开放心脏手术患者对整体专注患者教育的存在性需求:一个关键的综合
Martha Scheckel1, Debra Stieve2
1Conway School of Nursing, The Catholic University of America, Washington, DC, USA.
概括
开放心脏手术患者需要全面的教育,解决存在的需求,而不仅仅是生物心理社会因素. 整合精神和心理支持可以增强患者的准备和康复.
科学领域:
- 护理 护理 护理
- 心理学 心理学 心理学
- 医疗保健教育 医疗保健教育
背景情况:
- 开放心脏手术患者需要全面的教育,包括所有福祉维度.
- 目前的患者教育主要集中在生物心理社会方面,忽视了存在的需求.
- 存在的需求对于全面的患者准备和康复至关重要.
研究的目的:
- 批判性地综合有关开放心脏手术患者存在经验的文献.
- 为制定整体患者教育策略提供信息.
- 识别当前患者教育对这一群体的差距.
主要方法:
- 系统的文献搜索对开放心脏手术患者存在经验的定性研究.
- 使用关键评估技能计划检查清单对选定的研究进行评估.
- 通过解释性解释学来合成数据,识别关键主题.
主要成果:
- 主题1:患者体验到丧失自由和对医疗保健提供者的依赖.
- 主题2:社会联系缓解存在的不确定性,并提供支持.
- 主题3:信仰,信任和祈祷促进了真正的准备和恢复.
结论:
- 整体的患者教育必须包含超越生物心理社会因素的存在需求.
- 医疗保健提供者应该赋予患者权力,提供心理支持,并解决精神/宗教需求.
- 这些发现对改善患者教育和指导整体医疗保健未来研究有影响.
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