, who judged the presence or absence of the diagnosis. To analyze the measures of accuracy, sensitivity, specificity, and positive and negative predictive values were calculated. Approval was given by the Research Ethics Committee under authorization No. 148.428.
  
  
  RESULTS
  The most sensitive indicator was edema and most specific were pulmonary congestion, adventitious breath sounds and restlessness.
  
  
  CONCLUSIONS
  The more accurate defining characteristics, considered valid for the diagnostic inference of excess fluid volume in patients undergoing hemodialysis were edema, pulmonary congestion, adventitious breath sounds and restlessness. Thus, in the presence of these, the nurse may safely assume the presence of the diagnosis studied.
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Maria Isabel da Conceição Dias
authors.initials: MI
authors.lastname: Fernandes
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Miclécia de Melo
authors.initials: Mde M
authors.lastname: Bispo
authors.affiliation: Hospital Universitário Onofre Lopes, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Érida Maria Diniz
authors.initials: ÉM
authors.lastname: Leite
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Marcos Venícios de Oliveira
authors.initials: MV
authors.lastname: Lopes
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Viviane Martins
authors.initials: VM
authors.lastname: da Silva
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Ana Luisa Brandão de Carvalho
authors.initials: AL
authors.lastname: Lira
mesh_terms: D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D015312:Hemodialysis Solutions / Q000009:adverse effects*; D006436:Hemodialysis Units, Hospital; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D006435:Renal Dialysis / Q000009:adverse effects*
chemical_list: D015312:Hemodialysis Solutions