探索使用国际护理分类对COVID-19患者的护理护理,基于护理实践的护理记录
Sumi Sung1, Hyesil Jung, Youlim Kim
1Author Affiliations: Office of Hospital Information (Dr Sung, and Ms Kim) and Biomedical Research Institute (Dr Sung), Seoul National University Hospital, Seoul; and, Department of Nursing, Inha University, Incheon (Dr Jung), Republic of Korea.
护理记录揭示了2019年冠状病毒病患者的关键护理主题. 重症监护病房专注于监测症状,而病房记录了患者报告的症状,突出了不同的护理需求.
科学领域:
- 护理 护理 护理
- 传染性疾病 传染性疾病
- 临床信息学 临床信息学
背景情况:
- 新冠病毒病2019 (COVID-19) 提出了独特的护理挑战.
- 了解护理护理模式对于优化患者管理至关重要.
- 国际护理实践分类 (ICNP) 为护理文档提供了一个标准化的框架.
研究的目的:
- 探索和比较病房和重症监护室 (ICU) 设置中的COVID-19患者的护理主题.
- 用国际护理实践分类 (ICNP) 分析护理叙述.
- 确定COVID-19护理护理文档的关键领域.
主要方法:
- 从555名成年COVID-19患者 (2019年12月 - 2022年6月) 中提取了256,630份护理陈述.
- 将护理陈述映射到301个独特的ICNP概念中,代表了前90%的叙述.
- 计算和比较病房和ICU设置之间的标准化护理陈述.
主要成果:
- 大多数被记录的主题包括感染,身体症状 (吐,咳,呼吸不良,) 和生命体征 (氧和,温度).
- 病房护士专注于直接监测的症状 (意识,瞳孔反射,皮肤完整性).
- 病房护士记录了更多患者报告的症状.
结论:
- 基于ICNP的护理记录为COVID-19患者护理提供了宝贵的见解.
- 病房和ICU护理对COVID-19患者之间存在不同的文档模式.
- 标准化的护理数据可以为有针对性的护理策略提供信息,并改善患者的治疗结果.
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