Results of the Nursing Outcomes Classification/NOC for patients with obsessive-compulsive disorder

ABSTRACT Objective: To analyze the application of nursing outcomes and indicators selected from the Nursing Outcomes Classification (NOC) to evaluate patients with obsessive-compulsive disorder (OCD) in outpatient follow-up. Method: Outcome-based research. First, a consensus was achieved between nurses specialized in mental health (MH) and in the nursing process to select NOC-related outcomes and indicators, followed by the elaboration of their conceptual and operational definitions. Then, an instrument was created with these, which was tested in a pilot group of six patients treated at a MH outpatient clinic. The instrument was applied to patients with OCD undergoing Group Cognitive Behavioral Therapy (GCBT). The study was approved by the Research Ethics Committee of the institution. Results: Four NOC outcomes and 17 indicators were selected. There was a significant change in the scores of nine indicators after CBGT. Conclusion: The study showed feasibility for evaluating symptoms of patients with OCD through NOC outcomes and indicators in an outpatient situation.

摘要
研究目的：分析从护理结局分类（Nursing Outcomes Classification, NOC）中遴选的护理结局与指标，在门诊随访强迫症（obsessive-compulsive disorder, OCD）患者评估中的应用价值。
研究方法：本研究为基于结局的研究。首先，由精神卫生（mental health, MH）护理及护理流程领域的专科护士达成共识，遴选与NOC相关的护理结局与指标，随后明确其概念性定义与操作性定义。其次，基于上述内容编制研究工具，并在某精神卫生门诊就诊的6名患者组成的预试验组中开展测试。随后将该工具应用于接受团体认知行为治疗（Group Cognitive Behavioral Therapy, GCBT）的强迫症患者。本研究已通过机构伦理审查委员会的审批。
研究结果：共遴选得到4项NOC护理结局与17项指标。经团体认知行为治疗后，其中9项指标的得分存在显著变化。
研究结论：本研究证实，借助NOC护理结局与指标在门诊场景下评估强迫症患者症状具备可行性。