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Etiological factors of chronic pain syndrome in young adults with post-coronavirus disease 2019 condition 科罗纳病毒病后青壮年慢性疼痛综合征的病因 2019 年状况
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-05-26 DOI: 10.1111/2047-3095.12428
Daniel Freitas Oliveira Damasceno RN, Tahissa Frota Cavalcante PhD, MSc, RN, Larissa Katlyn Alves Andrade Nursing Student, Francisco Breno Barbosa de Oliveira RN, Marcos Venicios de Oliveira Lopes PhD, MSc, RN, Rafaella Pessoa Moreira PhD, MSc, RN, Huana Carolina Candido Morais PhD, MSc, RN

Purpose

The coronavirus disease 2019 (COVID-19) generates long-term sequelae, but studies investigating patients with chronic pain syndrome (CPS) are limited. This study aimed to establish the etiological factors of CPS in patients with post-COVID-19 conditions.

Methods

This was a case–control retrospective study. The predictor variables were sex, diabetes mellitus, obesity (predisposing factors), unfavorable socioeconomic conditions, impaired rehabilitation (disabling factors), repeated exposure to COVID-19 (precipitating factor), home isolation, stress overload, fear of dying, admission to intensive care unit, prone positioning, and use of medications (reinforcing factors). The outcome variable was the presence of CPS.

Findings

This study included 120 individuals. Prolonged days of isolation (p = 0.005), fear (p < 0.001), stress overload (p < 0.001), and impaired rehabilitation (p = 0.003) were significantly associated with CPS.

Conclusions

A significant relationship was found between prolonged days of isolation, fear, stress overload, impaired rehabilitation, and CPS.

Implications for nursing practice

The study findings can assist nurses by promoting their knowledge of the causes of CPS and supporting the care planning needs of patients with post-COVID-19 conditions, in addition to promoting the use of the NANDA-International taxonomy.

目的 2019 年冠状病毒病(COVID-19)会产生长期后遗症,但针对慢性疼痛综合征(CPS)患者的研究却很有限。本研究旨在确定COVID-19后遗症患者的CPS病因。 方法 这是一项病例对照回顾性研究。预测变量包括性别、糖尿病、肥胖(易患因素)、不利的社会经济条件、康复受损(致残因素)、反复接触 COVID-19(诱发因素)、家庭隔离、压力过大、对死亡的恐惧、入住重症监护室、俯卧位和使用药物(强化因素)。结果变量为是否存在 CPS。 研究结果 本研究包括 120 名患者。延长隔离天数(p = 0.005)、恐惧(p < 0.001)、压力过大(p < 0.001)和康复受损(p = 0.003)与 CPS 有显著关联。 结论 发现长时间隔离、恐惧、压力过大、康复受损与 CPS 之间存在明显关系。 对护理实践的启示 除了推广使用 NANDA-International 分类标准外,研究结果还可以帮助护士提高对 CPS 病因的认识,支持 COVID-19 后患者的护理计划需求。
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引用次数: 0
A retrospective descriptive study of NANDA-I nursing diagnoses used by midwives working in obstetrics and gynecologic service: An example from south-eastern Turkey 对妇产科助产士使用 NANDA-I 护理诊断的回顾性描述研究:以土耳其东南部为例
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-05-22 DOI: 10.1111/2047-3095.12424
Yeşim Yeşil PhD, Leyla Baran PhD

Purpose

This study aims to identify NANDA-I nursing diagnoses that midwives working in obstetrics and gynecologic service use while managing the electronic nursing care process.

Methods

This retrospective study was conducted in a descriptive way to evaluate electronic care plan records of 3025 patients staying in obstetrics and gynecologic service between April 1, 2020. and April 1, 2021. Diagnoses in the records of the electronic care process were digitalized by two faculty members. Then, NANDA-I nursing diagnoses used by midwives were identified. NANDA-I nursing diagnoses used by midwives were identified.

Findings

It was determined that diagnoses in care plans documented from the system within the 1-year period fell into eight domains and 10 classes, and 5819 diagnoses were given in total. The most frequent diagnoses given in obstetrics and gynecologic service were “acute pain” and “risk for bleeding.”

Conclusion

Findings of this study revealed that nursing care records in obstetrics and gynecologic service did not have a large number of diagnoses and interventions.

Implications for nursing practice

Care plans directly reflect the contribution of the care to the patient. Consequently, midwives being aware of and recording nursing diagnoses while giving care will ensure a standardized language and visibility in care. More coverage of midwifery-related diagnoses in the midwifery curriculum will make NANDA-I nursing diagnoses more visible in midwifery as well.

目的 本研究旨在确定妇产科助产士在管理电子护理流程时使用的 NANDA-I 护理诊断。 方法 本回顾性研究以描述性方式对 2020 年 4 月 1 日至 2021 年 4 月 1 日期间妇产科 3025 名住院患者的电子护理计划记录进行评估。电子护理流程记录中的诊断由两名教师进行数字化处理。然后,确定助产士使用的 NANDA-I 护理诊断。确定助产士使用的 NANDA-I 护理诊断。 结果 经确定,1 年内系统记录的护理计划中的诊断分为 8 个领域和 10 个类别,共给出 5819 项诊断。妇产科最常见的诊断是 "急性疼痛 "和 "出血风险"。 结论 本研究结果显示,妇产科护理记录中没有大量的诊断和干预措施。 对护理实践的启示 护理计划直接反映了护理对患者的贡献。因此,助产士在提供护理服务时了解并记录护理诊断将确保护理语言的标准化和护理的可视性。在助产课程中增加与助产相关的诊断内容,将使 NANDA-I 护理诊断在助产过程中更加明显。
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引用次数: 0
Letter in response to a published article by Constantina Petrou, Leila Jameel, Noushig Nahabedian, and Fergis Kane on the April 6, 2023. 这封信是对Constantina Petrou、Leila Jameel、Noushig Nahabedian和Fergis Kane在2023年4月6日发表的一篇文章的回应。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-05-22 DOI: 10.1111/2047-3095.12429
Ceylon Dell
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引用次数: 0
Letter to the editor: Addressing suicidal behavior prevention and treatment with Taoyuan Psychiatric Center's Employee Assistance Program. 致编者信:探讨桃园精神科中心员工协助计划之自杀行为预防与治疗。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-05-13 DOI: 10.1111/2047-3095.12425
Lien-Chung Wei
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引用次数: 0
Editorial: Don't hide the disciplinary focus, steward it 社论:不要隐藏纪律重点,管理它
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-04-04 DOI: 10.1111/2047-3095.12422
Jane Flanagan PhD, RN, AHN-BC, ANP-BC, FNI, FNAP, FAAN
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引用次数: 0
Analysis of Readiness for enhanced health literacy in patients with type 2 diabetes mellitus 分析 2 型糖尿病患者加强健康知识普及的准备情况。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-03-31 DOI: 10.1111/2047-3095.12416
Jocelha Maria Costa de Almeida Mater's Student, RN, Eliana Brugin Serra MSc, RN, Livia Maia Pascoal PhD, MSc, RN, Marcelino Santos Neto PhD, MSc, Pharm, Rafaella Pessoa Moreira PhD, MSc, RN, Isaura Letícia Tavares Palmeira Rolim PhD, MSc, RN

Purpose

To estimate the prevalence of Readiness for enhanced health literacy in patients with type 2 diabetes mellitus through the diagnostic accuracy of the defining characteristics.

Methods

A diagnostic accuracy study on the diagnosis of Readiness for enhanced health literacy in patients with type 2 diabetes mellitus was conducted using the latent class analysis model. The sample comprised 180 individuals attending a referral outpatient clinic in Maranhão, Brazil. The data analysis was conducted in the R Core Team software.

Findings

The prevalence of the nursing diagnosis was 55.23%. The main defining characteristics were expresses desire to enhance health communication with healthcare providers and expresses desire to enhance the understanding of health information to make healthcare choices. All defining characteristics showed significant specificity values.

Conclusions

Accurate diagnoses contribute to individualized care plans for patients.

Implications for nursing practice

The diagnosis Readiness for enhanced health literacy should be considered in implementing care plans, including interventions to reduce complications in the health status of patients with type 2 diabetes mellitus.

目的:通过对2型糖尿病患者健康素养提升准备度的定义特征的诊断准确性,估算2型糖尿病患者健康素养提升准备度的患病率:采用潜类分析模型,对 2 型糖尿病患者健康素养提升准备度的诊断准确性进行了研究。样本包括在巴西马拉尼昂州一家转诊门诊就诊的 180 名患者。数据分析在 R Core Team 软件中进行:护理诊断的患病率为 55.23%。主要的定义特征是希望加强与医疗服务提供者的健康交流,以及希望加强对健康信息的理解以做出医疗选择。所有定义特征都显示出明显的特异性:准确的诊断有助于为患者制定个性化护理计划:护理实践的启示:在实施护理计划(包括减少 2 型糖尿病患者健康状况并发症的干预措施)时,应考虑加强健康知识读写能力的诊断。
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引用次数: 0
Psychosocial interventions aimed at family members caring for patients with cancer in the palliative period: A systematic review 针对在姑息期照顾癌症患者的家庭成员的社会心理干预:系统回顾
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-03-31 DOI: 10.1111/2047-3095.12423
Manolya Yıldız RN, Candan Terzioğlu PhD, Fatma Ayhan PhD

Aim

The purpose of this systematic review is to examine evidence-based psychosocial intervention research aimed at family members caring for patients with cancer in the palliative period.

Method

In this systematic review, randomized controlled psychosocial intervention studies for the family member caring for patients with cancer published between January 1, 2016 and July 30, 2021 were reviewed. PubMed (including MEDLINE), Cochrane, APA PsycNet, ProQuest, Science Direct, TR Index, and Wiley Online Library databases were scanned. Eight publications were identified following a database review for English language articles published from 2016 to 2021. Sample, methods, content, and outcomes of included interventions are summarized.

Results

Only eight of the 4652 articles examined met the inclusion criteria. Psychosocial interventions such as mindfulness exercises, stress management, acceptance and commitment therapy, cognitive behavioral intervention, and meaning-centered psychotherapy for cancer caregivers were applied for relatives caring for patients with cancer in the palliative period.

Conclusion

Psychosocial interventions applied to family members caring for patients with cancer during the palliative period lead to improvements in depressive symptoms, stress levels, the caregiver burden, quality of life, self-efficacy, coping skills, and awareness levels.

目的 本系统综述旨在考察针对姑息期癌症患者护理家庭成员的循证社会心理干预研究。 方法 本系统综述回顾了 2016 年 1 月 1 日至 2021 年 7 月 30 日期间发表的针对癌症患者家属的随机对照心理干预研究。对 PubMed(包括 MEDLINE)、Cochrane、APA PsycNet、ProQuest、Science Direct、TR Index 和 Wiley Online Library 数据库进行了扫描。在对 2016 年至 2021 年发表的英文文章进行数据库审查后,确定了 8 篇出版物。对纳入的干预措施的样本、方法、内容和结果进行了总结。 结果 在4652篇文章中,只有8篇符合纳入标准。针对癌症护理人员的社会心理干预措施,如正念练习、压力管理、接受与承诺疗法、认知行为干预和以意义为中心的心理疗法,均适用于在姑息期护理癌症患者的亲属。 结论 对姑息期癌症患者家属进行心理干预,可改善抑郁症状、压力水平、照顾者负担、生活质量、自我效能、应对技能和认知水平。
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引用次数: 0
Capturing key function-focused care problems, nursing diagnoses, and interventions for nursing home patients using a web-based case management system 使用基于网络的病例管理系统,为疗养院病人捕捉以功能为重点的关键护理问题、护理诊断和干预措施。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-03-08 DOI: 10.1111/2047-3095.12420
Su Jung Lee PhD, RN, Min Sun Park PhD, RN, Sung Ok Chang PhD, RN

Purpose

The aim of this study is to identify the key functional care problems, NANDA-I nursing diagnoses, and intervention plans related to function-focused care (FFC) using a web-based case management system for patients who present different cognitive status.

Methods

This study employed a retrospective descriptive research design. Data were obtained from system records on patients after the research team trained the case management system at a nursing home in Dangjin in South Chungcheong Province, South Korea. A total of 119 inpatient records were analyzed.

Results

The key physical, cognitive, and social functional problems, nursing diagnoses in six domains (health promotion, elimination and exchange, activity/rest, perception/cognition, coping/stress tolerance, and safety/protection), and intervention plans were identified.

Conclusion

The identified FFC case management information of interdisciplinary caregivers will provide evidence for the implementation of effective interventions according to a patient's functional status. Additional studies related to the establishment of a large clinical database of advanced case management systems focusing on interdisciplinary caregivers’ functional management are needed to support the prioritization of functional care.

目的:本研究旨在利用基于网络的病例管理系统,为出现不同认知状况的患者确定关键功能护理问题、NANDA-I护理诊断以及与功能为中心的护理(FFC)相关的干预计划:本研究采用回顾性描述研究设计。研究小组在韩国忠清南道唐津的一家疗养院对病例管理系统进行培训后,从患者的系统记录中获取数据。共分析了 119 份住院病历:结果:确定了主要的身体、认知和社会功能问题、六个领域(健康促进、消除和交流、活动/休息、感知/认知、应对/压力耐受、安全/保护)的护理诊断以及干预计划:结论:已确定的跨学科护理人员的 FFC 病例管理信息将为根据患者的功能状态实施有效干预提供证据。还需要开展更多研究,以建立一个以跨学科护理人员功能管理为重点的先进病例管理系统大型临床数据库,从而为确定功能护理的优先次序提供支持。
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引用次数: 0
Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System 评估马德里社区(西班牙)基层医疗系统中跌倒风险护理诊断的使用情况。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-03-01 DOI: 10.1111/2047-3095.12421
Silvia Domínguez-Fernández RN, PhD, María Julia Ajejas-Bazán RN, PhD, Francisco Javier Pérez-Rivas RN, PhD

Purpose

The purpose of this study was to describe the use of the nursing diagnosis Risk for Falls in Primary Care System of the Community of Madrid.

Methods

A retrospective review of the clinical histories was carried out in 262 health centers from January 2005 to December 2015. The study population are the patients who have recorded in their electronic health record the nursing diagnosis Risk for Falls.

Findings

Frequency of use of the Risk for Falls ND in the Community of Madrid was 53,340 diagnoses, increasing from 650 nursing diagnosis in 2005 to 14,695 in 2015. NOC Nursing Outcomes total identified were 109,145, which represents an average of 2.05 NOC Nursing Outcomes per diagnosis. NOC Nursing Outcomes frequently appeared as follows: Fall Prevention Behavior (35.9%), Safe Home Environment (11.3%), and Risk Control (10.5%). NIC Nursing Interventions total identified were 104,293, representing an average of 1.96 NIC nursing interventions per diagnosis. NIC Nursing Interventions frequently appeared as follows: Fall Prevention (45.9%), Environmental Management: Safety (27%), and Risk Identification (5.8%).

Conclusions

Nursing diagnosis of Risk for Falls and the care process related to this diagnosis is starting to be used by the primary care nurses of the Community of Madrid.

Implication for nursing practice

Risk factors related to the nursing diagnosis of risk for falls identified in our study can be addressed with activities that nurses must implement to prevent falls. Nursing methodology in general and specifically the diagnosis of risk for falls must be included in guides and protocols for the prevention of falls, and its use should be promoted by primary care nurses.

目的:本研究旨在描述马德里社区初级保健系统中跌倒风险护理诊断的使用情况:方法:对 2005 年 1 月至 2015 年 12 月期间 262 家医疗中心的临床病历进行回顾性分析。研究对象为在电子健康记录中记录有 "跌倒风险 "护理诊断的患者:马德里社区使用 "跌倒风险 "护理诊断的频率为 53340 次,从 2005 年的 650 次增加到 2015 年的 14695 次。确定的 NOC 护理结果总数为 109,145 个,平均每个诊断有 2.05 个 NOC 护理结果。经常出现的 NOC 护理结果如下:预防跌倒行为(35.9%)、安全家庭环境(11.3%)和风险控制(10.5%)。已确定的 NIC 护理干预措施共计 104,293 项,平均每项诊断有 1.96 项 NIC 护理干预措施。常见的 NIC 护理干预如下:预防跌倒(45.9%)、环境管理:结论:结论:马德里社区的初级护理护士开始使用跌倒风险护理诊断和与该诊断相关的护理流程:对护理实践的启示:在我们的研究中发现的与跌倒风险护理诊断相关的风险因素可以通过护士必须开展的预防跌倒活动加以解决。一般护理方法,特别是跌倒风险诊断必须纳入预防跌倒的指南和方案中,并应在初级护理护士中推广使用。
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引用次数: 0
Identification of North American Nursing Diagnosis Association—Nursing Interventions Classification—Nursing Outcomes Classification of nursing home residents using on-time data by android smartphone application by registered nurses 注册护士通过安卓智能手机应用软件使用按时数据对养老院居民进行北美护理诊断协会-护理干预分类-护理结果分类鉴定。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-03-01 DOI: 10.1111/2047-3095.12419
Juh Hyun Shin PhD, RN, Sun Ok Jung MSN, RN, Jee Sun Lee MSN, RN

Purpose

We aimed to investigate the nursing process linkages formed by Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) according to the primary NANDA-I diagnoses by registered nurses (RNs), customized to nursing home (NH) residents in Korea, using a developed smartphone application for NH RNs.

Methods

This is a retrospective descriptive study. Applying quota sampling, a total of 51 NHs from all operating 686 NHs hiring RNs participated in this study. Data were collected from June 21 to July 30, 2022. Data on NANDA-I, NIC, NOC (NNN) of nurses applied to the NH residents were collected through a developed smartphone application. The application consists of general organization and residents’ characteristics, NANDA-I, NIC, and NOC. RNs selected randomly up to 10 residents and NANDA-I with risk factors and related factors over the past 7 days, followed by all applied interventions out of 82 NIC. RNs then evaluated residents through 79 selected NOC.

Results

We found the frequently used NANDA-I diagnoses, Nursing Interventions Classifications and Nursing Outcomes and Classifications applied for NH residents by RNs and developed the top five NOC linkages used to build care plan.

Conclusion

It is time to pursue high-level evidence and reply to the questions raised in NH practice using NNN with high technology. The outcomes for patients and nursing staff are improved by the continuity of care made possible by uniform language.

Implications for nursing practice

NNN linkages should be used to construct and utilize the coding system of electronic health records or electronic medical records in Korean long-term care facilities.

目的:我们旨在利用为韩国养老院注册护士开发的智能手机应用程序,调查注册护士(RNs)根据 NANDA-I 主要诊断,为韩国养老院(NH)居民定制的护理干预分类(NIC)和护理结果分类(NOC)所形成的护理流程联系:这是一项回顾性描述研究。本研究采用配额抽样法,从所有运营的 686 家聘用护士的养老院中抽取了 51 家参与研究。数据收集时间为 2022 年 6 月 21 日至 7 月 30 日。通过开发的智能手机应用程序,收集了护士应聘国家住院医师的 NANDA-I、NIC、NOC(NNN)数据。该应用程序包括一般组织和住院患者特征、NANDA-I、NIC 和 NOC。护士随机选择最多 10 名住院患者和过去 7 天内存在风险因素和相关因素的 NANDA-I,然后从 82 个 NIC 中选择所有应用的干预措施。然后,护士通过 79 个选定的 NOC 对居民进行评估:结果:我们发现了护士对 NH 居民常用的 NANDA-I 诊断、护理干预分类和护理结果与分类,并制定了用于制定护理计划的五大 NOC 关联:现在是利用高科技 NNN 追求高水平证据并回答 NH 实践中提出的问题的时候了。通过统一语言实现护理的连续性,可改善患者和护理人员的治疗效果:在韩国的长期护理机构中,应使用 NNN 链接来构建和使用电子健康记录或电子医疗记录的编码系统。
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引用次数: 0
期刊
International Journal of Nursing Knowledge
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