老年心脏手术患者在手术前接受护理咨询的经验及其对自我管理的影响:一项定性研究
Vera J Ardesch1, Caroline E M Otter2, Saskia W M Weldam3
1Isala, Zwolle, The Netherlands; Nursing Science, Program in Clinical Health Sciences, University Medical Center Utrecht, The Netherlands.
概括
年龄较大的心脏手术患者.
科学领域:
- 护理 护理 护理
- 心脏病学 心脏病学
- 患者自我管理
背景情况:
- 自主管理支持对于从医院到家的医院前患者至关重要.
- 在PREDOCS (预防衰退的老年心脏手术患者) 的干预旨在支持自我管理.
- 患者在手术前进行护理咨询的经验并未得到充分了解.
研究的目的:
- 为了探索老年心脏手术患者的经验,进行手术前的护理咨询.
- 调查这次咨询对患者手术前自我管理的影响.
主要方法:
- 采用了通用的定性研究设计.
- 15名老年心脏手术患者参与了这项研究.
- 半结构面试被主题分析.
主要成果:
- 患者采用积极或避免手术准备风格.
- 在PREDOCS咨询有不同的情感影响;详细的信息有时会增加恐惧,而护士的互动建立信任.
- 干预的有效性因个体患者的准备方式而异.
结论:
- PREDOCS干预需要根据个体患者的需求量身定制,包括应对风格,焦虑,信息需求和自我管理的准备.
- 对于自我管理支持的干预应该是个性化的.
- 护士在支持患者自我管理方面发挥着至关重要的作用.
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