转向以患者为中心的护理为心室辅助器件患者:混合方法研究护士的观点
1College of Nursing, Dankook University, Cheonan, South Korea.
Intensive & critical care nursing
|February 10, 2024
概括
护士们发现,照顾使用左心室辅助器件 (LVAD) 的患者是具有挑战性的,但有价值的. 对LVAD患者护理的更好理解可以改善以患者为中心的护理和专业成长.
科学领域:
- 护理科学 护理科学
- 心血管护理心血管护理
- 患者护理 患者护理
背景情况:
- 左心室辅助器件 (LVAD) 对末期心力衰竭患者至关重要.
- 护士在为LVAD患者提供全面护理方面面临着独特的挑战.
- 有限的研究存在于护士对LVAD患者的照顾行为和经验的观点.
研究的目的:
- 为了确定护士对LVAD患者的关怀行为.
- 了解护士在为LVAD患者提供护理方面的经验.
主要方法:
- 在韩国进行了一项使用顺序解释设计的混合方法研究.
- 量化数据 (n=79) 通过在线调查 (护理行为清单-24) 收集.
- 通过使用Colaizzi的现象学方法分析的个人访谈收集了定性数据 (n=15).
主要成果:
- 护士报告了高的整体照顾行为 (4.80 ± 0.85),在"知识和技能" (5.04 ± 0.78) 和"信心" (5.01 ± 0.79) 中得分高.
- 定性调查结果显示,由于LVAD的复杂现实,护理往往以设备为中心.
- 尽管面临这些挑战,护士们的目标是提供全面的,以患者为中心的护理.
结论:
- 照顾LVAD患者给护士带来了重大挑战.
- 经验强调了以患者为中心的护理的重要性以及护理的本质.
- 通过接受这些具有挑战性的护理经验,护士可以在职业上成长.
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