探索"慢性疼痛"护理诊断的术语有效性:使用护理日记进行了一项回顾性描述性研究
Nicola Ramacciati1, Elisabetta Metlichin2, Gian Domenico Giusti3
1Department of Pharmacy, Health and Nutritional Sciences University of Calabria, Rende, Italy.
Journal of clinical nursing
|September 5, 2023
概括
这项研究验证了慢性疼痛的诊断标准,支持其护理诊断. 未来的研究将利用人工智能来增强临床实践和患者护理.
科学领域:
- 护理 护理 护理
- 疼痛管理 疼痛管理
- 临床诊断 临床诊断 临床诊断
背景情况:
- 慢性疼痛影响所有年龄段的人,造成心理困扰和医疗保健准入问题.
- 患有慢性疼痛的患者经常面临难以置信的情况,这会影响康复和福祉.
研究的目的:
- 从临床记录中产生经验证据,以支持慢性疼痛的护理诊断.
- 提高"慢性疼痛"护理诊断的证据水平.
主要方法:
- 追溯性描述性研究遵循报告标准的诊断准确性研究指南.
- 在佩鲁贾大学医院 (2016-2022) 电子健康记录 (EHR) 中分析了283份临床护理笔记.
- 基于关键字的检索和诊断定义用于从超过43,000个护理日记中识别相关病例.
主要成果:
- 研究结果支持"慢性疼痛"护理诊断的诊断描述符.
- 观察到9/11定义特征的存在,7/10相关因素,4/8风险人群和11/17相关条件.
- 建议"血液病理"作为一个新的相关条件.
结论:
- 慢性疼痛的诊断标准得到了验证,并建议"血液病理"作为一种新的相关疾病.
- 结果被介绍给NANDA-国际的诊断开发委员会.
- 未来的研究方向包括自然语言处理和人工智能 (AI),用于增强语义分析和临床决策.
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