探索患者,非正式照顾者和护士在家庭医院级照顾心力衰竭的经验:一种混合方法研究
Rinske Lubbers-Wolterink1, Harmieke van Os-Medendorp2, Wouter Jansen Klomp3
1Deventer Ziekenhuis, research office, Deventer, the Netherlands.
European journal of cardiovascular nursing
|February 17, 2025
概括
患者,非正式照顾者和护士更喜欢在家进行心力衰竭的医院护理. 关键因素包括教育,坚持支持,患者自主权,并承认护理人员负担,以成功实施.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 患者体验 患者体验
背景情况:
- 医院越来越多地被鼓励在患者家附近提供护理.
- 基于家庭的医院级护理为传统的住院治疗提供了潜在的替代方案.
研究的目的:
- 调查患者,非正式照顾者和护士的经验,他们为无偿心力衰竭提供了家庭医院级照顾.
主要方法:
- 混合方法研究利用与患者和护理人员的半结构面试.
- 问卷和采访来自重症监护,心脏病监护和一般心脏病科的护士.
- 基于患者访谈的正常化过程理论的专题分析.
主要成果:
- 患者和护理人员赞赏家庭环境,自主和个性化护理.
- 护士报告说,他们对工作的满意度有所增加,尽管安全性,执法和值班工作面临挑战.
- 五个主题出现了:对个人环境的欣赏,护理质量,治疗承诺,个人特征和护理人员角色的变化.
结论:
- 患者,护理人员和护士通常倾向于在家进行心力衰竭治疗.
- 成功实施需要全面的教育,坚持支持,并优先考虑患者的自主权.
- 解决护理人员负担和探索具有成本效益的合作对于可持续性至关重要.
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