Clinical validation of the nursing diagnosis of impaired mood regulation among individuals with experience of mood disorders

Abstract

Purpose

The aim of the study was to validate the defining characteristics (DCs) of the nursing diagnosis impaired mood regulation using related criteria in an African context.

Methods

This descriptive study was conducted in two tertiary mental healthcare institutions in Nigeria. Richard Fehring's clinical diagnostic validity model was employed to collect data from 87 individuals experiencing mood problems. Their scores were validated with other criteria, and the influence of socio-demographic and clinical variables on participants’ identification of the DCs was determined using analysis of covariance (ANCOVA). The significance level was 0.05.

Findings

Five of the 27 DCs validated were rated major, 5 considered not characteristics, and the rest were minor characteristics of the diagnosis. A two-way subject ANCOVA was significant for diagnosis alone, F (2, 87) = 7.41, p = 0.006 (after eliminating the effect of age and gender of the participants), and when combined with duration of illness, F (38, 87) = 2.38, p = 0.036. A positive but weak correlation was found between the DC scale and mood disorder questionnaire, r_s (85) = 0.353, n = 87, p = 001 with R ² = 0.102, but a positive and strong correlation with patient health questionnaire, r_s (85) = 0.733, n = 87, p = 000 with R ² = 0.565.

Conclusions

The DCs listed in NANDA-I nursing diagnoses manual were valid for the nursing diagnosis. However, there are additional characteristics that would further enhance the applicability of the diagnosis.

Implications for nursing practice

The result of this study will contribute immensely to the identification of individuals experiencing problems with mood regulation that would otherwise have been missed, thus facilitating early intervention and good outcome. Furthermore, additional characteristics validated in this study offered opportunity for further research on the diagnosis.

Afojusun

Eredi iwadii yii ni lati se ifidimule awon abuda asoye ayewo aisan ti noosi pe ni Ilana Isesi Alailagbara nipa lilo awon igbelewon ti o jemoo ni agbegbe Afrika kan.

Ilana

Iwadii ise yii waye ni awon ile-ise ilera opoplo meji ni ile Naijeria. Awon Asayewo Imo-Iwosan ti Richard Fehring ni a lo lati se akojo esi ibeere fun ayewo lodo olukopa Metadinlaadorun (87) ti o ni isoro iporuru okan. Awon idahun wonyi ni a lo lati fidi re mule pelu awon igbelewon miiran ti a si pinnu ipa ti awon ami idanimo ni awujo ati ni akoko aisan ni lori bi awon olukopa ti da awon abuda asoye naa mo nipa lilo Atupale ti Isokan. Ipele Pataki je 0.05.

Atubotan

Marun-un ninu awon abuda asoye metadinlogbon (27) ni a fidi re mule ni eyi ti o se koko, Marun-un ni a ka si pe kii se abuda, nigba ti awon iyoku je awon abuda to mo niwon fun ayewo naa. Ayewo ANCOVA oniga-meji se Pataki fun ayewo nikan, F (2, 87) = 7.41, p = 0.006, (lẹhin ti a yo ipa ti ọjọ ori ati iseda takotabo ti awọn olukopa ni), ati nigba ti a ba wo o pelu igba ti aisan naa ti bere, F (38, 87) = 2.38, p = 0.036. Ibaṣepọ to dara ṣugbọn ti o je alailagbara ni a ri laarin iwọn awọn abuda asọye ati ibeere lori iporuuru okan, rs (85) = 0.353, n = 87, p = 001 pẹlu R ² = 0.102, ṣugbọn ibasepo ti o dara ti o si lagbara ni a ri nipa lilo ilana ibeere iwadii lori ilera alaisan, rs (85) = 0.733, n = 87, p = 000 pẹlu R ² = 0.565.

Ikadiii

Awọn abuda asọye ti a ko jọ si nu iwe ilana ayewo ti nọọsi NANDA-I wulo fun ayewo lati se itoju. Sibẹsibẹ, awọn abuda miiran wa ti yoo mu iwulo ti ayẹwo naa ni pọ sii.

Ipa to ni lori sise itoju alaisan

Abajade iwadii yii yoo ran ni lowo pupọ lati tokasi enikookan to ni isoro iporuuru okan ni eyi ti a ko ba ti padanu. Nitori naa, o mu irọrun ba ibojuto ni kankan ati abajade to dara. Pẹlupẹlu, awọn abuda ti a fikun ti a si fidiremule ninu iwadi yii fun ni ni aaye fun iṣẹ iwadii siwaju sii lori ise ayẹwo naa.