Accuracy of the defining characteristics of acute confusion in users of a psychosocial care center
DOI:
https://doi.org/10.5935/1415-2762.20190075Keywords:
Nursing Diagnosis, Mental Disorders, Mental Health Services, Psychiatric Nursing, Data AccuracyAbstract
Objective: to analyze the accuracy of a set of defining characteristics of the acute
confusion Nursing diagnosis in users seen at a Psychosocial Care Center (Centro de
Atenção Psicossocial, CAPS). Method: a diagnostic accuracy study conducted in a CAPS
II with 37 users. For data collection, a script for sociodemographic characterization, the
Pittsburg Sleep Quality Index (PSQI), and the Confusion Assessment Method (CAM)
were used. The analysis was performed by descriptive statistics, statistical association
tests and measures of sensitivity and specificity of the defining characteristics, whose
cutoff point was 80.0%. Results: the participants were, on average, 40.16 years old (±
11.46) and had 7.21 years of schooling (± 3.82). Most are male, Protestant, single, with
a family income of up to one minimum wage. The ‘acute confusion’ Nursing diagnosis
was present in 45.9% of the participants. The most sensitive defining characteristic for
acute confusion was alteration in the cognitive function. Hallucinations, misperceptions,
alterations in the cognitive function and alterations in the level of consciousness were
the characteristics with high specificity. Alteration in the cognitive function was the
only indicator that presented high sensitivity and specificity. Conclusion: alteration
in the cognitive function proved to be the most accurate clinical indicator for the
inference of acute confusion Nursing diagnosis in users attended in the CAPS.
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