Ungvarski P J, Hurley P M
Home Healthc Nurse. 1995 Jul-Aug;13(4):9-13. doi: 10.1097/00004045-199507000-00002.
This study categorized the problems of clients with human immunodeficiency syndrome/acquired immune deficiency syndrome (HIV/AIDS), identified on admission to home care, into nursing diagnoses. The study followed a descriptive retrospective record review of adult men and women (n = 244) admitted to a certified home health care agency in New York City. When all problems were clustered into nursing diagnoses, the principle diagnosis in more than 70% of the sample were impaired home maintenance, high risk for ineffective individual coping, altered nutrition:less than body requirements, feeding self-care deficit, and fatigue. The results indicate that the home healthcare needs of persons with HIV/AIDS are multifaceted in nature and extend beyond the signs and symptoms of advancing disease. Nursing diagnoses serve as a basis for capturing all data that contribute to client problems and are the focus of planning nursing care in the home.
本研究将居家护理入院时确诊的人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）患者的问题归类为护理诊断。该研究对纽约市一家经认证的居家医疗保健机构收治的成年男性和女性（n = 244）进行了描述性回顾性记录审查。当所有问题都归类为护理诊断时，超过70%的样本的主要诊断为家庭维护受损、个体应对无效的高风险、营养改变：低于机体需求、进食自理缺陷和疲劳。结果表明，HIV/AIDS患者的居家医疗保健需求本质上是多方面的，并且超出了疾病进展的体征和症状。护理诊断是收集所有导致患者问题的数据的基础，也是居家护理计划的重点。
