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Content analysis of the nursing diagnosis “Excess fluid volume (00026)” in renal patients

Análisis de contenido del diagnóstico de enfermería “Volumen de líquido excesivo (00026)” en pacientes renales

ABSTRACT

Objective:

To analyze the content of the conceptual and operational definitions of the related factors, associated condition and defining characteristics of the nursing diagnosis “Excess fluid volume (00026)” in hemodialysis renal patients.

Methods:

Methodological study, of the content analysis type, with 49 specialists who reached a score equal to or greater than 5, according to Fehring’s criteria. Thirty elements were evaluated for relevance, clarity, and precision. The experts’ profile was analyzed using descriptive statistics, and the binomial test analyzed the agreement between them in relation to the terms.

Results:

The main validated indicators were “Oliguria”, “Anasarca”, “Paroxysmal nocturnal dyspnea”, “Dyspnea”, “Change in blood pressure”, “Edema”, “Ingestion greater than elimination” and “Increased central venous pressure”. This shows that this phenomenon is present in this population.

Conclusion:

29 elements were validated for relevance, clarity, and precision. This result clarifies the terms that make up the phenomenon, providing a better understanding of the concept; and assists in the accurate diagnostic proposition.

Descriptors:
Nursing Diagnosis; Renal Insufficiency; Renal Dialysis; Patients; Validation Studies

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