Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/198458
Type: Artigo de periódico
Title: Model For Differential Nursing Diagnosis Of Alterations In Urinary Elimination Based On Fuzzy Logic.
Author: De Moraes Lopes, Maria Helena Baena
Siqueira Ortega, Neli Regina
Massad, Eduardo
De Fátima Marin, Heimar
Abstract: Nursing diagnoses associated with alterations of urinary elimination require different interventions. Nurses, who are not specialists, require support to diagnose and manage patients with disturbances of urine elimination. The aim of this study was to present a model based on fuzzy logic for differential diagnosis of alterations in urinary elimination, considering nursing diagnosis approved by the North American Nursing Diagnosis Association, 2001-2002. Fuzzy relations and the maximum-minimum composition approach were used to develop the system. The model performance was evaluated with 195 cases from the database of a previous study, resulting in 79.0% of total concordance and 19.5% of partial concordance, when compared with the panel of experts. Total discordance was observed in only three cases (1.5%). The agreement between model and experts was excellent (kappa = 0.98, P < .0001) or substantial (kappa = 0.69, P < .0001) when considering the overestimative accordance (accordance was considered when at least one diagnosis was equal) and the underestimative discordance (discordance was considered when at least one diagnosis was different), respectively. The model herein presented showed good performance and a simple theoretical structure, therefore demanding few computational resources.
Subject: Adult
Aged
Diagnosis, Differential
Female
Fuzzy Logic
Humans
Male
Middle Aged
Models, Nursing
Nursing Diagnosis
Specialties, Nursing
Terminology As Topic
Urination Disorders
Rights: fechado
Identifier DOI: 10.1097/NCN.0b013e3181b21e6d
Address: http://www.ncbi.nlm.nih.gov/pubmed/19726927
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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