Miller J, Neelon V, Dalton J, Ng'andu N, Bailey D, Layman E, Hosfeld A
School of Nursing, University of North Carolina at Chapel Hill 27599-7460, USA.
J Neurosci Nurs. 1996 Jun;28(3):175-82. doi: 10.1097/01376517-199606000-00005.
With the increasing numbers of older adults in our population, nurses are reexamining all aspects of nursing care in order to best meet the needs of these individuals. Normal age changes, the impact of decades of environmental challenges, successful adaptations, acute illnesses, trauma and chronic illnesses combine to create a challenge for accurate and effective assessment of elderly patients. The nurse finds her assessment skills challenged with increasing frequency by the elderly patient who is also acutely confused and experiencing discomfort. The purpose of this study was to explore the clinical utility, validity and reliability of four different approaches to nursing assessment of discomfort with this particularly vulnerable group of elders.
随着我国老年人口数量的不断增加，护士们正在重新审视护理工作的各个方面，以便更好地满足这些人的需求。正常的年龄变化、数十年环境挑战的影响、成功的适应、急性疾病、创伤和慢性疾病交织在一起，给准确有效地评估老年患者带来了挑战。护士发现，那些同时伴有急性意识模糊和不适的老年患者对其评估技能的挑战越来越频繁。本研究的目的是探讨四种不同的护理评估方法在评估这一特别脆弱的老年人群体的不适状况时的临床实用性、有效性和可靠性。
