Application Of Nursing Minimum Data Set (Nmds) and Uniform Hospital Discharge Data Set (Uhdds) To Describe Nursing Care Of Patients With Dementia.
- Author:
Myong Hwa PARK
1
Author Information
1. College of Nursing, Keimyung Univeristy, Korea. mhpark1@kmu.ac.kr
- Publication Type:Original Article
- Keywords:
Nursing Minimum Data Set;
Uniform Hospital Discharge Data Set;
Standardized Nursing Language;
Dementia
- MeSH:
Aged;
Dataset*;
Dementia*;
Hospitals, Community;
Humans;
Hypertension;
Learning;
Nursing Care*;
Nursing Diagnosis;
Nursing*;
Patient Discharge;
United States;
Urinary Tract Infections
- From:Journal of Korean Society of Medical Informatics
2002;8(4):29-37
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study was to identify nursing care for elderly patients with dementia using Uniform Hospital Discharge Data Set (UHDDS) and Nursing Minimum Data Set (NMDS) of a community hospital in the United States Mid-west. The study sample included 222 elderly patients with dementia who were discharged in the year 1998. The findings were as follows. 1. The proportion of dementia in this study was 8.5% among total elderly patients. The most common associated disease was hypertension (n=40, 18.0%), followed by urinary tract infection (n=30, 13.5%). 2. The most frequent nursing diagnoses were altered health maintenance (n=158, 71.2%), knowledge deficit (n=150, 67.6%), potential for injury (n=119, 53.6%), potential for infection (n=102, 45.9%), pain (n=89, 40.1%), impaired physical mobility (n=78, 35.1%), and altered thought process (n=64, 28.8%). 3. The most frequent interventions were discharge planning (n=138, 62.1%), surveillance safety (n=86, 38.8%), fall prevention (n=78, 34.9%), teaching: disease process (n=74, 33.1%), learning facilitation (n=66, 29.5%), and infection protection (n=65, 29.3%). The results identified the need for continued work on the linkage of the nursing care elements, including nursing diagnosis, nursing intervention, and nursing-sensitive outcome, using the standardized languages.