Peruselli C, Camporesi E, Colombo A M, Cucci M, Sironi P G, Bellodi M, Cirillo R, Love E, Mariano R
Pain Therapy and Palliative Care Unit, Ospedale Fatebenefratelli-Oftalmico, Milano, Italy.
J Palliat Care. 1992 Winter;8(4):4-7.
Nursing home care for terminally ill cancer patients was organized according to nursing care plans that were based on diagnoses as recommended by the North American Nursing Diagnosis Association (NANDA). This study was carried out among a sample of 40 patients receiving home health care for a period of 1 to 19 weeks. More than 697 nursing diagnoses were identified in the study. The most frequently recorded nursing diagnoses were anxiety, constipation, and diminished food intake. Fifteen of the 40 patients in the study were able to complete a weekly self-report of their symptoms. The patients' own descriptions of their symptoms were then compared with their symptoms as identified by nursing staff. There was a congruence in 63% of reported instances. Although nurses' assessments were not always in agreement with the symptoms reported by the patients, agreement was more frequently found with somatic symptoms than with psychological ones. One conclusion is that nursing plans should incorporate multidimensional methods for assessing patients' real needs.
针对晚期癌症患者的疗养院护理是根据护理计划组织开展的，这些护理计划基于北美护理诊断协会（NANDA）推荐的诊断结果。本研究以40名接受为期1至19周家庭医疗护理的患者为样本进行。研究中识别出了超过697项护理诊断。记录最频繁的护理诊断为焦虑、便秘和食物摄入量减少。研究中的40名患者中有15名能够每周自行报告他们的症状。然后将患者对自身症状的描述与其护理人员所识别的症状进行比较。在63%的报告实例中存在一致性。尽管护士的评估并不总是与患者报告的症状一致，但与躯体症状的一致性比与心理症状的一致性更常见。一个结论是，护理计划应纳入评估患者实际需求的多维度方法。
