基于Roy适应模型的自主神经反射障碍护理诊断情境特异性理论

Q3 Nursing Aquichan Pub Date : 2023-11-09 DOI:10.5294/aqui.2023.23.4.3
Judy Ximena Ramos-Garzón, Giovanny Andrés Perez-Jaimes, Leidy Johanna Rueda Díaz
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引用次数: 0

摘要

自主神经反射障碍(AD)是一种继发于脊髓损伤的疾病,表现为失去协调的自主神经反应和心血管控制。对于患者的护理,护士有AD的护理诊断,这允许对每个个体的人类反应进行精确的解释。然而,随着护理实践的发展,有必要加强和更新诊断的新学科知识。为此,提出一种情境化理论对于解释兴趣现象和指导实践至关重要。目的:从Sor Callista Roy的适应模型出发,构建AD的情境化护理诊断理论。材料和方法:理论研究分为五个阶段:定义构建理论的方法,定义关键概念,开发图形图,构建命题,建立因果关系和实践证据。结果:情境情境理论包括定义关键概念、构建图形图、构建命题、建立因果关系和实践证据。我们通过7个命题描述了这些概念及其关系,并确定了19种无效行为和43种环境刺激。其中39个是焦点刺激,4个是情境刺激。结论:这一情境特异性理论为人类对AD的支持性护理反应提供了一个有根据且全面的解释。
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Situation-Specific Theory from Autonomic Dysreflexia Nursing Diagnosis Based on Roy’s Adaptation Model
Introduction: Autonomic dysreflexia (AD) is a condition developed secondary to a spinal cord injury, which manifests with the loss of coordinated autonomic responses and cardiovascular control. For the care of the person, the nurse has the nursing diagnosis of AD, which allows the precise interpretation of the human responses of each individual. However, it is necessary to strengthen and update the diagnosis to the new disciplinary knowledge that evolved with nursing practice. For this, proposing a situation-specific theory is essential to explain the phenomenon of interest and guide practice. Objective: To construct a situation-specific theory for the nursing diagnosis of AD derived from the adaptation model of Sor Callista Roy. Materials and methods: Theoretical study developed in five stages: defining the approach to construct the theory, defining key concepts, developing a pictorial diagram, building propositions, and establishing causal relationships and evidence for practice. Results: The situation-specific theory included defining key concepts, developing a pictorial diagram, building propositions, and establishing causal relationships and evidence for practice. We described the concepts and their relationships through seven propositions and identified 19 ineffective behaviors and 43 environmental stimuli. Of them, 39 are focal, and four are contextual stimuli. Conclusions: This situation-specific theory offers a substantiated and comprehensive explanation of the human response to AD for supporting nursing care.
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来源期刊
Aquichan
Aquichan NURSING-
CiteScore
1.10
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Aquichan, a journal of medical and health sciences from the field of health sciences and, more specifically, nursing, publishes articles resulting from investigations from a point of view of epistemology, evidence-based practice, chronic care, promotion and prevention. The articles are for the academic and scientific community, both in Colombia and abroad. The journal accepts original, previously unpublished papers in Spanish, English, and Portuguese, which are the product of a research or a review and which are not being evaluated by other scientific journals, either in print or electronic form.
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