Chang B L
Clin Nurs Res. 1994 Aug;3(3):183-203; discussion 204-8. doi: 10.1177/105477389400300302.
The purpose of this study was to determine the extent to which defining characteristics found in selected patients cluster to form a nursing diagnostic response/label or define a concept, and to determine the construct validity of the defining characteristics for Self-Care Deficit, Impaired Mobility, and Pain. The sample included 309 medical-surgical patients who were found to have the diagnostic responses of interest. The signs and symptoms of the 309 patients were submitted to cluster analysis. Scores on the clusters were examined for their ability to differentiate between two known groups of patients: those identified by clinical nurse specialists (CNS) as having, or not having, selected diagnostic responses/labels. The cluster score Self-Care Deficit differentiated between patients with and without the CNS-diagnostic response of Self-Care Deficit and Pain. Patients with CNS-diagnosis of Self-Care Deficit and Impaired Mobility scored high in the Impaired Mobility Cluster score. Limitations of the study, clinical relevance, and recommendations for future research are discussed.
本研究的目的是确定在选定患者中发现的定义特征在多大程度上聚集形成护理诊断反应/标签或定义一个概念，并确定自我护理缺陷、活动能力受损和疼痛的定义特征的结构效度。样本包括309名内科-外科患者，他们被发现有感兴趣的诊断反应。对这309名患者的体征和症状进行聚类分析。检查聚类得分区分两组已知患者的能力：临床护理专家（CNS）确定为有或没有选定诊断反应/标签的患者。自我护理缺陷聚类得分在有和没有自我护理缺陷和疼痛的CNS诊断反应的患者之间进行区分。CNS诊断为自我护理缺陷和活动能力受损的患者在活动能力受损聚类得分中较高。讨论了该研究的局限性、临床相关性以及对未来研究的建议。
