| Objective: The purpose of the study was to identify the most frequently used nursing diagnoses, interventions, outcomes, and linkages, and to evaluate the effectiveness of nursing interventions(NIC) using nursing outcomes(NOC) for elderly patients with abdominal external hernia surgery.Method: For this study a randomize sample was used. The frequently used NANDA-I, NIC, NOC, and NNN linkages were identified according to the 11 th Handbook Of Nursing Diagnosis, the 3th Nursing Outcome Classification, the 5th Nursing Intervention Classification and the 2th NANDA, NOC and NIC Linkages, the effective interventions were determined through 60 elderly patients with abdominal external hernia surgery who were admitted in hospital from March to December in 2014. Data were analyzed by SPSS17.0. Descriptive Statistics and 2 Independent Nonparametric Tests were used in this study.Results: 1. 11 nursing diagnoses, 15 nursing outcomes, 27 nursing interventions and 36 NNN linkages were used in the study.2. The most prevalent nursing diagnoses were Activity Intolerance, Tissue Integrity Impaired, Knowledge Deficit, Chronic Pain and Risk for Falls. These 5 nursing diagnoses was used for more than 10% respectively.3. The most prevalent nursing outcomes were Activity Tolerance, Tissue Integrity: Skin & Mucous Membranes, Ambulation, Knowledge: Diet, and Pain Level. These 5 nursing outcomes accounted for almost 50% of the nursing outcomes for patients with abdominal external hernia surgery.4. The most prevalent nursing interventions were Environment Management: Comfort, Positioning, Incision Cite Care, Environmeng Management: Safety, Exercise Therapy: Ambulation, Teaching: Prescribed Diet, Teaching: Prescribed Activity?Exercise and Pain Management. These 8 nursing interventions accounted for more than 50% of the nursing interventions for patients with abdominal external hernia surgery.5. The most prevalent 10 NNN linkages were(1) Activity Intolerance-Activity Tolerance- Exercise Therapy: Ambulation,(2) Pain-Pain Level-Positioning,(3) Knowledge Deficit-Knowledge: Diet-Teaching: Prescribed Diet,(4) Pain-Pain Level-Pain Management,(5) Knowledge Deficit-Knowledge: Treatment Regimen-Teaching: Prescribed Activity?Exercise,(6) Knowledge Deficit-Knowledge: Diet-Health Education,(7) Knowledge Deficit-Knowledge: Fall Prevention-Teaching: Prescribed Activity?Exercise,(8) Risk for Falls-Fall Prevention Behaviour-Environmeng Management: Safety,(9) Risk for Falls-Fall Prevention Behaviour-Fall Prevention,(10) Knowledge Deficit-Knowledge: Fall Prevention-Environment Management. These linkages were used over 50 times for patients with abdominal external hernia surgery.6. The scores of 12 nursing outcomes increased significantly(P<0.05)between the first day after surgery and the discharged. Fall Prevention Behaviour, Knowledge: Fall Prevention and Thermoregualtion did not show statistically significant differences(P>0.05).7. All of the NOC-NIC show statistically significant differences(P<0.05), besides Fall Prevention Behaviour-Environmeng Management: Safety, Fall Prevention Behaviour-Fall Prevention, Knowledge: Fall Prevention-Teaching: Prescribed Activity?Exercise, Knowledge: Fall Prevention-Teaching: Individual, Knowledge: Fall Prevention-Environmeng Management, Thermoregulation-Fever Treament, Thermoregulation-Temperature Regulation.Conclusions: 1. The application of NNN linkages standard language for patients with abdominal external hernia surgery in this study not only offer new knowledge to nurses but also provide scope of evidence-based nursing research in abdominal external hernia clinics.2. Application of standardized nursing language to describe nursing practice can provide a theoretical basis for other care field. |
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