Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Author(s):  
Micnéias Lacerda Botelho ◽  
Marisa Dibbern Lopes Correia ◽  
Juliana Prado Biani Manzoli ◽  
Fábio Luis Montanari ◽  
Luciana Aparecida Costa Carvalho ◽  
...  

ABSTRACT Objective: To generate a Classification Tree for the correct inference of the Nursing Diagnosis Fluid Volume Excess (00026) in chronic renal patients on hemodialysis. Method: Methodological, cross-sectional study with patients undergoing renal treatment. The data were collected through interviews and physical evaluation, using an instrument with socio-demographic variables, related factors, associated conditions and defining characteristics of the studied diagnosis. The classification trees were generated by the Chi-Square Automation Interaction Detection method, which was based on the Chi-square test. Results: A total of 127 patients participated, of which 79.5% (101) presented the diagnosis studied. The trees included the elements “Excessive sodium intake” and “Input exceeds output”, which were significant for the occurrence of the event, as the probability of occurrence of the diagnosis in the presence of these was 0.87 and 0.94, respectively. The prediction accuracy of the trees was 63% and 74%, respectively. Conclusion: The construction of the trees allowed to quantify the probability of the occurrence of Fluid Volume Excess (00026) in the studied population and the elements “Excessive sodium intake” and “Input exceeds output” were considered predictors of this diagnosis in the sample.

Author(s):  
Mina Danaei ◽  
Ali Akbar Rohani ◽  
Ali Sajadi ◽  
Mohsen Momeni

Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that  higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) were at risk, and 77 (30.8%) were addicted to the Internet. Among the demographic factors, a significant relationship was found between gender (p = 0.041) and educational level (p = 0.024) with Internet addiction. Conclusion: policymakers should pay particular attention to the issue of Internet addiction in medical students, since Internet addiction may cause these students to neglect their critical duties during externship and internship. In this regard, holding effective training courses can be helpful.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1158
Author(s):  
Nirun Intarut ◽  
Piyalak Pukdeesamai

Background: The prevalence of tobacco consumption in Thailand has gradually declined; however, the prevalence of exposure to secondhand smoke (SHS) is still high. The objective of this study is to estimate the prevalence of SHS exposure and examine the association between exposure to SHS and depressive symptoms among schoolchildren, and test for moderation by the number of smokers in household. Methods: We conducted a cross-sectional study of 1105 schoolchildren. Socioeconomics factors, depressive symptoms and exposure to SHS variables were collected. We used the chi-square test for testing the factors associated to SHS exposure. In addition, we used the Mantel Haenszel test for testing interaction effect of depression to SHS exposure by the number of smokers in home. Multiple logistic regression was used to test the factors related to SHS exposure adjusted for confounders. Results: The prevalence of exposure to SHS was 58.2% (95%CI: 55.2, 61.1). The schoolchildren with abnormal depression status were 1.8 times more likely to have been exposed to SHS (95%CI: 1.3, 2.5). In addition, the number of smokers in the home did not modify the association between exposure to SHS and depressive symptoms (P: 0.964). Conclusions: An association between exposure to SHS and depressive in schoolchildren was observed, but this relationship was not affected by the number of smokers in children’s homes.


Author(s):  
Amanual Getnet Mersha ◽  
Michelle Kennedy ◽  
Parivash Eftekhari ◽  
Gillian Sandra Gould

Background: Adherence to smoking cessation medications (SCMs) improve the rate of successful quitting. This study aimed to evaluate the level of adherence to SCMs and associated factors among smokers and ex-smokers in Australia. Method: A cross-sectional study using an online survey was conducted in Australia. Descriptive statistics were used to present the overall characteristics of participants. Cross-tabulation with Pearson’s chi-square test was performed to evaluate the possible associations between factors. To explore barriers and facilitators of adherence to SCMs, logistic regressions were conducted. Results: Among 201 participants, 57 (28.4%) were found to be adherent to SCMs. The odds of being adherent were found to be higher among participants with good social support (AOR = 3.28, 95% CI of 2.30–6.27). Participants who did not experience anxiety symptoms had higher odds of being adherent to SCMs as compared to smokers who had anxiety symptoms (AOR = 4.41, 95% CI of 3.64–14.68). Having previous experience of using SCMs improved adherence four-fold (AOR = 3.87, 95% CI of 1.11–13.44). Level of nicotine dependence showed a direct association with adherence (AOR = 3.53, 95% CI of 1.40–8.95). Not relapsing while on the medications improved adherence (AOR = 2.88, 95% CI of 1.21–6.88). Conclusion: In a study of smokers and ex-smokers in Australia, the self-reported level of adherence to SCMs was found to be low. Adherence was associated with social, psychological, and medication-related factors. Smoking cessation interventions are recommended to include strategies that can address medication adherence.


2016 ◽  
Vol 8 (12) ◽  
pp. 258 ◽  
Author(s):  
Mehri Seyed Javadi ◽  
Raheleh Mohammadi ◽  
Maryam Seyed Javadi ◽  
Mehdi Ja’fari Oory ◽  
Mohammad Yazdani Yengejeh

<p><strong>BACKGROUND &amp; OBJECTIVES:</strong> Cardio Pulmonary Resuscitation (CPR) is a procedure which was done both in hospital or pre-hospital in order to return life after clinical death. Although the most cardiac attacks happen out of hospital, but there are lack of existing studies related to CPR assessment in pre-hospital conditions. Then this study carried out in order to show the outcome of pre-hospital CPR procedures and its related factors in Medical Emergency Centers of Ardebil city.</p><p><strong>METHOD: </strong>This descriptive cross-sectional study was conducted on 272 CPR cases in the Emergency Medical Center (EMS) in Ardabil, between 2012 and 2013. The researcher-made questionnaire was used. For data analyzing the descriptive and analytical statistical method such as the Chi-square test and the Chi-square details test were used with SPSS 16 software. The values of P&lt;0.05 were considered significant.</p><p><strong>RESULTS:</strong> The overall rate of successful CPR reported only 19.1%. The mean (SD) of patient’s age was 74.19±79.60 years and the most of them (66.2%) were men. The most patients (64.3%), had heart problems as a chief complaint. From all CPRs, 83.1% and 11.5% were done in patient homes and public place respectively. There was no statistically significant relationship between the successful CPR with age (p=0.15), sex (p=0.44), the arrival time of emergency personnel to the scene (p=0.98) and patient’s pulse rate (p=0.52). But there was statistically significant relationship between the successful CPR with underlying diseases (p=0.003), Location of CPR (P=0.002), patient blood pressure (p=0.00) and patient respiratory rate (p=0.04).</p><p><strong>CONCLUSION:</strong> According to the findings, the rate of successful CPR was at a low level in the pre-hospital that need to be investigated further about its cause and its related factors.</p>


2020 ◽  
Author(s):  
Xuming Wang ◽  
Huawei Gui ◽  
Chunyan Yuan ◽  
Lijiang Liu ◽  
Jianguo Wei ◽  
...  

Abstract BackgroundThis paper aimed to explore the average natural menopause age, the span of menopausal age, and the related factors that will probably affect the natural menopause age of Chinese women. MethodsA large-scale random sampling of menopausal women aged 32-75 years in 18 provinces or municipalities throughout China was conducted using paper questionnaire surveys to investigate the menopause age, menarche age, fertility status, illness history, and living habits. The SPSS 24.0 software package was used to carry out t test, chi-square test, logistic regression, and other statistical analyses. ResultsA total of 5852 questionnaires were collected. After excluding questionnaires having no menopause, questionnaires with incomplete or invalid information, and questionnaires that may directly affect the age of menopause, such as hysterectomy, oophorectomy, and other factors that may affect natural menopause, a total of 4426 effective questionnaires have been collected, and the average age of natural menopause was 49.49 ± 3.67 years old. ConclusionFactors that may affect the age of natural menopause are weight, menarche age, marital status, drinking tea or not (often and daily), eating supplements, oral contraceptive contraception, and safe contraception.


Author(s):  
Anisa Fitria ◽  
Deviyanti Wahyu Izati ◽  
Tri Martiana

Introduction: Needlestick injury is the most frequent accidents encountered by healthcare workers in the hospital. Needlestick injury can expose healthcare workers to the risk of communicable diseases infection. This study was conducted in one of the hospitals in Bojonegoro. Healthcare workers in the inpatient installation and laboratory room have a potential for needlestick injury since they often use needles in their work activities. The aim of this study was to analyze the needlestick injury-related factors on healthcare workers in one of the hospitals in Bojonegoro. Methods: This study belongs to a cross-sectional study with a quantitative approach. The study population comprised all laboratory staffs and nurses in the inpatient installation. Sampling was done using stratified random method, obtaining 91 people as the samples. The variables involved in this study included educational level, knowledge, training, unsafe action, and needlestick injury. Data were acquired by means of observation, questionnaire, hospital data, and other supporting data. The data obtained were analyzed using the chi square test with a significance of 0.05 (α = 0.05). Result: This study indicates that educational level (sig = 0.024) and unsafe action (sig = 0.002) are related to needlestick injury. Meanwhile, knowledge (sig = 0.722) and training (sig = 0.350) are not related to needle stick injury. Conclusion: Educational level and unsafe actions are related to needlestick injury on healthcare workers at one of the hospitals in Bojonegoro.Keywords: accident, hospital, needlestick


2011 ◽  
Vol os18 (1) ◽  
pp. 25-30
Author(s):  
Carmen Llena ◽  
Gonzalo Clemente ◽  
Leopoldo Forner

Aim To evaluate parents’ satisfaction with the dental care that their children received in a primary dental care unit in Valencia, Spain. Methods A cross-sectional study was designed. Parents were given a self-administered questionnaire with questions on accessibility, information received from the dentist and hygienist, staff interest in their child, dentist's and hygienist's apparent professional competence, handling of the child's behaviour, cleanliness of the office (surgery), overall parent satisfaction, parent's and child's age, and parental educational level. The chi-square test was used to assess overall parental satisfaction and the other study variables. For the multivariant study, CHAID (CHi-square Automatic Interaction Detection) analysis was used. Results Out of a possible 400 respondents, 389 completed the questionnaire, of whom 384 completed it in full. The variables significantly associated with overall parental satisfaction were waiting time before the consultation, cleanliness of the surgery, the manner in which appointments were made, staff attitude with regard to helping, listening and understanding, the dentist's and hygienist's professionalism, handling of the child's behaviour, and information given by the dentist and hygienist. In logistic regression, the aspects that significantly explained parental satisfaction were the professionals’ apparent competence, the information given by the dentist, staff interest in their child, and the handling of the child's behaviour. Conclusion The parents who took part in this study were satisfied with the care that their children received, mainly with aspects related to professional competence and information provided.


Author(s):  
Pooja Chauhan ◽  
Kotina Shridevi ◽  
Sushma Katkuri

Background: The WHO reports that the proportion of women who had ever experienced physical or sexual violence or both by an intimate partner ranged from 15% to 71%. According to NFHS-3 and India’s NCRB, the increasing cases of any form of violence against women and also the variation in its prevalence among different sections of the society indicate that it is preventable. This has been the motivation for conducting this study. The aim of the study was to know the prevalence, different forms and associated factors of domestic violence against ever married females between 15-49 years age.Methods: Community based cross-sectional study population included ever married females from 15 to 49 years. Sample size was calculated using openEpi online program. Simple random sampling was used. A pre-designed semi-structured questionnaire was used to collect data. Data was analyzed using SPSS software v24. Chi-square test was used.Results: It was observed that 33.5% (n=83) suffered from any form of violence and 29.4% (n=73) experienced physical violence at least once. Emotional abuse was seen in 12.5% whereas sexual abuse was seen in 4.4%. The experience of domestic violence by women was significantly related to the consumption of alcohol by the husband, education status of the females and their husband.Conclusions: By improving the literacy, and sensitizing about equal rights and need to look their wife as a life partner rather than a slave, an attempt can be made to break the chain of domestic violence.


2021 ◽  
Vol 4 (1) ◽  
pp. 1-14
Author(s):  
Sideeq Ali ◽  
◽  
Vian Naqshbandi ◽  
Shihab Sedeeq ◽  
◽  
...  

Background and objectives: Hemodialysis procedure is one of the important replacement therapies for patients with renal failure. Maintenance hemodialysis is associated with many complications that play a significant role in the activities of daily living. The present study aimed to find out the factors affecting activities of daily living among patients with maintenance hemodialysis in Erbil City in the Kurdistan Region of Iraq. Methods: The cross-sectional study was conducted on 268 patients undergoing mainte-nance hemodialysis for more than two months, and at least two times per a week at two dialysis centres in Erbil City from December 2019 to April 2020. The activities of daily living and complications from the hemodialysis procedure questionnaire to collect research da-ta. The data analysis was conducted using descriptive statistical approach including fre-quency, percentages, and inferential statistical analysis consisting chi-square test. Results: According to the findings of the study, the majority of participants were above 51 years of age, able to read and write, with middle income, and from an urban area. Almost half of the study sample were males, and most were on hemodialysis between one and three years. The majority of them had hypertension and complications associated with he-modialysis such as headache and hypotension, and more than half had back pain. A highly significant association was found between dependency in activities of daily living and some socio-economic and clinical variables. Furthermore, a significant association was found be-tween dependency in activities of daily living and some hemodialysis complications with P<0.001. Conclusion: According to the result of the study, the researchers concluded that partici-pants suffered from chronic diseases, hemodialysis complications and low level of activities of daily living. The complications of hemodialysis treatment were significantly affecting the activities of daily living. Haemodialysis patients need more education and nursing care to reduce treatment complications and to increase their activities.


2020 ◽  
Author(s):  
Hanna Elhassan Abdalla ◽  
Amal Hussein Abuaffan ◽  
Arthur Musakulu Kemoli

Abstract Background: Molar incisor hypomineralization (MIH) has serious impact on oral health-related quality of life for a child, due to its effects on tooth structure, aesthetics and behavior of the child. The current study was designed to determine the prevalence, pattern and distribution of MIH in school children in Sudan.Methods: This was a descriptive cross-sectional study involving 568 children, aged 8-11 years from schools in Khartoum State. Following collecting their socio-demographic data, the children were examined for hypomineralization on the 12 MIH indexed teeth, and assessed on the MIH pattern and distribution. The data collected were analyzed to obtain descriptive statistics, and the results related to the socio-demographic and other dental-related factors of the children using chi-square test and Spearman Rank Correlation, with the significant level set at P<0.05.Results: The prevalence of MIH in the study population was 20.1%. The majority of cases had both permanent first molars (PFMs) and permanent incisors affected (12.5%). However, in 7.6% of the cases, only molars were affected. Even though more maxillary teeth were affected when compared to the mandibular teeth, there is no statistical significant difference between the occurrence of hypomineralization on mandibular and maxillary molars (P=0.22). Maxillary incisors were significantly more affected by MIH when related to the mandibular ones (P=0.00). Demarcated opacities were the commonest pattern of MIH defects (69.9%) in the experimental group.Conclusion: The prevalence of MIH in Sudanese children was 20.1%. In both dental arches, the permanent molars and incisors were frequently affected, with the demarcated opacity type of MIH being the most common form of defect. Further studies are recommended to better understand the possible etiologies of MIH in Sudanese children.


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