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根据 NANDA-I 分类法确定的最常见护理诊断和在 COVID-19 疫情中使用护理流程的困难。

The Most Commonly Determined Nursing Diagnoses According to NANDA-I Taxonomy and Difficulties Using the Nursing Process in COVID-19 Outbreak.

机构信息

University of Health Science, Istanbul, Turkey.

Ankara Gölbaşı Şehit Ahmet Özsoy State Hospital, Turkey.

出版信息

Clin Nurs Res. 2022 Mar;31(3):395-403. doi: 10.1177/10547738211051565. Epub 2021 Oct 11.

DOI:10.1177/10547738211051565
PMID:34628951
Abstract

The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.

摘要

本研究旨在确定根据 NANDA International(NANDA-I)分类法最常见的护理诊断,并确定在 COVID-19 爆发期间使用护理程序时所遇到的困难。描述性横断面研究的样本包括照顾 COVID-19 患者的护士(n=114)。护士的平均年龄为 26.86±6.68 岁。根据 NANDA-I 分类法,在 COVID-19 患者中确定的常见护理诊断为营养失衡(66.7%)、气体交换受损(40.4%)、失眠(21.1%)、急性意识混乱(31.6%)、绝望(96.5%)、照顾者负担过重(84.2%)、焦虑(38.6%)、增强宗教联系的意愿(71.9%)、感染风险(64.9%)、恶心(49.1%)。24 岁及以下、高中学历、照顾插管患者以及表示未使用护理诊断的护士在使用护理程序时遇到更多困难(<0.05)。在 COVID-19 患者中使用护理诊断和护理程序对于确保个体化和高质量的护理至关重要。

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