Nathaly B M Fróes, Dayane Dos R A R Holanda, Mariana G Pagio, Rebeca R M Nunes, Nirla G Guedes, Viviane M da Silva, Marcos V de O Lopes
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引用次数: 0
Abstract
Background: Clinical indicators (CI) of the nursing diagnosis (ND) ineffective health maintenance behaviors (IHMB) (00292) may be present in women who do not wish to become pregnant. Thus, nurses should to be attentive of the individual, cultural, and social characteristics of these women in order to identify behaviors (CI) that may represent a risk for unwanted pregnancy.
Purpose: This study aimed to identify CI of IHMB in women of childbearing age who do not wish to become pregnant.
Design: Systematic review of diagnostic test accuracy.
Data sources: Scopus, PubMed/MEDLINE, Embase, Biblioteca Virtual em Saúde, PsycINFO (Searched on November 12, 2023) and Ovid, Web of Science, CINAHL, Google Scholar, and ProQuest (searched on June 10, 2024).
Data synthesis: The final sample resulted in five articles, in which two CI were identified in women who manifested the ND IHMB. "Ineffective choices in daily life for meeting health goals" was identified in women when they did not discuss contraceptive methods with their partners. "Failure to perceive health risk" was identified when women had low or no perception of pregnancy risk.
Conclusion: Two CI of IHMB were identified in women who do not wish to become pregnant: "ineffective choices in daily life for meeting health goals" and "failure to perceive health risk."
Implications for the profession and/or patient care: These findings will provide nurses a better understanding of behaviors expressed by women who do not wish to become pregnant that prevent them to use contraception, that way nurses can make specific interventions on these issues. Including the indicator failure to perceive health risk to the NANDA International can broaden the spectrum of nurse's assessment for the study population.
背景:护理诊断(ND)无效健康维持行为(IHMB)(00292)的临床指标(CI)可能存在于不希望怀孕的妇女中。因此,护士应该注意这些妇女的个人、文化和社会特征,以便识别可能代表意外怀孕风险的行为(CI)。目的:本研究旨在确定不希望怀孕的育龄妇女IHMB的CI。设计:系统评价诊断试验的准确性。数据来源:Scopus, PubMed/MEDLINE, Embase, Biblioteca Virtual em Saúde, PsycINFO(检索日期:2023年11月12日),Ovid, Web of Science, CINAHL,谷歌Scholar, ProQuest(检索日期:2024年6月10日)。数据综合:最终的样本产生了五篇文章,其中两篇CI在表现为ND IHMB的女性中被确定。未与伴侣讨论避孕方法的妇女被认定为“日常生活中实现健康目标的无效选择”。当妇女对怀孕风险的认识较低或没有认识到时,就确定为“未能认识到健康风险”。结论:在不希望怀孕的女性中发现了两种IHMB的CI:“在日常生活中为实现健康目标而做出的无效选择”和“未能意识到健康风险”。对专业和/或患者护理的启示:这些发现将使护士更好地理解那些不希望怀孕的妇女所表达的阻止她们使用避孕措施的行为,这样护士就可以对这些问题进行具体的干预。将未能察觉健康风险的指标纳入NANDA国际可以拓宽护士对研究人群的评估范围。
期刊介绍:
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.