わが国の看護記録にみるNANDA看護診断〈不安〉に対する看護介入および看護成果の実態―NOCとNICを骨組みとして作成した分析枠組みを用いて

Identification of Nursing Interventions and Nursing Outcomes for NANDA“Anxiety”in Japanese Nursing Care Plan: Using the Analytical Framework Based on NOC and NIC

　 本研究の目的は，わが国の看護記録にみる看護介入と看護成果の実態を明らかにすること，さらにNICとNOCの必要性を追究することである．NANDA看護診断〈不安〉に対する看護介入および看護成果の記録の実態を分析するために，NICを基礎に「看護介入の分析枠組み」を，NOCを基礎に「看護成果の分析枠組み」を作成した．37事例を分析した結果，看護介入は5下位尺度のすべてに複数該当し，この該当パターンより看護介入は16カテゴリーを抽出し，看護介入の特徴を明らかにした．看護成果は4下位尺度のうち，3下位尺度に複数該当し，この該当パターンより看護成果は13カテゴリーを抽出し，看護成果の特徴を明らかにした．今後，NICを参考にして看護介入を考えていくことで，看護診断に向けられた介入の意図や方向を明確化できること，さらにNOCを参考にすることで看護成果の選択肢を増やしていくことが可能となることが示唆された．

　 The purpose of this study was to identify nursing interventions and nursing outcomes of Japanese nursing records. Also the purpose of this study was to discuss about necessary of Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) of the Iowa project. The analytical framework based on NIC and NOC was developed to identify nursing interventions and nursing outcomes for NANDA“Anxiety”in Japanese nursing care plan. Thirty seven cases were analyzed according to these analytical framework. In result, nursing interventions of those cases fitted five subscales of the analytical framework based on NIC, and nursing outcomes of those cases fitted four subscales of the analytical framework based on NOC. Sixteen categories were derived from nursing interventions of those cases by these fitting pattern of NIC. Also thirteen categories were derived from nursing outcomes of those cases by these fitting pattern of NOC. It was supposed that NIC and NOC were very useful tools for nurses, because those tools give nurses alternatives, orientations and intention of nursing interventions and outcomes.