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基于彭德健康促进模式对哮喘患儿及其照顾者的评估,以及北美护理诊断协会、护理干预分类-护理结局分类的联系:病例报告

Evaluation of child with asthma and her caregivers based on the Pender health promotion model, and linkages of NANDA, NIC-NOC: A case presentation.

作者信息

Seval Müge, Kuzlu Ayyildiz Tülay, Uzuntarla Güney Emine

机构信息

Child Health and Disease Nursing, Faculty of Health Sciences, Zonguldak Bulent Ecevit University, Zonguldak, Turkey.

Child Health and Disease Nursing Deparment, Karabuk University, Karabuk, Turkey.

出版信息

Int J Nurs Knowl. 2025 Apr;36(2):169-182. doi: 10.1111/2047-3095.12472. Epub 2024 May 27.

Abstract

PURPOSE

Despite highly effective asthma treatments, the prevalence of asthma is increasing in children and adolescents. Despite easy access to asthma control, sufficient control and management are not achieved. Asthma management is crucial to prevent the development of asthma symptoms and attacks, reduce repeated hospitalizations, and prevent a decrease in the quality of life for both the child and caregivers. This case study aims to increase the utilization of theories, models, and classification systems by evaluating a child diagnosed with asthma for 6 years and their caregivers based on Pender's health promotion model (PHPM). Furthermore, the study aims to establish a connection with NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), thereby formulating a nursing care plan.

METHODS

This case study evaluated a child diagnosed with asthma for 6 years and their caregivers based on PHPM. A nursing care plan was developed by establishing connections with NANDA, NIC, and NOC and based on Pender's health promotion.

FINDINGS

By establishing connections with NANDA, NIC, and NOC, a nursing care plan of a total of six included nursing diagnoses has been created as five based on the PHPM.

CONCLUSION

The care plan implemented improved S.B.K.'s clinical condition. Furthermore, the mother's social support increased, and her confidence in managing asthma improved. As a result of implementing the model, the mother reached the potential to develop healthy behaviors for S.B.K. and make future-oriented plans.

IMPLICATIONS FOR NURSING PRACTICE

It is recommended that NANDA-I, NIC, and NOC, along with PHPM, be used in clinical nursing care and scientific research to enhance the presentation of quality care and the individual's future health potential.

摘要

目的

尽管哮喘治疗效果显著,但儿童和青少年哮喘的患病率仍在上升。尽管哮喘控制方法易于获取,但仍未实现充分的控制和管理。哮喘管理对于预防哮喘症状和发作的发展、减少反复住院以及防止儿童及其照顾者生活质量下降至关重要。本案例研究旨在通过基于彭德健康促进模型(PHPM)评估一名已确诊哮喘6年的儿童及其照顾者,提高理论、模型和分类系统的利用率。此外,该研究旨在与北美护理诊断协会(NANDA)、护理干预分类(NIC)和护理结局分类(NOC)建立联系,从而制定护理计划。

方法

本案例研究基于PHPM对一名已确诊哮喘6年的儿童及其照顾者进行评估。通过与NANDA、NIC和NOC建立联系,并基于彭德的健康促进制定护理计划。

结果

通过与NANDA、NIC和NOC建立联系,共创建了一个包含六项护理诊断的护理计划,其中五项基于PHPM。

结论

实施的护理计划改善了S.B.K.的临床状况。此外,母亲的社会支持增加,她管理哮喘的信心也有所提高。由于实施了该模型,母亲有潜力为S.B.K.培养健康行为并制定面向未来的计划。

对护理实践的启示

建议在临床护理和科研中使用NANDA - I、NIC和NOC以及PHPM,以提高优质护理的呈现以及个体未来的健康潜力。

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