Model for Differential Nursing Diagnosis of Alterations in Urinary Elimination Based on Fuzzy Logic

Model for Differential Nursing Diagnosis of Alterations in Urinary Elimination Based on Fuzzy Logic

Author Lopes, Maria Helena Baena de Moraes Google Scholar
Ortega, Neli Regina Siqueira Google Scholar
Massad, Eduardo Autor UNIFESP Google Scholar
Institution Universidade Estadual de Campinas (UNICAMP)
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
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.
Keywords Clinical
Decision support systems
Differential Diagnosis
Fuzzy logic
Nursing diagnosis
Urinary incontinence
Language English
Sponsor Informatics for Global Health
Fogarty International Center
NLM
NIBIB
NIH
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Grant number Informatics for Global Health: 1 1 D43 TW7015-01
Date 2009-09-01
Published in Cin-computers Informatics Nursing. Philadelphia: Lippincott Williams & Wilkins, v. 27, n. 5, p. 324-329, 2009.
ISSN 1538-2931 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 324-329
Origin http://dx.doi.org/10.1097/NCN.0b013e3181b21e6d
Access rights Closed access
Type Article
Web of Science ID WOS:000269920400008
URI http://repositorio.unifesp.br/11600/43276

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