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KMID : 0377519850100020241
Chung-Ang Journal of Medicine
1985 Volume.10 No. 2 p.241 ~ p.256
A Study of Nursing Diagnoses by Analyzing Nursing Records in Adult Patients


Abstract
The¢¥ purpose of this study is to diagnose the nursing problem by analizing nursing records and to"give the qualified nursing service with scientific approach to the hospitalized medical patients.
The subject for this paper were 507 out of 1805 who had one or more admission history at medical de partment, from CAU hospital, locating in Seoul, from Jan. 1. 1983 to Dec. 31, 1983.
For the study, it is used the Nursing Diagnoses edited by Mi Ja Kim et al. and divided nursing _$eed into several parts with the nursing diagnosis catalog r
The results of this study are as follows:
1. The number of nursing diagnosis from the discharge records are 3314 and the average number -_H? nursing diagnosis per patient is 6.5
2, Determined nursing diagnosis from 507 discharge records s(Comfort, Alterationin) 91.2%; PotiC$o essness) 590, (Nutrition, Alterations in: Less than body requirment) 3$.30, (Breathing patterns, Ineffective) 34.9%, (Anxiety) 31.6%, and(Sleep pattern Disturbances) 29;0.
3. Applying the division of Nursing Diagnosis Catalog to Maslow¢¥s hierachy of - eed,Majorityof `:urs- ngj Diagnoses belongs to Physiological need 71%, next is Safety need 11%. Belonging and Love need_ 6: 061, and Esteem and Self actualization need 11.4%.
Nlaslow¢¥s each stage by Nursing Diagnoses shows high; (Comforf; Alteration in) to Physiological need,¢¥.---stage, (:anxiety) to Safety need stage, (Coping, Ineffective Irdividual)to Belonging and Love need stare, (Diversional Activity, Deficit) to Esteem and Self actualization need stage.
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