Nursing diagnosis Chronic Pain from the patients¡¯ perspective
详细信息 查看全文
- 作者：Alica Slamková ; ; aslamkova@ukf.sk" class="auth_mail" title="E-mail the corresponding author ; Ľubica Polední ; ková
- 关键词：Chronic pain ; Palliative care ; Nursing diagnosis ; Defining characteristics ; Fehling's clinical diagnostic validity model
- 刊名：Kontakt
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：18
- 期：4
- 页码：e224-e230
- 全文大小：371 K
文摘
Chronic pain is one of the priority problems in palliative care. The study objective was the validation of the nursing diagnosis of Chronic Pain (00133) in patients in palliative care. It is a retrospective study. To evaluate the defining characteristics of the nursing diagnosis, we used the patient-focused clinical diagnostic validity model of Fehring, which uses information obtained directly from patients. We designed a questionnaire-type measurement tool containing 15 defining characteristics of the nursing diagnosis of Chronic Pain (00133). The sample included n = 83 patients in palliative care who were treated for pain for at least six months. The defining characteristics were rated by the patients on the Likert-type scale (from 1 – not at all characteristic of me, to 5 – very characteristic of me). After data collection, we calculated weighted scores (WS) for each of the defining characteristics. We used correlation analysis to analyze the relationships between the risk factors. None of the 15 defining characteristics were considered major by the patients. Seven defining characteristics were considered minor: pain (0.68), changes in sleep pattern (0.55), altered ability to continue previous activities (0.54), fatigue (0.52), atrophy of the involved muscle group (0.51), fear of re-injury (0.51), and restlessness (0.50). Eight defining characteristics were discarded by the patients. A statistically significant relationship was found between eight pairs of the minor defining characteristics, p < 0.01. The study results suggest the essential defining characteristics that may help nurses in identifying and defining an accurate nursing diagnosis in clinical practice.