导航不确定性和脆弱性:心脏护士对为晚期心力衰竭患者提供息护理的观点
Maiken Jørgensen1, Britt Borregaard2, Tiny Jaarsma3
1Department of Cardiology, Odense University Hospital, J. B. Winsløws Vej 4, 5000 Odense C, Denmark.
Heart & lung : the journal of critical care
|December 7, 2025
概括
心脏护士发现心力衰竭患者的息护理具有挑战性,并且经常被忽视. 他们努力整合护理,同时尊重患者的愿望,强调跨学科合作的必要性.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 护理 护理 护理
背景情况:
- 由于呼吸障碍和疲劳等症状,心力衰竭显著影响患者的生活质量.
- 心脏护士在通过包括教育和心理社会支持在内的综合护理来管理心力衰竭方面至关重要.
- 关于心脏护士对心力衰竭患者的息治疗的看法,证据有限.
研究的目的:
- 探索心脏护士在晚期息期为心力衰竭患者提供息护理的经验.
- 了解心脏环境中提供息治疗的挑战和促进者.
主要方法:
- 使用现象学-解释学方法的定性方法.
- 四个焦点小组采访与18名心脏护士进行.
- 基于基尔斯蒂·马尔特鲁德的系统文本凝聚理论的分析.
主要成果:
- 心脏护士认为息治疗是复杂而苛刻的,在定义自己的角色方面面临困难.
- 出现了三个关键主题:确定治疗水平,在息护理中满足患者的愿望,以及组织/支持息心脏护理.
- 护士报告说,在整合息治疗和尊重患者自主权方面存在挑战,导致不确定性.
结论:
- 护士们认为心力衰竭的息护理具有挑战性,并且在心脏护理中经常被忽视.
- 护士在制定和整合息护理,尊重患者的意愿和体验脆弱性方面遇到困难.
- 需要有系统的跨学科合作,以加强对心力衰竭患者及其家属在息治疗中的支持.
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