1991 Volume 14 Issue 2 Pages 2_27-2_36
The care of respiration for the post-operative patients of hepatoma with liver cirrhosis depends deeply on the nurse's perceptional ability of observation on human response. We had a study on the data collection in nursing notes using 4 different cases of hepatoma with liver cirrhosis. As a result, the followings became apparent.
1. The information collecting rate is high, especially in physiological aspect (average rate of all 4 cases is 46%), for example, respiration, circulation, elimination, sleep and so on. On the contrary, the collecting rate of psychosocial aspect, is low remarkablly and the significant difference between them is conspicuous.
There is no difference in the collecting rate among each class of nursing experience years, nor the specific item which has significantly high or low rate. Therefore, this could be considered the general tendency for ordinary staff nurses.
2. The data which are collected in the process of clarification of nursing, is not enough for the related factors.
In spite of the importance of 3 aspects (physiological, psychological and social), only the collecting rate of physiological information is high distingushly. It is necessary to acquire the essential information for patient observation to establish adequate and appropirate bed-side care for the patients as a whole human factor, and is suggested some concrete points to improve toward this direction.
