Ahmadi Zakieh, Sadeghi Tabandeh
Department of Medical Surgical Nursing, School of Nursing and Midwifery. Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Pediatric Nursing, School of Nursing and Midwifery; Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Mult Scler J Exp Transl Clin. 2017 Aug 18;3(3):2055217317726798. doi: 10.1177/2055217317726798. eCollection 2017 Jul-Sep.
This study aimed to assess the application of the Betty Neuman systems model to the care of patient/clients with multiple sclerosis.
This clinical study resulted from the application of the nursing process to a patient/client admitted with multiple sclerosis in the neurological ward of a hospital in an urban area of Iran.
A patient/client was evaluated according to the Neuman model. Intrapersonal stressors (physiological, psychological, socio-cultural, and spiritual), interpersonal stressors (being away from family and children) and extra-personal stressors (aggression and psychological pressure from the spouse) were found. Based on the examination, 12 nursing diagnoses based on the taxonomy of the North American Nursing Diagnosis Association International, and nursing care based on three levels of prevention that are important in the view of Neuman, are presented. The results were used in the classification of nursing interventions and the classification and nursing outcomes respectively.
The results suggest the desirability of care and patient/client satisfaction in the evaluation of nursing care based on the Neuman model. The model can be used as a framework to help nurses care for patients/clients. Thus, the application of this model and other models is recommended in the nursing care of patients/clients.
本研究旨在评估贝蒂·诺伊曼系统模式在多发性硬化症患者护理中的应用。
本临床研究源于将护理程序应用于伊朗一个城市地区一家医院神经科病房收治的一名多发性硬化症患者。
根据诺伊曼模式对一名患者进行了评估。发现了个体内应激源（生理、心理、社会文化和精神方面）、人际应激源（与家人和孩子分离）和个体外应激源（来自配偶的攻击和心理压力）。基于该检查，提出了基于北美护理诊断协会国际版分类法的12项护理诊断，以及从诺伊曼观点来看很重要的基于三级预防的护理。结果分别用于护理干预的分类以及护理分类和护理结果。
结果表明，在基于诺伊曼模式的护理评估中，护理的可取性和患者满意度较高。该模式可作为一个框架，帮助护士护理患者。因此，建议在患者护理中应用该模式及其他模式。
