McKeighen R J, Mehmert P A, Dickel C A
Nurs Diagn. 1990 Oct-Dec;1(4):155-61. doi: 10.1111/j.1744-618x.1990.tb00433.x.
The purpose of this descriptive study was to validate the nursing diagnosis, bathing/hygiene self-care deficit. Defining characteristics and related factors were abstracted retrospectively from a computerized patient care planning database. Data were treated to descriptive statistics and chi-square analysis to determine frequencies and percentages. Major support was found for the defining characteristic "inability to wash body or body parts" (84%) and minor support was garnered for "inability to obtain/access water source" (77%). Related factors associated with the diagnosis were also examined for this acute-care patient population. The percentages of occurrence were decreased activity tolerance (40%); mobility impairment (24%), pain (19%), musculoskeletal impairment (19%), neuromuscular impairment (9%), and perceptual or cognitive impairment (4%). The diagnosis was found among 80 DRGs and across all age groups (range, 9-92 years).
这项描述性研究的目的是验证护理诊断“沐浴/卫生自理缺陷”。从计算机化的患者护理计划数据库中回顾性提取定义特征和相关因素。对数据进行描述性统计和卡方分析以确定频率和百分比。主要支持的定义特征是“无法清洗身体或身体部位”(84%),次要支持的是“无法获得/使用水源”(77%)。还针对这个急性护理患者群体检查了与该诊断相关的因素。发生百分比依次为活动耐量下降(40%);活动能力受损(24%)、疼痛(19%)、肌肉骨骼损伤(19%)、神经肌肉损伤(9%)和感知或认知障碍(4%)。在80个诊断相关分组(DRG)中以及所有年龄组(范围为9至92岁)中均发现了该诊断。