Pierce L, Rodrigues-Fisher L, Buettner M, Bulcroft J, Camp Y G, Bourguignon C
Rehabil Nurs. 1995 May-Jun;20(3):138-43. doi: 10.1002/j.2048-7940.1995.tb01613.x.
From 2 million to 3 million people in the United States live with the aftereffects of stroke. Nursing diagnoses provide a taxonomy that enables nurses to identify similarities and differences for given groups of clients. The purposes of this study were to identify the most frequently chosen nursing diagnoses for rehabilitation stroke clients and to determine the corresponding objective clinical characteristics (related factors) of these diagnoses. A retrospective descriptive design was used to study charts from randomly selected stroke clients (N = 100) at a large rehabilitation center. At admission and at discharge, impaired physical mobility (99%) and self-care deficit (91%) were the most frequently occurring diagnoses. Impaired physical mobility was usually related to neuromuscular impairment, and self-care deficit was usually related to neuromuscular dysfunction. These objective clinical characteristics help to determine how diagnoses are unique to rehabilitation nursing practice.
在美国，有200万至300万人患有中风后遗症。护理诊断提供了一种分类法，使护士能够识别特定客户群体的异同。本研究的目的是确定中风康复患者最常选择的护理诊断，并确定这些诊断相应的客观临床特征（相关因素）。采用回顾性描述性设计，研究一家大型康复中心随机抽取的中风患者（N = 100）的病历。入院时和出院时，身体活动障碍（99%）和自理缺陷（91%）是最常出现的诊断。身体活动障碍通常与神经肌肉损伤有关，自理缺陷通常与神经肌肉功能障碍有关。这些客观临床特征有助于确定诊断在康复护理实践中的独特之处。
