脆弱的老年患者在急诊室的体验:一项定性研究
Charlotte Bjurbo1, Ulrika Eriksson1, Åsa Muntlin2,3
1Department of Emergency Care and Internal Medicine, Uppsala University Hospital, Uppsala, Sweden.
Journal of advanced nursing
|September 3, 2025
概括
脆弱的老年患者在进入急诊室时常常感到迷和绝望. 然而,护士与病人之间的信任关系和良好的基本护理可以显著改善他们的幸福感,并给他们带来希望.
科学领域:
- 老年医学
- 紧急医疗
- 护理服务
背景情况:
- 老年人往往有复杂的健康需求,导致过度拥挤的急诊室面临挑战.
- 患者在急诊室等待住院病床的"入院时间"现象对脆弱的老年人造成了不成比例的影响.
研究的目的:
- 探索脆弱的老年患者在急诊室住院期间的经历.
- 了解他们在这个脆弱时期对护理和整体幸福感的看法.
主要方法:
- 进行了一项定性探索性采访研究,对19名虚弱的老年患者 (65岁以上) 进行了采访,这些患者在急诊室的登机时间 (≥4小时).
- 根据护理基础框架进行半结构面试,并使用诱导潜质内容分析进行分析.
主要成果:
- 脆弱的老年患者报告说他们被忽视,无能为力,并在登机时辞职.
- 尽管经历了这些负面经历,
- 主要主题包括由于不清楚的信息和缺乏责任感而感到"被遗弃在无人之地".
结论:
- 护士与患者之间的信任关系对于脆弱的老年患者在急诊室入院期间的幸福至关重要.
- 提供有效的基本护理对他们的经历产生了积极影响,在充满挑战的环境中培养希望.
- 需要定制的指导方针和以人为中心的护理实践,以确保这一脆弱群体在紧急情况下的安全和改善经验.
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