患有晚期慢性肺炎的患者的经验,这些患者隶属于跨部门的外出肺部团队:一种定性研究
Birgit Refsgaard1,2,3, Anders Løkke4,5, Vibeke Bregnballe2
1Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark.
Journal of advanced nursing
|February 25, 2024
概括
患有晚期慢性阻塞性肺病 (COPD) 的患者感觉更安全,并改善了他们的生活质量. 这种专门的护理帮助他们避免住院,并在家中治疗病情.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 患者护理管理的管理.
- 质量健康研究 质量健康研究
背景情况:
- 一个综合的退出肺部团队,包括医院呼吸护士和社区护士,为晚期慢性阻塞性肺病 (COPD) 患者提供了24小时的支持.
- 该服务旨在减少急性COPD恶化病例的住院和住院时间.
- 之前的定量评估表明,与通常的护理相比,与健康有关的生活质量没有显著差异.
研究的目的:
- 探索与跨部门的出行肺部团队相关的患者的生活经验.
- 了解患者对家庭呼吸护理的好处和影响的看法.
主要方法:
- 进行了一项定性采访研究,对16名年龄在61-88岁的患者进行了采访,他们与肺部团队合作了1-3年.
- 半结构面试是在患者的家中进行的,录音,字面转录,并使用系统的文本凝聚分析.
- 这项研究遵守了"关于报告定性研究的综合标准" (COREQ) 准则.
主要成果:
- 四个新兴主题包括:感觉安全,改善COPD的生活,避免住院治疗,以及对在家接受护理的满意度.
- 患者报告说,心灵的平静得到了增强,并且改善了管理晚期COPD的能力.
- 由于能够在家接受治疗,从而避免住院治疗,人们注意到对肺部团队的偏好.
结论:
- 与即将离职的肺部团队的联系显著改善了患者的安全感和他们与晚期慢性肺炎生活的能力.
- 调查结果表明,实施离职肺部团队可以通过加强患者自我管理和整体护理,使市政当局受益.
- 患者重视了家庭医疗模式,这使他们能够避免住院治疗.
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