心血管外科重症监护护士在治疗术后认知功能障碍患者中的经验:一种定性研究
1Van Yüzüncü Yıl University, Turkey.
概括
在心脏手术后照顾手术后认知功能障碍 (POCD) 患者的护士面临着挑战. 了解护士的经验和干预措施对于改善患者护理和管理认知,情绪和行为因素至关重要.
科学领域:
- 护理 护理 护理
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
背景情况:
- 手术后认知功能障碍 (POCD) 是手术和麻醉后认知能力的下降.
- 与非心脏手术患者相比,心脏手术患者的POCD发病率更高.
- 护士在管理POCD患者中发挥着至关重要的作用,但他们的经验和干预措施尚未得到充分理解.
研究的目的:
- 评估护士对POCD患者的经验,知识和临床实践干预措施.
- 确定护士在管理POCD时所使用的挑战和应对策略.
主要方法:
- 定性现象设计. 定性现象设计.
- 与10名心血管手术ICU护士进行了个别深入采访.
- 在2023年1月至3月期间收集的数据.
- 用于数据解释的专题分析.
主要成果:
- 确定了13个主要主题,包括认知,行为和情绪问题,职业困难,持续时间,年龄,病前因素,弹性,应对技能,互动,克制,支持系统和认知结构.
- 强调POCD影响心脏手术后患者的多面性质.
- 揭示了护士面临的重大挑战及其应对机制.
结论:
- 心脏手术后全面的患者评估应包括认知,情绪和行为因素以及心脏状况.
- 解决POCD的风险因素和支持护士的应对技能对于有效的患者护理至关重要.
- 对护士主导的POCD干预措施的进一步研究是有必要的.
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