Miller E, Williams S
Medical College of Virginia, Richmond 23298.
J Neurosci Nurs. 1987 Aug;19(4):183-90. doi: 10.1097/01376517-198708000-00003.
Nursing diagnosis was introduced into the neuroscience intensive care unit (NSICU) of the Medical College of Virginia in 1984 as a framework for naming the problems nurses treat. During this process, there was concern about using nursing diagnosis terminology to describe common NSICU problems. Of particular concern was increased intracranial pressure (ICP). The staff concluded that "alteration in cerebral perfusion" was the nursing diagnosis from the North American Nursing Diagnosis Association (NANDA) list that best described the patient with increased ICP. A descriptive study of patients who received this nursing diagnosis in our NSICU was designed and implemented one year later. This study identified patient characteristics and independent and interdependent nursing interventions.
1984年，护理诊断被引入弗吉尼亚医学院的神经科学重症监护病房（NSICU），作为命名护士所处理问题的框架。在此过程中，有人担心使用护理诊断术语来描述NSICU的常见问题。特别令人担忧的是颅内压（ICP）升高。工作人员得出结论，“脑灌注改变”是北美护理诊断协会（NANDA）列表中最能描述ICP升高患者的护理诊断。一年后，我们设计并实施了一项针对在NSICU接受该护理诊断的患者的描述性研究。这项研究确定了患者特征以及独立和相互依赖的护理干预措施。
