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Nursing needs categorized into nursing diagnoses according to NANDA observed in a primary health-care setting in Bangkok, Thailand: A quantitative observational study
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2013 (English)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Lifestyle related non-communicable diseases are now the biggest cause of death and burden of disease in Thailand. NANDA is an evidence- based classification system of nursing diagnosis.

Aim: The purpose of the study was to identify and describe the nursing needs of a patient group from a low socio-economic background located in an urban primary health-care setting in Thailand by using NANDA.

Method: The study is a structured observation study with a quantitative approach. The study was conducted at a health- center in Bangkok, Thailand.

Result: 42 different NANDA diagnoses were identified in the observed group. In total 609 nursing diagnoses were distributed among 96 patients of which 76 were women. The most frequent nursing need diagnosis found was; Imbalanced nutrition; more than body requirement. The most frequent nursing risk diagnosis identified was: Risk for decreased cardiac tissue perfusion.

Conclusion: The nursing needs observed in the patient group were mainly related to non- communicable diseases. The disease panorama observed in the patient group coherent with findings in international modern research. Significant relationships and patterns between nursing needs could be identified which strengthens the idea of using an instrument such as NANDA. In conducting the study it was evident that some nursing problems did not match with any diagnosis in the NANDA taxonomy.

Clinical impact: The study shows the nursing needs among a patient group with low-socio economic backgrounds in an urban primary health care setting in Bangkok. NANDA is a good tool to systematize nursing care in the nursing profession. It can be beneficial for students in similar situations to use a tool like NANDA to categorize their assessments and impressions.

Abstract [sv]

Bakgrund: Livsstil relaterade icke-smittsamma sjukdomar är numera den största dödsorsaken och sjukdomsbördan i Thailand. NANDA är en evidensbaserad klassificeringssystem av omvårdnad diagnos.

Syfte: Syftet med studien var att beskriva och identifiera omvårdnadsbehov hos en patientgrupp med låg socioekonomisk bakgrund inom primärvården i Bangkok genom att använda NANDA.

Metod: Studien är en strukturerad observationsstudie med en kvantitativ ansats. Studien genomfördes på en primärvårsinstans i Bangkok.

Resultat: 42 olika NANDA diagnoser identifierades i den observerade gruppen. Totalt fördelades 609 diagnoser på 96 patienter, varav 76 var kvinnor. Vanligaste omvårdnadnadsdiagnosen var Obalanserad kost, mer än kroppsbehovet. Den vanligaste omvårdnads riskdiagnosen identifierad var Risk för minskad hjärtvävnads perfusion.

Slutsats: Omvårdnads behovet i den observerade patient gruppen var främst relaterat till icke smittsamma livsstilsrelaterade sjukdomar. Sjukdomspanoramat i den observerade patientgruppen var i överensstämmelse med resultat i internationell modern forskning. Att använda NANDA visade sig vara använbart för att organisera och systematisera observationer och data oavsett sammanhang. Signifikanta samband och mönster mellan olika omvårdnadsbehov kunde identifieras. Ett antal identifierade omvårdnadproblem matchade inte med någon diagnos i NANDA taxonomin.

Klinisk betydelse: Studien visar på omvårdnadsbehovet hos en patientgrupp med låg socioekonomisk bakgrund i en urban primärvårdsinstans i Bangkok. NANDA är ett bra verktyg för att systematisera omvårdnad i sjuksköterskeyrket. Det kan vara fördelaktigt för studenter i liknande situationer att använda ett verktyg som NANDA att kategorisera sina bedömningar och intryck.

Place, publisher, year, edition, pages
2013. , 34 p.
Keyword [en]
NANDA, Thailand, primary health-care, non-communicable diseases, low socio-economic background
Keyword [sv]
NANDA, Thailand, primärvård, icke-smittsamma sjukdomar, låg socioekonomisk bakgrund
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-708OAI: oai:DiVA.org:rkh-708DiVA: diva2:642301
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Available from: 2013-08-21 Created: 2013-08-21 Last updated: 2015-07-16Bibliographically approved

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