慈悲疲劳和家庭护理人员在末期心力衰竭中提供护理
Lisa A Cross1, Ainat Koren2, Jacqueline S Dowling2
1School of Nursing, Massachusetts College of Pharmacy and Health Sciences, Boston, Massachusetts, USA Lacross1@comcast.net.
Research and theory for nursing practice
|June 1, 2023
概括
对心力衰竭患者的家庭护理人员的同情疲劳随着更高的同情满意度和与护士的积极关系而减少. 社会可取性和较低的精神地位与增加的同情疲劳有关.
科学领域:
- 护理 护理 护理
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 对于心力衰竭等慢性病患者的家庭护理人员来说,同情疲劳是一个重要的问题.
- 越来越多的人依赖家庭护理人员,因此需要了解导致他们的同情疲劳的因素.
研究的目的:
- 为了研究家庭护理人员特征,同情满意度,社会可取性,护理人员-护理提供者关系和末期心力衰竭中的同情疲劳之间的关系.
- 在这个人群中确定影响同情疲劳的关键因素.
主要方法:
- 采用横截面调查设计,以客户健康行为的适应交互模型为指导.
- 数据采集使用人口调查问卷,职业生活质量量量表,护理人员与提供者关系评估,马洛-克罗恩社会可取性量表和巴卡斯护理成果量表.
- 最终阶段心力衰竭患者的127名家庭护理人员 (FCG) 完成了调查.
主要成果:
- 增加的同情满意度和积极的护理效应显著与减少的同情疲劳相关 (p < .001).
- 较高的社会可取性与增加的同情疲劳有关 (p < .001),而积极的家庭照顾者-护理提供者关系与减少的同情疲劳相关 (p < .001).
- 较低的精神状态也与增加的同情疲劳有关 (p < .001).
结论:
- 护理提供者有机会评估和干预家庭护理人员,因为他们可能不会独立寻求帮助.
- 培养护理提供者和家庭护理人员之间的牢固关系对于防止负面结果和减轻同情疲劳至关重要.
- 需要进一步的研究来探索护理提供者与家庭护理人员关系的动态.
相关概念视频
01:30Heart Failure VII: Nursing Interventions
121
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
121
01:22Heart Failure VI: Adjunct Therapies
17
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
17
01:29Cardiomyopathy VI: Nursing Management
19
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
19
01:25Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
01:26Heart Failure III: Clinical Manifestations
28
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
28
01:26Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K