构建和验证糖尿病足溃疡患者的护理诊断。
Construction and validation of nursing diagnoses for people with diabetic foot ulcers.
机构信息
Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem, Programa de Pós-Graduação, Rio de Janeiro, RJ, Brazil.
Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem, Departamento de Enfermagem em Saúde Pública, Rio de Janeiro, RJ, Brazil.
出版信息
Rev Esc Enferm USP. 2022 May 4;56:e20220022. doi: 10.1590/1980-220X-REEUSP-2022-0022en. eCollection 2022.
OBJECTIVE
To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being followed up in primary health care.
METHOD
This is a methodological study structured in four stages: identification of terms; cross-mapping of identified terms with ICNP terms®, version 2019/2020; construction of nursing diagnoses statements and organization with Orem's Theory of Self-care; and content validation by expert nurses working in primary care, with those with Content Validity Index (CVI) ≥ 0.80 being considered valid.
RESULTS
Eighty-one diagnostic statements were constructed, five of which were positive, 67 negative, and nine risky. Of these, 58 were included in ICNP® and 23 were not, 51% of which were categorized as self-care requirements related to health changes.
CONCLUSION
ICNP® subsidized the construction of a technical product, which can be consulted and used by nurses and will allow the strengthening of the standardization of a specific language in the context of care for people with diabetic foot ulcers in primary health care.
目的
构建和验证国际护理实践分类（ICNP®）用于初级卫生保健中随访的糖尿病足溃疡患者的护理诊断陈述。
方法
这是一项分四个阶段进行的方法学研究：确定术语；将确定的术语与 ICNP 术语®，版本 2019/2020 进行交叉映射；构建护理诊断陈述，并根据奥瑞姆的自我护理理论进行组织；由在初级保健中工作的专家护士进行内容验证，认为内容效度指数（CVI）≥0.80 的为有效。
结果
构建了 81 个诊断陈述，其中 5 个为阳性，67 个为阴性，9 个为风险。其中，58 个被纳入 ICNP®，23 个未被纳入，其中 51%被归类为与健康变化相关的自我护理需求。
结论
ICNP®为技术产品的构建提供了支持，护士可以查阅和使用该产品，这将有助于加强初级卫生保健中对糖尿病足溃疡患者护理的特定语言的标准化。
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