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NANDA간호진단 분류체계를 이용한 동통,불안진단의 적용에 관한 연구
유형숙,이정희 성인간호학회 1990 성인간호학회지 Vol.2 No.-
This study was designed to identify whether the pain and anxiety diagnosis of NANDA could be applicable to Korean nursing practice or not. The concrete purpose of this study was to identify the frequency and ranks of etiology and defining characteristics in pain and anxiety diagnosis and to find the other defining characteristics which appeared in Korean nursing practice but not in NANDA's pain and anxiety diagnosis. The subject of this study was 200 patients who visited emergency room, C-University hospital, located in Seoul between August 7th and September 17th, in 1989. They were communicable with each other and the patient who appealed the problem of pain or anxiety diagnosed by five emergency room nurses who got occupational experience, ranging from 3 years to 7 years. The instrument used in this study was comfort altered : Pain and Anxiety diagnosis proposed by NANDA in pocket Guide to Nursing Diagnosis(1987) edited by Kim M.J. et al. Because there has not been any studies on consensus of Korean term of defining characteristics and sensus of Korean term of defining characteristics and etiology, the instrument was versified into Korean by researcher in order for understanding. The results are as follows. 1) The total number of etiology in 194 comfort alterted : pain diagnoses was 238 and the mean was 1.2. The total number of defining characteristics was 783 and the mean was 4.0%. 2) The total number of etiology in Anxiety diagnoses was 61 and the mean was 1.7. The total number of defining characteristics was 218 and the mean was 6.2%. 3) The rate of revealed in etiology of pain diagnoses was physical agent 50%. Biological agent 42.8%, Chemical agent 22.7%, Psychological agent 7.2%. 4) The rate of revealed in subjective defining characteristics of pain diagnosis was that communication (verbal or code) of pain descriptor 90.7%, and the rate of revealed in objective defining characteristics was that facial mask of pain 77.3%, distraction behavior 51.5%, guarding behavior 45.9%, automic responses 25.8% in order. 5) The rate of revealed in etiology of anxiety diagnoses was that threat of death 45.7%, Threat to or change in health status 37.1%, situational and maturational crises 22.9%, Threat to or change in socioeconomic status 17.1%, Threat to or change in environment 14.3%.