Herman J A
Nurs Clin North Am. 1986 Jun;21(2):219-31.
Effective nursing interventions are determined by the nursing diagnoses and associated etiologies. The diagnoses are derived from a complete data base that results from a thorough assessment. As the nurse proceeds through the process of differentiating among diagnoses, the focused cue search is essential. For the client with PVD, lifestyle changes, symptomatology, chronicity of the disease, and frequent contact with the health care system are the major influences on the diagnoses. These clients are likely to have potential for injury, potential for infection, impaired skin integrity, activity intolerance, alteration in tissue perfusion, alteration in comfort, and knowledge deficit. Other diagnoses are probable but are determined by the unique characteristics of each client.
有效的护理干预措施由护理诊断及相关病因决定。这些诊断源于全面评估所形成的完整数据库。当护士在进行诊断鉴别过程中,重点线索搜索至关重要。对于患有外周血管疾病(PVD)的患者,生活方式改变、症状表现、疾病慢性程度以及与医疗保健系统的频繁接触是诊断的主要影响因素。这些患者可能存在受伤风险、感染风险、皮肤完整性受损、活动不耐受、组织灌注改变、舒适度改变以及知识缺乏等问题。其他诊断有可能存在,但由每位患者的独特特征决定。