Nursing Diagnosis of Neonatal Jaundice: Study of Clinical Indicators

作者：Viana Cardoso Dantas Anna Virginia; Rodrigues Farias Lara Jales; de Paula Sofia Jales; Moreira Rafaella Pessoa; da Silva Viviane Martins; de Oliveira Lopes Marcos Venicios; Guedes Nirla Gomes^*

来源：Journal of Pediatric Nursing-Nursing Care of Children & Families, 2018, 39: E6-E10.

DOI：10.1016/j.pedn.2017.12.001

• Neonatal jaundice
• Neonatal hyperbilirubinemia
• Newborn
• Nursing diagnosis

Purpose: This study aimed to identify the defining characteristics of, and examine their association with, the nursing diagnosis (ND) of Neonatal Jaundice (00194) in sample of hospitalized newborns.
Design and Methods: A cross-sectional study developed with 100 newborns aged between 24h and ten days. Data collection was performed in a public hospital of tertiary health care between March and June of 2016.
Results: The ND of Neonatal jaundice was present in 31% of the sample. The most frequent defining characteristics were yellow-orange skin color (65%) and abnormal blood profile (75%). Yellow mucous membranes, yellow-orange skin color and bruised skin showed statistically significant sensitivity and specificity. Yellow mucous membranes, yellow sclera and yellow-orange skin color were statistically associated with Neonatal jaundice. Yellow mucous membranes showed the best diagnostic accuracy measurements.
Conclusions: The clinical indicators that best predicted and increased the probability of developing jaundice were identified.
Practice Implications: These clinical indicators increase the ability of nurses to clinically infer nursing diagnoses. This allows nurses to identify signs and symptoms of health conditions in a sensible and definitive manner, decreasing the possibility of errors.

• 出版日期2018-4