在护理期间患者参与决策:关系自主视角
Yin Wang1,2, Lissette Avilés1, Colin Chandler1
1School of Health in Social Science, The University of Edinburgh, Edinburgh, UK.
Journal of advanced nursing
|September 20, 2025
概括
患者参与慢性病护理是受人际关系的影响. 虽然共同决定尊重患者的自主权,但单方面决策和父权主义仍然存在,这凸显了需要提高意识和文化相关框架的需要.
科学领域:
- 护理 护理 护理 护理
- 患者的决策能力
- 慢性疾病 慢性疾病
背景情况:
- 患者参与决策对于慢性疾病管理至关重要.
- 了解患者参与护理的动态是必不可少的.
- 现有的框架可能无法完全捕捉非西方背景中的复杂性.
研究的目的:
- 探索患者参与护理期间的决策.
- 了解慢性病患者,家庭成员和护士的经历.
- 确定影响患者参与医疗保健决策的因素.
主要方法:
- 集中民族学在中国一家医院进行了8个月的研究.
- 参与者观察 (90小时) 和半结构面试 (30) 与护士,患者和家庭成员.
- 对现场笔记和采访数据进行反思性主题分析.
主要成果:
- 患者参与是共同决定,尊重关系自主权.
- 参与有时受到单方面决定的挑战,限制了自治.
- 人际关系显著促进或阻碍患者参与决策.
结论:
- 一个关系自主框架有助于理解患者参与护理.
- 尽管努力鼓励参与和尊重自治,但父权主义的方法仍然存在.
- 需要文化相关的框架来加强患者参与决策.
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