Nursing taxonomies in hospital discharge planning: a quasi-experimental study

ABSTRACT Objective: to evaluate the effect of implementation of hospital discharge planning based on the taxonomies of NANDA-International, nursing interventions classification (NIC) and nursing outcomes classification (NOC) for patients with heart failure (HF) or diabetes mellitus (DM). Methods: quasi-experimental quantitative study conducted in a public university hospital located in the state of Rio Grande do Sul, Brazil. Convenience sampling included 28 adult patients hospitalized for HF or DM with the nursing diagnosis Ineffective Health Management (00078), who received the following nursing interventions: Teaching: Disease Process, Teaching: Prescribed Medication and Teaching: Prescribed Diet. Before and after the intervention, the following nursing outcomes were evaluated : Knowledge: Diabetes Management and Knowledge: Heart Failure Management. Results: the score of the nursing outcome Knowledge: Heart Failure Management went from 2.05±0.28 to 2.54±0.30 (P=0.002), and of the nursing outcome Knowledge: Diabetes Management went from 2.61±0.55 to 3.21±0.57 (P=0.000). Conclusion: discharge planning based on the NIC improves the NOC score and may interfere in the health outcomes.

摘要
目的：评估基于北美护理诊断协会国际分会（NANDA-International）、护理干预分类系统（Nursing Interventions Classification, NIC）与护理结局分类系统（Nursing Outcomes Classification, NOC）的出院计划实施，对心力衰竭（Heart Failure, HF）或糖尿病（Diabetes Mellitus, DM）患者的干预效果。
方法：本研究为类实验性定量研究，于巴西南里奥格兰德州的一所公立大学附属医院开展。采用便利抽样法，纳入28名因心力衰竭或糖尿病住院、且护理诊断为无效健康管理（00078）的成年患者，为其实施三项护理干预：疾病过程宣教、处方药物指导与处方饮食指导。干预前后分别评估两项护理结局指标：糖尿病管理知识与心力衰竭管理知识。
结果：心力衰竭管理知识这一护理结局的得分从2.05±0.28提升至2.54±0.30（P=0.002）；糖尿病管理知识这一护理结局的得分从2.61±0.55提升至3.21±0.57（P=0.000）。
结论：基于护理干预分类系统的出院计划可提升护理结局分类系统得分，或可对患者健康结局产生干预影响。