基于伙伴关系的护理实践框架,为晚期慢性阻塞性肺病患者及其家属提供 - - 一篇演讲性论文
Helga Jónsdóttir1,2, Bryndís S Halldórsdóttir2, Thorbjörg Sóley Ingadóttir1,2
1Faculty of Nursing and Midwifery, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Journal of advanced nursing
|November 3, 2023
概括
这份针对慢性阻塞性肺病 (COPD) 的修订护理框架,增强了门诊机构对患者和家人的护理. 它的重点是对话和支持,以改善进展性疾病患者的整体健康体验.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 的流行率不断上升,需要改善门诊护理.
- 一个基于伙伴关系的护理实践理论框架以前被开发用于COPD门诊护理.
- 临床经验和新的知识表明,需要修订增强效用框架.
研究的目的:
- 修订COPD患者的基于伙伴关系的护理实践理论框架.
- 在门诊环境中最大限度地提高框架的临床实用性.
- 增强COPD患者及其家属的健康体验.
主要方法:
- 话语论文使用叙事审查和批判性反思.
- 从2012年到2022年的文献搜索.
- 纳入作者临床经验和对现有框架的研究.
主要成果:
- 修订后的框架强调了护士-病人-家庭对话.
- 添加了一个新的组件",协助与疾病一起生活".
- 核心组成部分包括"建立家庭参与"",协助症状生活"和"促进获得医疗保健",其目标是"提高健康体验".
结论:
- 修订后的框架可以改善COPD患者及其家属的护理,特别是在晚期.
- 潜在的可转移到其他具有复杂健康问题的进展性疾病.
- 可能有助于减少昂贵的医疗保健资源利用,例如住院治疗.
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