PDF(Pubmed)
Abstract：
OBJECTIVE: to develop and evaluate a Middle-Range Theory for the nursing diagnosis \"Disrupted Mother-Fetus Dyad Risk\" in high-risk pregnancies.
METHODS: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem\'s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
RESULTS: the theory identified 20 elements of the nursing diagnosis \"Disrupted Mother-Fetus Dyad Risk\" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
CONCLUSIONS: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon \"Disrupted Mother-Fetus Dyad Risk,\" which aids in nurses\' diagnostic reasoning.
METHODS: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem\'s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
RESULTS: the theory identified 20 elements of the nursing diagnosis \"Disrupted Mother-Fetus Dyad Risk\" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
CONCLUSIONS: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon \"Disrupted Mother-Fetus Dyad Risk,\" which aids in nurses\' diagnostic reasoning.
摘要：
目的：开发和评估高危妊娠护理诊断“母胎损伤风险”的中程理论。
方法：该方法学研究分两个阶段进行：理论发展和评估。DorotheaOrem的一般护理模型被用作理论概念基础。使用德尔菲法与7名法官进行评估，当评价项目的内容有效性指数≥0.80时，达成共识。
结果：该理论确定了护理诊断“母胎损伤风险”的20个要素（10个危险因素，4个高危人群，和6个相关条件)，14个命题,和1个象形图。经过两轮评估，这个理论被认为是一致的，就所有项目达成共识，每个达到含量有效性指数≥0.80。
结论：中距离理论包括解释护理现象的生物心理社会因素，“这有助于护士的诊断推理。
方法：该方法学研究分两个阶段进行：理论发展和评估。DorotheaOrem的一般护理模型被用作理论概念基础。使用德尔菲法与7名法官进行评估，当评价项目的内容有效性指数≥0.80时，达成共识。
结果：该理论确定了护理诊断“母胎损伤风险”的20个要素（10个危险因素，4个高危人群，和6个相关条件)，14个命题,和1个象形图。经过两轮评估，这个理论被认为是一致的，就所有项目达成共识，每个达到含量有效性指数≥0.80。
结论：中距离理论包括解释护理现象的生物心理社会因素，“这有助于护士的诊断推理。
