The relationship among medical diagnosis, nursing diagnosis, and nursing intervention and the implications for home health care.
The purpose of this study was to identify the most commonly used medical diagnoses, nursing diagnoses, and nursing interventions for home health care based on 244 patient records. Nursing interventions were categorized into three groups: assessment, instruction, and other. The results showed that for the three most commonly used medical diagnosis groups--"infectious and parasitic disease," "disease of the circulatory system," and "neoplasms"--the most related nursing diagnoses were "alteration in mobility," "alteration in cardiac status," and "alteration in comfort: pain." The most used nursing interventions were "instructions." The results indicated that nurses identified patients' physiological problems mostly in relation to medical diagnoses, and teaching was the most frequently used nursing intervention in home health care.
Lee
T
T
Chung Shan Medical and Dental College, School of Nursing, Taiwan, Republic of China.
Mills
M E
ME
D000368:Aged; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009733:Nursing Diagnosis / Q000145:classification*; D009739:Nursing Services / Q000145:classification*