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呼吸护理诊断:提供新生儿和儿科人群中确定诊断特征的证据。

Respiratory Nursing Diagnoses: Presenting Evidence for Identification of the Defining Characteristics in Neonatal and Pediatric Populations.

作者信息

Avena Marta J, da Luz Gonçalves Pedreira Mavilde, Herdman T Heather, Gutiérrez Maria G R

机构信息

Pediatric Nursing Department, Paulista School of Nursing, Universidade Federal de São Paulo, São Paulo, Brazil.

the University of Wisconsin, Green Bay, Wisconsin, Brazil.

出版信息

Int J Nurs Knowl. 2016 Oct;27(4):184-192. doi: 10.1111/2047-3095.12098. Epub 2015 May 22.

Abstract

PURPOSE

To identify and summarize clinical data supporting selection of nursing diagnoses related to the respiratory system for pediatric and neonatal populations.

METHOD

A literature review conducted in indexed publications was used.

FINDINGS

The final sample consisted of 13 studies conducted in children with cardiac disease, respiratory infection, and asthma with nursing diagnoses such as ineffective breathing pattern, impaired gas exchange, and ineffective airway clearance.

CONCLUSION

The higher frequency defining characteristics were dyspnea, abnormal breathing pattern, use of accessory muscle to breathe, change in frequency and respiratory rate, decreased SaO , and agitation.

IMPLICATION FOR NURSING KNOWLEDGE

This literature review may provide a basis for consideration of important diagnostic criteria in the pediatric population; however, clinical validation in different stages of development is critical for ensuring diagnostic accuracy.

摘要

目的

识别并总结支持为儿科和新生儿群体选择与呼吸系统相关护理诊断的临床数据。

方法

采用在索引出版物中进行的文献综述。

结果

最终样本包括13项针对患有心脏病、呼吸道感染和哮喘的儿童进行的研究,护理诊断包括呼吸模式无效、气体交换受损和气道清除无效。

结论

较高频率的定义特征为呼吸困难、异常呼吸模式、使用辅助肌呼吸、频率和呼吸速率改变、血氧饱和度降低以及烦躁不安。

对护理知识的启示

该文献综述可为考虑儿科人群重要诊断标准提供依据;然而,在不同发育阶段进行临床验证对于确保诊断准确性至关重要。

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