改善息护理心力衰竭患者护理护士的知识:作者和对应作者
Sana Ali1,2, Kim McMillan3, Freya Kelly4
1The Ottawa Hospital, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada. sanali@toh.ca.
BMC palliative care
|February 15, 2025
概括
息护理 (PC) 教育提高了护士在心力衰竭 (HF) 症状管理和高级护理规划方面的知识. 需要进一步的研究来评估PC教育对患者结果的更广泛影响.
科学领域:
- 护理教育 护理教育
- 抚慰性护理是一种缓解性护理.
- 心脏衰竭管理的管理
背景情况:
- 晚期心力衰竭 (HF) 的死亡率很高,缓解护理 (PC) 往往未得到充分利用.
- 护士对PC的知识不足,对其在HF护理中的实施构成了重大障碍.
- 该项目重点是提高护士在加拿大第三级护理机构照顾高风患者的PC知识.
研究的目的:
- 提高护士对高级心力衰竭患者的息护理知识.
- 解决护理人员在PC知识中发现的差距.
- 实施和评估HF护理护士的教育干预措施.
主要方法:
- 一个由知识转化为行动框架指导的质量改进项目.
- 半结构面试以确定护士的学习需求,告知教育内容.
- 混合,虚拟和异步的教育课程,包括干预前后的知识测试.
主要成果:
- 教育课程使PC关键领域的知识得到改善,包括治疗呼吸障碍的阿片类药物使用,高级护理规划 (ACP) 和沟通.
- 观察到HF患者使用NSAID的知识显著增加 (60%).
- 所有护士都表现出对ACP概念的理解,PC概念的整体理解从80%增加到90%.
结论:
- 教育干预成功地提高了护士的PC知识.
- 未来的PC教育应纳入改善护士感知和症状管理技能的策略.
- 需要对更大样本和更长的评估期进行进一步的研究,才能充分了解PC教育的影响.
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