Abstract：
AIMS:To evaluate the clinical validity indicators for the nursing diagnosis of dysfunctional family processes related to alcohol abuse. BACKGROUND:Alcoholism is a chronic disease that negatively affects family relationships. Studies on the nursing diagnosis of dysfunctional family processes are scarce in the literature. This diagnosis is currently composed of 115 defining characteristics, hindering their use in practice and highlighting the need for clinical validation. DESIGN:This was a diagnostic accuracy study. METHODS:A sample of 110 alcoholics admitted to a reference centre for alcohol treatment was assessed during the second half of 2013 for the presence or absence of the defining characteristics of the diagnosis. Operational definitions were created for each defining characteristic based on concept analysis and experts evaluated the content of these definitions. Diagnostic accuracy measures were calculated from latent class models with random effects. RESULTS/FINDINGS:All 89 clinical indicators were found in the sample and a set of 24 clinical indicators was identified as clinically valid for a diagnostic screening for family dysfunction from the report of alcoholics. Main clinical indicators with high specificity included sexual abuse, disturbance in academic performance in children and manipulation. The main indicators that showed high sensitivity values were distress, loss, anxiety, low self-esteem, confusion, embarrassment, insecurity, anger, loneliness, deterioration in family relationships and disturbance in family dynamics. CONCLUSION:Eighteen clinical indicators showed a high capacity for diagnostic screening for alcoholics (high sensitivity) and six indicators can be used for confirmatory diagnosis (high specificity).
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Mangueira Sde O,Lopes MVdoi
10.1111/jan.12999subject
Has Abstractpub_date
2016-10-01 00:00:00pages
2401-12issue
10eissn
0309-2402issn
1365-2648journal_volume
72pub_type
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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doi：10.1046/j.1365-2648.1997.00418.x
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1998.00595.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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