Delayed child development: accuracy of indicators of the proposed nursing diagnosis.

Objective: To analyze the accuracy of clinical indicators of the proposed nursing diagnosis entitled "Delayed child development". Methods: This was a diagnostic accuracy study, with an analytical and cross-sectional design. The sample consisted of 30 infants followed up in specialized services in tw...

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Publicado en:Acta Paulista de Enfermagem Vol. 38; no. 1; pp. 1 - 9
Autores principales: Aquino, Maria do Socorro Távora de, Monteiro, Flávia Paula Magalhães, Morais, Huana Carolina Cândido, Lopes, Marcos Venícios de Oliveira, Mariano, Samara Pereira Souza, Oliveira, Jocyane Julião de
Formato: research tables/charts Journal Article
Publicado: Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem 2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Delayed child development: accuracy of indicators of the proposed nursing diagnosis.
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        au:
          Aquino, Maria do Socorro Távora de
          Monteiro, Flávia Paula Magalhães
          Morais, Huana Carolina Cândido
          Lopes, Marcos Venícios de Oliveira
          Mariano, Samara Pereira Souza
          Oliveira, Jocyane Julião de
        affil: Conselho Nacional de Desenvolvimento Científico e Tecnológico, Brasília, DF, Brazil.
      sug:
        subj:
          Clinical Indicators
          Nursing Diagnosis
          Infant Development Disorders Diagnosis
          Human
          Analytic Research
          Cross Sectional Studies
          Infant
          Brazil
          Physical Examination
          Sensitivity and Specificity
          Male
          Female
          Interpersonal Relations
          Language Disorders
          Cognition Disorders
          Income
          Structural Equation Modeling
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Infant: 1-23 months
          Male
          Female
      ab: Objective: To analyze the accuracy of clinical indicators of the proposed nursing diagnosis entitled "Delayed child development". Methods: This was a diagnostic accuracy study, with an analytical and cross-sectional design. The sample consisted of 30 infants followed up in specialized services in two cities in northeastern Brazil. A form for anamnesis and physical examination was applied with family sociodemographic data, infant clinical data and six clinical indicators of the proposed diagnosis. The latent class model was used to identify the diagnosis prevalence, specificity and sensitivity values. Results: Among the study participants, 56.7% were male and had an adjusted mean age of 12.6 months (±6.14). The prevalence of the proposed diagnosis was 62.4%. Five indicators had significant sensitivity or specificity values (p=0.893), identified respectively as follows: Infant expresses difficulty in receptive language (48%; 83%) and Difficulty in social interaction (74%; 81%) can be used to confirm the presence of the diagnosis. In contrast, Language delay in infants (99%; 79%) is relevant to understand the early stages of diagnosis. Impaired cognitive ability in learning (88%; 87%) and Cognitive difficulty in problem-solving (85%; 99%) were the best indicators to predict the diagnosis. The posterior probability analysis indicates that Language delay in infants was present whenever delayed child development was confirmed. Conclusion: Five clinical indicators showed significant sensitivity and specificity to infer delayed child development.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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