{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:57:17Z","timestamp":1791367037341,"version":"4.3.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To establish evidence of the clinical validity of the nursing diagnosis risk for ineffective blood glucose (00489) pattern self-management in patients undergoing hemodialysis.\n                    <jats:bold>Method:<\/jats:bold>\n                    A case-control study was conducted between May and August 2024 at a hospital in northeastern Brazil, involving 60 patients, 30 in the case group and 30 in the control group. An association was considered present when the risk factor, associated condition, or at-risk population had a\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    -value &lt; 0.05 and an odds ratio &gt; 1.\n                    <jats:bold>Results:<\/jats:bold>\n                    The risk factors insufficient knowledge about the signs and symptoms of hyperglycemia and hypoglycemia and inadequate food intake were prevalent. Conditions associated with diabetes mellitus and the use of high-flux dialyzer filters, an at-risk population characterized by patients with a longer history of diabetes mellitus increased the likelihood of the outcome.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Evidence was obtained for the clinical validity of the nursing diagnosis risk for ineffective blood glucose pattern self-management in hemodialysis patients, demonstrating associations with the related conditions and at-risk population.\n                    <jats:bold>Implications for nursing practice:<\/jats:bold>\n                    The findings contribute to advancing discussions in the scientific and healthcare fields by providing evidence on the elements that predispose hemodialysis patients to glycemic alterations.\n                  <\/jats:p>","DOI":"10.1177\/20473087261443262","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:19:57Z","timestamp":1779891597000},"page":"352-360","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Validity of the Diagnosis of Risk for Ineffective Blood Glucose Pattern Self-Management Undergoing Hemodialysis: A Case-Control Study"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2567-2236","authenticated-orcid":false,"given":"Larissa de Lima","family":"Ferreira","sequence":"first","affiliation":[{"name":"Federal University of Rio Grande of Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2512-7120","authenticated-orcid":false,"given":"Cl\u00e1udio C\u00e9sar Guimar\u00e3es","family":"Martins","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00edvia Hil\u00e1rio de Sousa","family":"Nunes","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0815-1703","authenticated-orcid":false,"given":"Iorana Candido da","family":"Silva","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5448-1577","authenticated-orcid":false,"given":"Daniele","family":"Costa de Assis","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcios de Oliveira","family":"Lopes","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7255-960X","authenticated-orcid":false,"given":"Ana Luisa Brand\u00e3o de Carvalho","family":"Lira","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2007.00491.x"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2015.38"},{"key":"e_1_3_2_4_1","first-page":"4","article-title":"Special considerations in the management of diabetes in patients with kidney disease","volume":"14","author":"Abi-Abib R. C.","year":"2015","unstructured":"Abi-Abib R. C. (2015). Special considerations in the management of diabetes in patients with kidney disease. Revista HUPE, 14, 4. https:\/\/doi.org\/10.12957\/rhupe.2015.20057","journal-title":"Revista HUPE"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2022.02.012"},{"issue":"9","key":"e_1_3_2_6_1","article-title":"Nutritionists\u2019 knowledge of type 1 diabetes mellitus management in terms of macronutrient counting and insulin units","volume":"12","author":"Almeida M. E. F.","year":"2023","unstructured":"Almeida M. E. F., Miranda J. A., Cavicchia L. O. A. (2023). Nutritionists\u2019 knowledge of type 1 diabetes mellitus management in terms of macronutrient counting and insulin units. Research, Society and Development, 12(9), e10212943162. https:\/\/doi.org\/10.33448\/rsd-v12i9.43162","journal-title":"Research, Society and Development"},{"issue":"3","key":"e_1_3_2_7_1","first-page":"982","article-title":"Sociodemographic profile of adults and elderly individuals with type 2 diabetes mellitus and unstable blood glucose levels","volume":"4","author":"Amaro J. P.","year":"2023","unstructured":"Amaro J. P., Louren\u00e7o C. E., Andrade L. K. A., Oliveira L. R., Ferreira J. E. S. M., Cavalcante T. F. (2023). Sociodemographic profile of adults and elderly individuals with type 2 diabetes mellitus and unstable blood glucose levels. Revista Multidisciplinar em Sa\u00fade, 4(3), 982\u2013987. https:\/\/doi.org\/10.51161\/conais2023\/20934","journal-title":"Revista Multidisciplinar em Sa\u00fade"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.5935\/1414-8145.20140024"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-022-01537-0"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232018241.35052016"},{"issue":"1","key":"e_1_3_2_11_1","first-page":"67","article-title":"Gender differences in the access to health services: Necesssary problematization","volume":"25","author":"Botton A.","year":"2017","unstructured":"Botton A., C\u00fanico S. D., Strey M. N. (2017). Gender differences in the access to health services: Necesssary problematization. Mudan\u00e7as, 25(1), 67\u201372. https:\/\/doi.org\/10.15603\/2176-1019\/mud.v25n1p67-72","journal-title":"Mudan\u00e7as"},{"issue":"1","key":"e_1_3_2_12_1","first-page":"22","article-title":"Socioeconomic, demographic, and clinical profile of individuals with chronic kidney disease undergoing hemodialysis","volume":"8","author":"Carolyne L.","year":"2023","unstructured":"Carolyne L., Ferreira B. E., Alice D. (2023). Socioeconomic, demographic, and clinical profile of individuals with chronic kidney disease undergoing hemodialysis. Caderno de Gradua\u00e7\u00e3o - Ci\u00eancias Biol\u00f3gicas e da Sa\u00fade (UNIT\/AL), 8(1), 22\u201332.","journal-title":"Caderno de Gradua\u00e7\u00e3o - Ci\u00eancias Biol\u00f3gicas e da Sa\u00fade (UNIT\/AL)"},{"issue":"2","key":"e_1_3_2_13_1","first-page":"108","article-title":"Dialysis update: Acute complications in hemodialysis","volume":"23","author":"Castro M. C. M.","year":"2001","unstructured":"Castro M. C. M. (2001). Dialysis update: Acute complications in hemodialysis. Jornal Brasileiro de Nefrologia, 23(2), 108\u2013113. Dispon\u00edvel em: https:\/\/bjnephrology.org\/wp-content\/uploads\/2019\/11\/jbn_v23n2a05.pdf","journal-title":"Jornal Brasileiro de Nefrologia"},{"issue":"33","key":"e_1_3_2_14_1","first-page":"4183","article-title":"Blood glucose change during hemodialysis in diabetics undergoing regular hemodialysis: A multi-center cross-sectional study","volume":"23","author":"Chen W.","year":"2020","unstructured":"Chen W., Ju C., Cui L., Yu X., Yin C., Liu Y., Zhao Y., Chen X., Jiang M. (2020). Blood glucose change during hemodialysis in diabetics undergoing regular hemodialysis: A multi-center cross-sectional study. Chinese General Practice, 23(33), 4183\u20134189. https:\/\/doi.org\/10.12114\/j.issn.1007-9572.2020.00.488","journal-title":"Chinese General Practice"},{"issue":"2","key":"e_1_3_2_15_1","article-title":"Management protocols for hyperglycemia in critical and noncritical patients in a hospital environment","volume":"45","author":"Couto D. N.","year":"2021","unstructured":"Couto D. N., Barbosa K. F., Silva M. L. L. S., Carvalho M. S. M. C., Silva F. F. A., Viana A. M. (2021). Management protocols for hyperglycemia in critical and noncritical patients in a hospital environment. Revista Baiana de Sa\u00fade P\u00fablica, 45(Supl. 2). https:\/\/doi.org\/10.22278\/2318-2660.2021.v45.nSupl_2.a3557","journal-title":"Revista Baiana de Sa\u00fade P\u00fablica"},{"key":"e_1_3_2_16_1","unstructured":"Ferreira L. L. (2025). Validation of the nursing diagnosis of unstable blood glucose risk in patients undergoing hemodialysis [Doctoral thesis]. Federal University of Rio Grande do Norte. https:\/\/repositorio.ufrn.br\/handle\/123456789\/62724"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.56238\/arev6n3-245"},{"key":"e_1_3_2_18_1","volume-title":"NANDA International nursing diagnoses","author":"Herdman T. H.","year":"2024","unstructured":"Herdman T. H., Kamitsuru S., Lopes C. (2024). NANDA International nursing diagnoses. Georg Thieme Verlag."},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2023.09.001"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.15605\/jafes.035.01.12"},{"key":"e_1_3_2_21_1","volume-title":"Silva, V. M. (Orgs.). PRONANDA - Programa de atualiza\u00e7\u00e3o em diagn\u00f3sticos de enfermagem","author":"Lopes M. V. O.","year":"2013","unstructured":"Lopes M. V. O., Silva V. M. (2013). Advanced Methods For Validating Nursing Diagnoses. In Herdman T. H., Napole\u00e3o A. A. (Eds.), Silva, V. M. (Orgs.). PRONANDA - Programa de atualiza\u00e7\u00e3o em diagn\u00f3sticos de enfermagem. Artmed\/Panamericana."},{"key":"e_1_3_2_22_1","doi-asserted-by":"crossref","unstructured":"Lopes M. V. O. Silva V. M. & Araujo T. L. (2013). M\u00e9todos de pesquisa para valida\u00e7\u00e3o cl\u00ednica de conceitos diagn\u00f3sticos. In: T. H. Herdman (Ed.) PRONANDA: Programa de atualiza\u00e7\u00e3o em Diagn\u00f3sticos de Enfermagem. Conceitos b\u00e1si cos (pp. 87\u2013132). Panamericana.","DOI":"10.5935\/978-65-5848-533-9.C0004"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1590\/2175-8239-jbn-2024-0081en"},{"issue":"1","key":"e_1_3_2_24_1","first-page":"21","article-title":"Treatment of hyperglycemia in patients with diabetes mellitus and chronic kidney disease","volume":"31","author":"Neves M. D. F.","year":"2009","unstructured":"Neves M. D. F., S\u00e1 J. R., Morais L. A., Dib S. A. (2009). Treatment of hyperglycemia in patients with diabetes mellitus and chronic kidney disease. Jornal Brasileiro de Nefrologia, 31(1 Suppl. 1), 21\u201327.","journal-title":"Jornal Brasileiro de Nefrologia"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12475"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.5205\/1981-8963-v13i2a237925p330-337-2019"},{"issue":"1","key":"e_1_3_2_27_1","first-page":"1","article-title":"Dialysis treatment: A comprehensive description","volume":"3","author":"Reddenna L.","year":"2014","unstructured":"Reddenna L., Basha S. A., Reddy K. S. K. (2014). Dialysis treatment: A comprehensive description. International Journal of Pharmaceutical Research & Allied Sciences, 3(1), 1\u201313.","journal-title":"International Journal of Pharmaceutical Research & Allied Sciences"},{"issue":"1","key":"e_1_3_2_28_1","article-title":"Nursing diagnoses found in chronic kidney patients undergoing hemodialysis therapy","volume":"1","author":"Roy R. S.","year":"2021","unstructured":"Roy R. S., Souza T. M., Mendes B. N., Fonseca M. P., Heimberg C. (2021). Nursing diagnoses found in chronic kidney patients undergoing hemodialysis therapy. Revista Ci\u00eancias da Sa\u00fade Unisantacruz, 1(1), 1\u201315.","journal-title":"Revista Ci\u00eancias da Sa\u00fade Unisantacruz"},{"key":"e_1_3_2_29_1","article-title":"Evaluation and treatment of kidney disease in type 2 diabetes","author":"S\u00e1 J. R.","year":"2024","unstructured":"S\u00e1 J. R., Canani L. H., Rangel E. B., Bauer A. C., Escott G. M., Zelmanovitz T., Silveiro S. P., Bet\u00f4nico C. C. R., Lauria M. W., Lamounier R. N., Moraes T. P. (2024). Evaluation and treatment of kidney disease in type 2 diabetes. Diretriz Oficial da Sociedade Brasileira de Diabetes (2024), 1\u201356. https:\/\/doi.org\/10.29327\/5412848.2024-6","journal-title":"Diretriz Oficial da Sociedade Brasileira de Diabetes (2024)"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-049806"},{"issue":"3","key":"e_1_3_2_31_1","first-page":"1","article-title":"Literacia em sa\u00fade na pessoa com doen\u00e7a renal cr\u00f3nica em programa regular de hemodi\u00e1lise","volume":"6","author":"Silva A.","year":"2024","unstructured":"Silva A., Pimenta R., Fraz\u00e3o J. (2024). Literacia em sa\u00fade na pessoa com doen\u00e7a renal cr\u00f3nica em programa regular de hemodi\u00e1lise. Revista de Enfermagem Refer\u00eancia, 6(3), 1\u20138. https:\/\/doi.org\/10.12707\/RVI24.60.36239","journal-title":"Revista de Enfermagem Refer\u00eancia"},{"issue":"1","key":"e_1_3_2_32_1","article-title":"Profile of hemodialysis patients at a referral service in rural Rio Grande do sul, Brazil","volume":"11","author":"Souza M. A. H.","year":"2022","unstructured":"Souza M. A. H., Holanda R., Martins E. T. J., Hoffmeister A. C., Capellari C. (2022). Profile of hemodialysis patients at a referral service in rural Rio Grande do sul, Brazil. Research, Society and Development, 11(1), e41611125025. https:\/\/doi.org\/10.33448\/rsd-v11i1.25025","journal-title":"Research, Society and Development"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms241310604"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261443262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20473087261443262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261443262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:41:17Z","timestamp":1791366077000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20473087261443262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,27]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/20473087261443262"],"URL":"https:\/\/doi.org\/10.1177\/20473087261443262","relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,27]]}}}