从护理角度看手术环境中的 Delirium:混合概念分析
Satu Poikajärvi1,2, Satu Rauta2, Sanna Salanterä1,3
1Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
International journal of nursing studies advances
|May 15, 2024
概括
护士认为妄和急性混乱是手术患者的连续性,影响护理质量和康复. 建议进行进一步的教育,以改善在手术环境中对妄的识别和管理.
科学领域:
- 护理科学 护理科学
- 医学诊断 医学诊断 医学诊断
- 患者护理 患者护理
背景情况:
- 妄想是一种严重的,经常未被识别的术后并发症.
- 目前的护理分类包括急性混乱,但与妄想的关系是复杂的.
- 由于概念模糊性和知识差距,护士在治疗术后妄想时面临着挑战.
研究的目的:
- 在手术患者的护理视角描述妄想和急性混乱的概念.
- 探索与妄和急性混在手术环境中相关的维度.
- 了解护士如何感知和概念化成人手术患者的妄想.
主要方法:
- 利用了施瓦茨和巴科特的混合概念分析.
- 包括理论,实地研究和最后的分析阶段.
- 进行了系统的文献搜索和护士描述的演内容分析.
主要成果:
- 护士们将妄和急性混乱视为连续性,而不是不同的诊断.
- 确定了关键维度:症状,严重程度,危险因素和早期症状.
- 强调了狂妄症的急性阶段,对手术前或长时间的干扰不那么重要.
结论:
- 护士可能不准确地使用术语"急性混乱"用于早期妄阶段.
- 需要进一步的教育来弥合理论知识和临床实践在妄想管理.
- 增加关于妄想的讨论,包括手术前后阶段是有益的.
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