Evaluating home health care nursing outcomes with OASIS and NOC.
Evaluating home health care nursing outcomes with OASIS and NOC.
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使用 OASIS 和 NOC 评估家庭保健护理结果。
DOI：
10.1111/j.1547-5069.2007.00209.x
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Keenan,Gail
中科院分区：
文献类型：
--
作者：
Schneider,JuliaStocker;Barkauskas,Violet;Keenan,Gail
目的：为了确定的敏感性和反应的结果和评估信息集（OASIS）和护理结果分类（NOC）的家庭医疗护理interventions.Methods的影响：一个准实验前后研究进行了一个样本的106个家庭医疗保健参与者提到的七个参与中西部家庭医疗保健机构治疗的心脏病。使用OASIS和NOC在家庭医疗入院和出院时收集患者结局数据。在每次访视时使用护理干预分类（NIC）收集护理干预数据。干预强度计算的NIC干预措施提供了在事件的care.Findings：无论是OASIS还是NOC的干预强度测量的家庭保健护理的影响，总的数量。OASIS是没有反应的临床可辨别的变化，患者的结果，而NOC是响应患者的状态变化的结果类别，包括活动的日常生活，心肺功能状态，应对和疾病管理behavior.Conclusions：结果的措施，更具体的条件和学科的具体家庭护理的效果。需要进一步的研究，以确定和完善的结果措施，是敏感和响应的护理在家庭健康和其他nursing settings.Clinical的影响：使用的结果措施，更敏感和响应护理更有效地指导护理实践。
Purpose: To determine the sensitivity and responsiveness of the Outcome and Assessment Information Set (OASIS) and the Nursing Outcomes Classification (NOC) to the effects of home healthcare nursing interventions.Methods: A quasi‐experimental before‐after study was conducted using a sample of 106 home healthcare participants referred to one of seven participating Midwest home healthcare agencies for treatment of a cardiac condition. Patient outcomes data were collected at home healthcare admission and discharge using OASIS and NOC. Nursing intervention data were collected at each visit using the Nursing Interventions Classification (NIC). Intervention intensity was calculated by totaling the number of NIC interventions provided over the episode of care.Findings: Neither OASIS nor NOC were sensitive to the effects of home healthcare nursing as measured by intervention intensity. The OASIS was not responsive to clinically discernable changes in patient outcomes; while the NOC was responsive to patient status change in the outcome categories including activities of daily living, cardiopulmonary status, coping, and illness management behavior.Conclusions: Outcome measures that are more condition‐specific and discipline‐specific are more responsive to the effects of home healthcare nursing. Further research is needed to identify and refine outcome measures that are sensitive and responsive to the effects of nursing care in home health and other nursing settings.Clinical Relevance: The use of outcome measures that are more sensitive and responsive to nursing are more effective in guiding nursing practice.