Defining characteristics of the nursing diagnosis "ineffective airway clearance"

Rev Bras Enferm. 2016 Jan-Feb;69(1):92-8. doi: 10.1590/0034-7167.2016690114i.
[Article in English, Portuguese]

Abstract

Objective: to analyze the defining characteristics of the nursing diagnosis "ineffective airway clearance" in children with acute respiratory infection.

Method: cross-sectional descriptive study, developed in two hospitals specialized in care for children. It was held a detailed respiratory evaluation of the child to identify the defining characteristics of the diagnosis under study.

Results: a total of 249 children were evaluated, 55.8% were male and the median age was 13.76 months. Ineffective airway clearance was identified in 222 children (89.2%). The following defining characteristics presented statistically significant associations: dyspnea, expectoration, orthopnea, respiratory adventitious sounds, decreased breath sounds and ineffective cough. Decreased breath sounds, ineffective cough and respiratory adventitious sounds composed the logistic regression model.

Conclusion: the characteristics decreased breath sounds, ineffective cough and respiratory adventitious sounds have better predictive capacity for the diagnosis "ineffective airway clearance" in children with acute respiratory infection.

MeSH terms

  • Cross-Sectional Studies
  • Female
  • Hospitals
  • Humans
  • Infant
  • Male
  • Mucociliary Clearance
  • Nursing Diagnosis*
  • Respiratory Sounds*
  • Respiratory Tract Diseases / diagnosis*