Specific causal validation of nursing diagnosis Risk for thrombosis: A case-control study.

Area of Science:

• Nursing
• Clinical Diagnostics
• Vascular Health

Background:

• Thrombosis poses a significant health risk, necessitating accurate diagnostic tools in clinical practice.
• The NANDA International (NANDA-I) classification includes the nursing diagnosis Risk for Thrombosis (00291), requiring validation.

Purpose of the Study:

• To perform causal validation of the nursing diagnosis Risk for Thrombosis (00291) within the NANDA-I classification.
• To establish evidence for refining the diagnostic criteria and enhancing its level of evidence.

Main Methods:

• A case-control study involving 516 adult patients (344 cases, 172 controls) was conducted.
• Univariate and multivariate logistic regression analyses were used to identify significant risk factors, odds ratios were calculated.

Main Results:

• Inadequate knowledge of modifiable factors (OR: 3.03) and ineffective medication self-management (OR: 3.2) were significant risk factors.
• History of thrombosis (OR: 2.16), family history (OR: 2.60), vascular diseases (OR: 6.12), coagulation disorders (OR: 5.14), atherosclerosis (OR: 2.07), critical illness (OR: 2.28), and immobility (OR: 2.09) were associated conditions.

Conclusions:

• Clinical validation provided strong evidence for refining the Risk for Thrombosis nursing diagnosis.
• This study supports nurses in accurately diagnosing and implementing preventive interventions for patients at risk of thrombosis.