척수손상 환자의 간호진단분석

An Analysis of Nursing Diagnoses of Spinal Cord Injury Patients stated by Student Nurses

This study was to analysis nursing diagnoses used in student's neuro-surgery clinical practice, and ultimately to provide basic data for efficient clinical teaching. The subjects for this study were 40 case reports by nursing students. Data collection was done from Mar. to Dec. in 1997 and Mar. to Dec in 1998. The findings of this study were as follows Nursing diagnoses stated by student nurses were 34 titles of nursing diagnosis, and 3.9 titles per patient. The frequency order of nursing diagnoses by student nurses were 'Pain' 'Impaired physical mobiliy' 'Sleep pattern disgurbance' 'Constipation' 'Anxiety' 'Self-care deficit' 'Impaired skin integrity' 'Altered urinary elimination' 'Kiversional activity deficit' 'Risk for disuse syndrome' In the classfication according to 9 human response pattern, the frequency order were 'Exchaging' 'Moving' 'Perceiving' 'Feeling' , but 'Communicating' was not used. Titles and defing characteristics on the NANDA list of approved diagnoses were most frequently used by student nurses. And many of related factors used by student nurses were on the NANDA approved list. This results suggest that titles and defing characteristics on the NANDA list of approved diagnoses are very useful m spinal cord injury patient of medical-surgical clinical practice, but related factors are very broad in scope. So it needs to be spicified in the area of related factors. Further study and research are needed to develope the NANDA list in adult health nursing.