Woodtli A
College of Nursing, University of Arizona, Tucson 85721.
Res Nurs Health. 1988 Dec;11(6):399-406. doi: 10.1002/nur.4770110608.
Nursing diagnoses and their defining characteristics associated with one Diagnosis Related Group (DRG) were identified and validated. The clinical-retrospective model and the nurse validation model were used to identify high-volume nursing diagnoses associated with DRG 366, transurethral prostatectomy, and to validate related defining characteristics. For the clinical-retrospective model, 34 patient records classified as DRG 366 were reviewed, nursing diagnoses and their associated defining characteristics were identified and retrospectively validated. The nurse-validation model was implemented by assessing nine patients within DRG 366 over 22 shifts. Analysis using descriptive statistics demonstrated 80% level of agreement on five most frequently identified nursing diagnoses, but lack of agreement on the associated defining characteristics.
确定并验证了与一个诊断相关组（DRG）相关的护理诊断及其定义特征。采用临床回顾性模型和护士验证模型来确定与DRG 366（经尿道前列腺切除术）相关的高频率护理诊断，并验证相关的定义特征。对于临床回顾性模型，审查了34份分类为DRG 366的患者记录，确定了护理诊断及其相关的定义特征，并进行了回顾性验证。护士验证模型是通过在22个轮班期间评估DRG 366内的9名患者来实施的。使用描述性统计分析表明，在五个最常确定的护理诊断上，一致性水平为80%，但在相关的定义特征上缺乏一致性。
