Japanese

Content Analysis of the Conventional Nursing Care Plan for Brain Damage Patients with Functional Incontinence of Urine Midori Nagashima 1 , Setsu Iijima 2 1Department of Nursing,Tsukuba International Junior College 2Institute of Disability Sciences, University of Tsukuba Keyword: 脳損傷 , 機能性尿失禁 , 看護計画 , 内容分析 , リハビリテーション , brain damage , functional incontinence of urine , nursing care plans , content analysis , rehabilitation pp.49-57
Published Date 2006/9/20
  • Abstract
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Abstract

 The purpose of this study was to clarify the structure and insufficiencies of conventional nursing care plans for patients with functional incontinence of urine due to brain damage in order to develop rehabilitation programs for them.

 We investigated 783 nursing care plans for 146 patients, who were 18 to 59 years old, and had functional incontinent of urine after brain damage. The structure of the nursing care plans was examined using Mayring's method including explicative content analysis, summarizing content analysis and structuring content analysis. Insufficiencies of the care plans were classified according to reasons of failure.

 We found that the structure of conventional the nursing care plans consisted of 3 domains and 9 categories. The first domain was formed from interventions to manage psychological and physical environments, and was classified into 4 categories such as stabilization of the circadian rhythm. The second domain consisted of interventions to help patients to obtain new behavioral skills. The third domain consisted of interventions to prepare alternative or compensatory techniques for dealing with urinary problem specific among patients with brain damage, and was divided into 4 categories such as introduction of an alternative communication method. Insufficiencies of the care plans were classified into 5 categories.

 These findings suggest that nursing care plans for patients with functional incontinence could be more effective if they were restructured according to 3 domains and 9 categories and checked for 5 categories of insufficiencies which had been clarified in this study.


Copyright © 2006, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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