Perroca M G, Gaidzinski R R
Escola de Enfermagem de Universidade de São Paulo.
Rev Esc Enferm USP. 1998 Aug;32(2):153-68. doi: 10.1590/s0080-62341998000200009.
This study had in its aim the construction and the validation of a patient classification instrument which has been based on the patient's individual necessities that require the nursing care. It was considered in the instrument 13 critical indicators: Mental State and Level of Consciousness. Breathing, Vital Signs, Nutrition and Hydration, Movement, Locomotion, Corporeal Hygiene, Eliminations, Therapy, Health Teaching, Behavior, Communication and Skin Integrety. Each one of these indicators has a 1 to 5 gradation denoting an increasing level in the nursing care complexity. The patient is classified in all the indicators in one of the five levels, in the option that better describes his/her situation. The content validation of the instrument was done by the Delphi Technique application through 2 rounds. A team of 15 nursing experts who attend patients or teach in the Medical School in São José do Rio Preto were participants in this research. The obtained results have showed the experts' agreement concerned to: the maintenance of the 13 critical indicators in the instrument; property and intelligibility of the critical indicator contents and the presence of an increasing level in the nursing care complexity.
本研究旨在构建并验证一种患者分类工具，该工具基于患者对护理的个体需求。该工具纳入了13项关键指标：精神状态与意识水平、呼吸、生命体征、营养与水合作用、活动、移动、身体卫生、排泄、治疗、健康教育、行为、沟通和皮肤完整性。这些指标中的每一项都有1至5级的分级，表示护理复杂性的增加。患者在所有指标中被归类为五个级别中的一个，选择最能描述其情况的级别。该工具的内容效度通过两轮德尔菲技术应用来完成。15名在圣若泽杜里奥普雷图的医学院照顾患者或授课的护理专家组成的团队参与了这项研究。所得结果表明专家们对以下方面达成了共识：工具中13项关键指标的保留、关键指标内容的特性和清晰度以及护理复杂性的增加。
