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糖尿病护理实践国际分类的术语子集。

Terminology subset for the International Classification of Nursing Practice in Diabetes Mellitus.

机构信息

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil.

出版信息

Rev Lat Am Enfermagem. 2024 Jun 7;32:e4188. doi: 10.1590/1518-8345.7018.4188. eCollection 2024.

Abstract

OBJECTIVE

to describe the process of developing a terminological subset for the International Classification of Nursing Practice in Diabetes Mellitus, based on Horta's Basic Human Needs Theory and Bandura's Social Cognitive Theory.

METHOD

a methodological study based on the identification in the literature of 313 statements of nursing diagnoses pertinent to diabetes care, selected and validated by a consensus of nurses from different states of Brazil, specialists in diabetes, using the nominal group technique.

RESULTS

156 nursing diagnosis/result statements were selected, of which 111 (71.15%) related to psychobiological needs, 42 (26.92%) to psychosocial needs and three (1.92%) to psychospiritual needs. A total of 433 nursing interventions were developed. The diagnostic statements were validated on the basis of a consensus among the experts, with an average content validity index of 0.89: 0.87 for psychobiological needs, 0.93 for psychosocial needs, and 0.77 for psychospiritual needs.

CONCLUSION

the study validated the terminological subset for the International Classification of Nursing Practice in Diabetes, favoring clinical reasoning, the qualification of the Nursing Process, and the improvement of self-care practices in diabetes. It has made it possible to use nursing's own language based on a globally recognized classification. (1) Provision of the guiding document for nursing practice in diabetes. (2) Methodological innovation in the development of ICNP® subsets. (3) Advances in knowledge of the basic human needs of people with diabetes. (4) The potential of standardized language for coding and monitoring data. (5) Improving clinical reasoning during nursing consultations.

摘要

目的

基于 Horta 的基本人类需求理论和 Bandura 的社会认知理论,描述制定国际糖尿病护理实践分类术语子集的过程。

方法

一项基于文献的方法研究,共识别出 313 项与糖尿病护理相关的护理诊断陈述,这些陈述由来自巴西不同州的护士、糖尿病专家使用名义小组技术达成共识进行选择和验证。

结果

共选择了 156 项护理诊断/结果陈述,其中 111 项(71.15%)与心理生物学需求有关,42 项(26.92%)与心理社会需求有关,3 项(1.92%)与心理精神需求有关。共制定了 433 项护理干预措施。专家共识验证了诊断陈述,其内容效度指数平均为 0.89:心理生物学需求为 0.87,心理社会需求为 0.93,心理精神需求为 0.77。

结论

该研究验证了国际糖尿病护理实践分类的术语子集,有利于临床推理、护理过程的规范化以及糖尿病自我护理实践的改进。它使我们能够基于全球认可的分类使用护理自己的语言。(1)为糖尿病护理提供指导文件。(2)开发 ICNP®子集的方法学创新。(3)对糖尿病患者基本人类需求的知识的深入了解。(4)标准化语言在编码和监测数据方面的潜力。(5)提高护理咨询期间的临床推理能力。

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