Adams P J, Nichols B S
Nurs Diagn. 1996 Oct-Dec;7(4):135-40. doi: 10.1111/j.1744-618x.1996.tb00310.x.
As a result of the limitations of a single nursing diagnosis, NANDA has encouraged the development of "syndromes." A study was undertaken using an investigator-developed tool to identify the cluster of defining characteristics, nursing diagnoses and nursing interventions for terminally ill patients, regardless of disease origin. The sample consisted of completed medical records of 15 randomly selected chronic obstructive pulmonary disease patients and 15 randomly selected cancer patients. For all three areas there were commonalities, specifically 10 defining characteristics, seven nursing diagnosis and a 27%-48% agreement on the nursing interventions selected. A clustering of data has been documented to support the establishment of the nursing diagnosis, terminal syndrome.
由于单一护理诊断存在局限性，美国护士协会（NANDA）鼓励开发“综合征”。一项研究采用研究者自行开发的工具，以识别终末期患者的一组定义性特征、护理诊断和护理干预措施，而不考虑疾病起源。样本包括随机选取的15例慢性阻塞性肺疾病患者和15例癌症患者的完整病历。在所有三个领域都存在共性，具体而言有10个定义性特征、7项护理诊断以及在所选护理干预措施上有27%-48%的一致性。已记录到数据聚类支持护理诊断“终末期综合征”的建立。
