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对择期手术患者术前即刻所确定的护理诊断“恐惧”和“焦虑”进行一致性验证。

Consensual validation of the nursing diagnoses fear and anxiety identified at the immediate preoperative period in patients undergoing elective surgery.

作者信息

Suriano Maria Lucia Fernandez, Michel Jeanne Marlene, Zeitoun Sandra Salloum, Herdman T Heather, de Barros Alba Lucia Botura Leite

机构信息

Nursing Department, Federal University of Sao Paulo, Sao Paulo City, Brazil.

出版信息

Int J Nurs Terminol Classif. 2011 Jul-Sep;22(3):133-41. doi: 10.1111/j.1744-618X.2011.01181.x. Epub 2011 Apr 20.

DOI:10.1111/j.1744-618X.2011.01181.x
PMID:21777374
Abstract

PURPOSE

To identify the most frequent defining characteristics (DCs) for the diagnoses fear and anxiety in Brazilian patients in the immediate preoperative period following elective cardiac surgery; to develop conceptual and operational definitions for the DCs; to develop consensual validation.

METHODS

Clinical and observational, descriptive study developed in two phases.

FINDINGS

Forty DCs were identified for fear and 19 for anxiety. One expert judged it necessary to include "altered bowel motility" as a DC for fear. There was 100% agreement among the five experts in relation to the DCs.

CONCLUSIONS

To add "altered bowel motility" to the DCs for the nursing diagnosis fear.

IMPLICATIONS FOR PRACTICE

To enable nurses to more accurately assess patients for these diagnoses.

摘要

目的

确定巴西择期心脏手术后即刻术前患者恐惧和焦虑诊断中最常见的界定特征(DCs);为这些界定特征制定概念性和操作性定义;开展共识验证。

方法

分两个阶段开展的临床观察性描述性研究。

结果

确定了40个恐惧的界定特征和19个焦虑的界定特征。一名专家认为有必要将“肠道蠕动改变”纳入恐惧的界定特征。五位专家对这些界定特征达成了100%的共识。

结论

在护理诊断恐惧的界定特征中增加“肠道蠕动改变”。

对实践的启示

使护士能够更准确地评估患者的这些诊断情况。

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Consensual validation of the nursing diagnoses fear and anxiety identified at the immediate preoperative period in patients undergoing elective surgery.对择期手术患者术前即刻所确定的护理诊断“恐惧”和“焦虑”进行一致性验证。
Int J Nurs Terminol Classif. 2011 Jul-Sep;22(3):133-41. doi: 10.1111/j.1744-618X.2011.01181.x. Epub 2011 Apr 20.
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Anaesthetists' and surgeons' estimation of preoperative anxiety by patients submitted for elective surgery in a university hospital.大学医院中麻醉医生和外科医生对接受择期手术患者术前焦虑程度的评估。
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