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. 2026 Mar 25;25:420. doi: 10.1186/s12912-026-04458-6

Table 2.

Categories and Subcategories Extracted Based on Directed Content Analysis and NANDA-I Nursing Diagnosis Patterns

NANDA-I NANDA-I Nursing Diagnoses Category Subcategory
Self-Perception–Self-Concept Fear; Anxiety; Anticipatory Anxiety; Death Anxiety; Depression; Risk for Loneliness; Hopelessness; Low Self-Esteem; Risk for Impaired Human Dignity; Risk for Self-Harm Negative Emotions

• Feeling of Depression

• Sense of Inferiority and Low Self-Worth

• Isolation and Loneliness

• Inner Turmoil

• Doubt and Confusion

• Shock and Helplessness

• Anger and Desire for Revenge

• Impaired Self-Esteem

• Fear of Death

Role–Relationship Social Isolation; Impaired Social Interaction; Grieving; Anticipatory Grieving; Dysfunctional Family Processes; Risk for Other-Directed Violence Suffering from Social Stigma

• Inappropriate Family and Social

• Interactions Blame and Accusation by Others

• Discriminatory Behaviors of Healthcare Providers

• Manifestation of Disturbing Fear in Others

• Labeling and Misjudgment by Others

• Fear-Inducing Interactions

• Employment and Occupational Problems

Health Perception–Health Management Health-Risk Behavior; Ineffective Health Management; Risk for Ineffective Therapeutic Regimen Management; Risk for Nonadherence; Risk for Injury; Risk for Infection Disruption of Normal Life

• Concealment of Illness

• Loss of Self-Efficacy

• Health-Damaging Behaviors

Coping–Stress Tolerance Ineffective Coping; Impaired Individual Resilience; Post-Trauma Syndrome; Deficient Support System; Risk for Suicide; Compromised Family Coping; Ineffective Community Coping Denial and Avoidance

• Refusal to Accept Illness

• Denial of Disease

• Conscious Forgetting

• Emotional Suppression and Concealment Excessive

• Use of Sedative Medications

Confronting Disease Complications

• Physical Symptoms

• Neuropsychiatric Disorders

Health and Treatment Problems

• Insurance Coverage Problems

• Medication Supply Problems

• Treatment Difficulties

Positive Coping with Illness

• Breaking the Silence and Talking About the Disease

• Voluntary Medical Consultation

Sexuality–Reproductive Ineffective Sexuality Pattern; Impaired Spousal Role Performance; Risk for Impaired Maternal–Fetal Attachment Instability in Marital Foundation

• Fear of Rejection

• Fear of Separation and Divorce

• Emotional Divorce

Parenting Challenges

• Concerns and Confusion About

• Parenthood Worries About Pregnancy Outcomes

Challenges in Managing Sexual Relationships

• Decreased Sexual Self-Confidence

• Reduced Quantity and Quality of Sexual Relations

Value–Belief Moral Distress; Spiritual Distress; Readiness for Enhanced Religiosity Meaning-Making of Life

• Perceiving Illness as Divine

• Punishment or Will Comfort Through Prayer and Seeking Healing

• Transition from Material to Spiritual Values

• Self-Focus Rather Than Others