Student, Postgraduate Nursing Program, Campus Universitário Darcy Ribeiro, Brazil.
Lecturer, Department of Nursing, University of Brasilia, Federal District, Brazil.
Int J Palliat Nurs. 2020 Dec 2;26(8):444-450. doi: 10.12968/ijpn.2020.26.8.444.
Holistic care and nursing diagnoses are essential in end-of-life, since interventions based on these ensure greater patient comfort and quality of life.
To identify clusters of nursing diagnoses and repercussions for patient comfort and survival.
A prospective cohort of 66 end-of-life patients with cancer was examined. Diagnostic groupings were created based on the Kolcaba's theory of comfort. Pearson's chi-square test and Kaplan-Meier estimator were used to assess the relationship between clusters, comfort, and survival.
Three diagnostic groups and 23 nurse diagnoses were used. The first and most prevalent diagnosis cluster was related to intestinal tract disorders and sleep. The second was related to neuropsychological characteristics and fatigue associated with lower survival, while the third cluster was related to functionality and perception, which was shown to be associated with less comfort.
The three clusters were significantly associated with comfort and survival.
整体护理和护理诊断在临终关怀中至关重要，因为基于这些的干预措施可以确保患者更舒适和更高的生活质量。
确定护理诊断集群及其对患者舒适度和生存的影响。
对 66 名癌症临终患者进行前瞻性队列研究。根据科尔卡巴的舒适理论创建诊断分组。采用皮尔逊卡方检验和 Kaplan-Meier 估计器评估集群、舒适度和生存之间的关系。
使用了三个诊断组和 23 个护理诊断。第一个也是最常见的诊断集群与肠道紊乱和睡眠有关。第二个与神经心理特征和与较低生存率相关的疲劳有关，而第三个集群与功能和感知有关，这与舒适度降低有关。
三个集群与舒适度和生存有显著关联。
