在院前急救中，NANDA International 护理诊断中的应对/应激耐受领域及其与护理结局分类结局和护理干预分类干预的联系。
NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care.
机构信息
Empresa Pública de Emergencias Sanitarias (EPES), Servicio Provincial de Cádiz, Cádiz, Spain.
Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 MELES "Nursing methods and Standardized Languages", Universidad de Cádiz, Cádiz, Spain.
出版信息
J Adv Nurs. 2022 Oct;78(10):3273-3289. doi: 10.1111/jan.15280. Epub 2022 May 4.
AIM
To determine the prevalence of NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care setting.
DESIGN
Retrospective descriptive study of electronic record review.
METHODS
Eight thousand three hundred three episodes recorded during the year 2019 were recovered from the electronic health records of a public emergency care agency. The prevalence of NANDA International nursing diagnosis, Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions was determined. A cross-tabulation analysis was performed to determine the linkages. Data were accessed in November 2020.
RESULTS
NANDA International nursing diagnoses Anxiety (00146) and Fear (00148) represented more than 90% of the diagnoses recorded in the domain. Anxiety level (1211) and emotional support (5270) were the most recorded Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions, with almost 20% and 5% of total records, respectively. The linkage between nursing diagnosis Anxiety (00146), outcome Anxiety level (1211) and intervention Anxiety reduction (5820) was the most recorded with slightly more than 3% of the total.
CONCLUSION
Eight different NANDA International nursing diagnoses in the coping/stress tolerance domain were recorded. Nursing Outcomes Classification outcomes were selected aimed mainly at psychological well-being and Nursing Interventions Classification interventions to support coping. In general, linkages were aimed to provide emotional support, physical well-being, information, education and safety.
IMPACT
This study showed that pre-hospital emergency care nurses diagnose and treat human responses in the coping/stress tolerance domain. Expert consensus-based linkages may be complemented by the results of this study, increasing the levels of evidence of both individualized and standardized care plans for critical patients assisted by pre-hospital emergency care nurses.
目的
确定 NANDA 国际护理诊断在应对/应激耐受领域的流行情况，以及它们与护理结局分类结局和护理干预分类干预在院前急救环境中的联系。
设计
电子病历回顾的回顾性描述性研究。
方法
从一家公立急救机构的电子健康记录中恢复了 2019 年记录的 8303 个病例。确定了 NANDA 国际护理诊断、护理结局分类结局和护理干预分类干预的流行情况。进行了交叉表分析以确定联系。数据于 2020 年 11 月获取。
结果
NANDA 国际护理诊断焦虑症（00146）和恐惧症（00148）占该领域记录的诊断的 90%以上。焦虑程度（1211）和情感支持（5270）是记录最多的护理结局分类结局和护理干预分类干预，分别占总记录的近 20%和 5%。护理诊断焦虑症（00146）、结局焦虑程度（1211）和干预焦虑减轻（5820）之间的联系记录最多，略多于总记录的 3%。
结论
在应对/应激耐受领域记录了 8 种不同的 NANDA 国际护理诊断。选择护理结局分类结局主要是为了心理健康，护理干预分类干预是为了支持应对。一般来说，联系旨在提供情感支持、身体舒适、信息、教育和安全。
影响
本研究表明，院前急救护士在应对/应激耐受领域诊断和治疗人类反应。基于专家共识的联系可以补充本研究的结果，增加院前急救护士协助的危重症患者个体化和标准化护理计划的证据水平。
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