住院儿童急性疼痛护理诊断的临床验证
Clinical validation of nursing diagnoses of acute pain in hospitalized children.
作者信息
Ferreira Anali Martegani, Predebon Caroline Maier, da Cruz Diná de Almeida Lopes Monteiro, Rabelo Eneida Rejane
机构信息
School of Nursing, Federal University of Pampa, Urugaiana, Rio Grande do Sul, Brazil.
出版信息
Int J Nurs Terminol Classif. 2011 Oct-Dec;22(4):162-9. doi: 10.1111/j.1744-618X.2011.01194.x. Epub 2011 Sep 30.
PURPOSE
Clinically validate (Fehring's model) the characteristics of the nursing diagnosis acute pain in 65 hospitalized children.
METHODS
Cross-sectional study.
FINDINGS
This study resulted in 13 major characteristics (expressive behavior, change of mental state, verbal report of pain, observed evidence of pain, narrowed focus, position to avoid pain, guarding behavior, sleep disturbance, protective gestures, changes in heart rate, changes in muscle tone, changes in respiratory rate, and facial mask) and in 5 minor characteristics (changes in blood pressure, coded report, changes in breathing pattern, distraction behavior, and changes in appetite).
CONCLUSIONS
Characteristics with R > 0.50 and ≤ 1 were valid in the diagnosis acute pain.
IMPLICATIONS FOR NURSING PRACTICE
Clinical validation studies must be reproduced in different populations.
目的
对费林模型进行临床验证，研究65名住院儿童护理诊断急性疼痛的特征。
方法
横断面研究。
结果
本研究得出13项主要特征（表达行为、精神状态改变、疼痛的言语报告、疼痛的观察证据、注意力集中、避免疼痛的姿势、保护行为、睡眠障碍、保护性姿势、心率变化、肌张力变化、呼吸频率变化和面部表情）和5项次要特征（血压变化、编码报告、呼吸模式变化、分心行为和食欲变化）。
结论
相关系数R>0.50且≤1的特征在急性疼痛诊断中有效。
对护理实践的启示
临床验证研究必须在不同人群中重复进行。
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