区护士在家里照顾患有痴呆症的绝症患者的经验和支持需求是什么? 一个定性研究研究
Elizabeth Arnold1, Jean Lugton1, Juliet Spiller1
1Marie Curie Hospice Edinburgh, 45 Frogston Road West, Edinburgh, EH10 7DR, UK.
BMC palliative care
|March 8, 2025
概括
区护士面临的挑战是在家中检测和管理绝症患者的妄想. 加强培训和支持对于改善这些患者及其家人的护理至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 神经精神病学是一种神经精神病学.
- 社区护理 社区护理
背景情况:
- 妄想是一种常见且严重的神经精神综合征,发生在接受社区护理的绝症患者中.
- 区护士在支持绝症患者留在家中发挥着至关重要的作用.
研究的目的:
- 探索地区护士在家庭环境中照顾痴呆症患者的经验.
- 为了确定地区护士在社区中管理痴呆症的支持需求.
主要方法:
- 在苏格兰,与12名地区护士进行了半结构面试.
- 框架分析,包括演和归纳编码,用于分析数据.
主要成果:
- 区护士在检测和管理妄想时遇到了挑战,他们经常依靠临床判断而不是正式工具.
- 患者经常在晚期疾病阶段被转诊,需要在有限的信息下快速做出决定.
- 关于药理管理存在不确定性,及时获得其他专业人士的建议和支持是有限的.
- 家庭护理人员是护理的重要组成部分,充当提供者和接受者.
结论:
- 在社区中照顾患有痴呆症的绝症患者,对地区护士来说构成了重大挑战.
- 需要教育干预措施,重点关注妄的检测和药物管理,以建立护士的信心.
- 从专业的息护理服务中获得更好的响应性咨询和支持至关重要.
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