Nursing Diagnoses in Patients With Leukemia

Abstract

PURPOSE. To identify and describe nursing diagnoses, their related factors, and defining characteristics, in hospitalized leukemia patients and to categorize these nursing diagnoses within Functional Health Patterns. METHODS. Content analysis of 15 nursing records and interviews with 7 oncology nurses working on a hematology/oncology ward in a University hospital in Maastricht, the Netherlands. FINDINGS. In the leukemia population, 47 nursing diagnoses with their associated characteristics were identified and classified within 10 Functional Health Patterns. Most of the nursing diagnoses were related to the Nutritional‐Metabolic, the Cognitive‐Perceptual, Activity‐Exercise, the Role‐Relationship, and the Coping‐Stress‐Tolerance patterns. CONCLUSIONS. Results describe the nursing care needs of patients with leukemia. Since the study used a small sample, results should be interpreted with caution. Further research is recommended.

Nursing Diagnoses and Interventions of Japanese Patients with End‐Stage Breast Cancer Admitted for Different Care Purposes

“…Japanese nursing diagnoses tend to be related to physical problems rather than psychosocial conditions such as anxiety . Similar results were reported in earlier studies (Courtens & Abu‐Saad, 1998). Even though numbers of patients who have psychosocial problems were relatively low, U.S. nurses were more likely to list various psychosocial nursing diagnoses, such as anxiety , fear , powerlessness , ineffective coping , and denial (Lunney, 1997), than Japanese nurses.…”

“…Targeting nursing diagnosis and intervention for clients with cancer, the following research has been concluded analyzing data from nursing records. Courtens and Abu‐Saad (1998) identified 47 nursing diagnoses with associated characteristics in patients with leukemia from 15 nursing records. Hur, Kim, and Storey (2000) identified and classified nursing diagnoses and interventions for home care clients with advanced cancer or severe brain lesions.…”

The sexuality of patients with onco-hematological diseases

“…At the start of treatment, these patients' sexual activity is related to the feeling of weakness and downheartedness, as highlighted in literature (1,14) and, later, to constant hospitalizations, lack of privacy, fear of infection and other psychological aspects related to the disease, which are also mentioned in literature (15) .…”

Improved Quality of Nursing Documentation: Results of a Nursing Diagnoses, Interventions, and Outcomes Implementation Study

“…Different authors have agreed that nurses must be better educated concerning the use of nursing diagnoses, signs, and symptoms, as well as the etiology (Courtens & Huijer Abu‐Saad, 1998; Delaney, Herr, Maas, & Specht, 2000; Delaney & Moorhead, 1997; Ehrenberg & Ehnfors, 1999; Rivera & Parris, 2002). Investigations in Canada reported that nurses had difficulties with making a diagnosis and that 44% of the nursing diagnoses were not based on etiological factors (Smith‐Higuchi et al., 1999).…”