Clinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer

ABSTRACT Objective: To investigate scientific evidence related to the term protection and clinical indicators and etiologic factors for nursing diagnosis Ineffective protection in adolescents with cancer. Method: Integrative literature review in the databases of Scopus, Web of Science, National Library of Medicine and National Institutes of Health (PubMed) and Cochrane; by intersection of the descriptors protection and childhood cancer, which resulted in seven articles. These were insufficient for a comprehension of the term protection and aspects related to its impairment, therefore it was necessary to include a further three reference books. Results: Five clinical indicators and three etiologic factors associated to Ineffective protection were identified some of which were not cited in NANDA-International. Conclusions: There are clinical and etiologic factors important for the identification of ineffective protection in adolescents with cancer.

摘要 研究目的：探讨与“保护”术语相关的科学证据，以及青少年癌症患者无效保护护理诊断的临床指标与病因学因素。研究方法：本研究采用整合性文献综述设计，检索了Scopus、Web of Science、美国国立医学图书馆、美国国立卫生研究院（PubMed）及Cochrane数据库；以“保护”与“儿童癌症”作为检索词进行交叉检索，最终纳入7篇文献。但上述文献不足以全面阐释“保护”术语及其功能受损相关内涵，因此额外补充纳入3部参考著作。研究结果：共识别出与无效保护相关的5项临床指标与3项病因学因素，其中部分指标未被北美护理诊断协会国际版（NANDA-International）收录引用。研究结论：存在若干对青少年癌症患者无效保护的识别具有重要意义的临床与病因学因素。