From diagnose to nursing intervention: the course of care on the rehabilitation of the spinal cord injuried patient

Abstract

This research refers to the diagnosis and the nursing interventions directed to spinal cord injured patients on a rehabilitation program. At first, to the nurse diagnosis formulation the registers made by the staff nurses on the nursing assesements were used, taken from the promptuaries of 38 patients on rehabilitation during the years of 1988 to 1992. Another objective was to identify the nursing intervention registered by those nurses at the Evolution registers, related to the most frequent nursing diagnosis, to enable the analyse of the relationship between the diagnosis and the nursing intervention. Afterwards, the Delphi techinique was used to obtain the consensus of a group of judges concerning the validation of the nursing interventions. The results showed 273 nursing diagnosis, grouped in 14 categories. The relationship between the diagnosis and the nursing interventions, treated by the Fisher test, was significant to the diagnosis and the nursing interventions, treated by the Fisher test, was significant to the diagnosis selfcare deficit bath and perceived obstipation. As to the nursing interventions recommend by the judges in the Delphi III phase, were related to the patient's orientation.