在炎症性肠道疾病中探索护士-病人互惠:一个多中心的横截面研究
Daniele Napolitano1, Silvia Cilluffo2, Alessia Marini3,4
1CEMAD, Fondazione Policlinico Gemelli IRCCS, Rome, Italy. Daniele.napolitano@policlinicogemelli.it.
在炎症性肠道疾病 (IBD) 护理中,护士与患者的关系很强,信任和合作得分很高. 加强情感沟通和共享决策可以进一步改善这些治疗联系,以获得更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 护理科学 护理科学
- 患者报告的结果
背景情况:
- 炎症性肠病 (IBD),包括克罗恩病 (CD) 和性结肠炎 (UC),需要持续的多学科管理.
- 护士与患者的关系是IBD护理的基石,但互惠的概念 (共享的信任,合作,互惠) 仍未得到充分探索.
研究的目的:
- 通过使用经过验证的仪器,评估IBD成人的护士-患者互惠程度.
- 在慢性IBD管理的背景下,确定护士-病人关系的特定维度是强大的或需要改进的.
主要方法:
- 一项多中心,横截面研究,涉及意大利中心成人IBD门诊患者.
- 使用经过验证的慢性疾病护士-患者互惠 (NPM-CI) 患者版本,一个20项尺度,测量三维.
- 用描述性统计数据来分析收集的数据.
主要成果:
- 在453名IBD患者中,449人报告了高的整体护士-患者互惠得分 (81.2 ± 13.3).
- 与克罗恩病 (CD) 患者相比,性结肠炎 (UC) 患者报告的相互性得分更高.
- 最高的患者评分是尊重隐私和关注福祉;较低的分数表明其他专业人员的情感分享和信息澄清较少.
结论:
- 这项研究首次使用经过验证的工具对IBD的护士-患者互惠性进行评估,强调IBD护士的关键作用.
- 研究结果表明,虽然治疗关系的核心方面很强大,但也有机会加强情感沟通和共同决策.
- 改进这些领域有潜力进一步加强互惠,并积极影响IBD患者护理结果.
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