对在中国接受长期野外护理的烧伤患者进行护理诊断的建议:Delphi研究
Dandan Lin1,2, Ying Cao3, Jin Gao1
1Department of Field Nursing, School of Nursing, Army Medical University, Chongqing, China.
BMJ open
|November 20, 2025
概括
为长期野外护理 (PFC) 中的烧伤患者开发了一种新的护理诊断指数系统. 该系统标准化了护理,旨在改善这些关键患者的治疗结果.
科学领域:
- 护理 护理 护理
- 紧急医疗 紧急医疗
- 军人卫生保健 军人卫生保健
背景情况:
- 长期现场护理 (PFC) 对烧伤患者的管理提出了独特的挑战.
- 标准化的护理诊断对于在严格的环境中提供有效和高效的护理至关重要.
研究的目的:
- 为接受PFC的烧伤患者构建和验证一个全面的护理诊断指数系统.
- 建立一个科学和合理的框架,以指导PFC环境中的护理干预.
主要方法:
- 一个经过修改的Delphi研究,涉及专家采访和咨询.
- 基于既定框架和军事标准开发初步索引系统.
- 使用分析层次过程进行三轮德尔菲提炼和加权.
主要成果:
- 建立了7个初级,18个二级和44个三级指标系统.
- 专家达成了高度的共识 (肯德尔的W:0.104-0.305,p<0.001;权威系数:0.85).
- 关键加权指标包括安全/保护,营养,消除/交换,身体伤害风险,温度调节和应对反应.
结论:
- 开发的索引系统为PFC中烧伤患者的护理诊断提供了一种标准化,科学化的方法.
- 预计该系统的实施将在具有挑战性的PFC环境中提高护理护理的质量和效率.
相关概念视频
Peripheral Artery Disease IV: Nursing Management
325
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
325
Nursing Diagnosis
3.6K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
3.6K
Burn Injuries
4.0K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
4.0K
Formulating and Validating Nursing Diagnosis II
3.6K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
3.6K
Documentation of Nursing Diagnosis
1.6K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.6K
Formulating and Validating Nursing Diagnosis I
3.5K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
There are thirteen domains...
3.5K


