长期急性护理中的息治疗机会:一项同时进行的混合方法研究
Katherine H Walker1, Valencia Lambert2, Annie Liu3
1Dana-Farber Cancer Institute, Boston, MA; Brigham and Women's Hospital, Boston, MA; Spaulding Rehabilitation Hospital for Continuing Care, Cambridge, MA; Harvard Medical School, Boston, MA.
临床医生通常支持慢性严重疾病 (CCI) 患者的息护理. 他们认为这些服务应该可用,并信任息护理专家来管理CCI患者.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性重症 (CCI) 幸存者面临的结果比转移性肺癌患者更糟糕.
- 在长期急性护理医院,尽管它在癌症中心的常规使用,但息治疗的准入是有限的.
- 在CCI,临床医生对息治疗的态度尚不清楚.
研究的目的:
- 评估临床医生对慢性重症患者的息护理的态度.
- 识别 CCI 中息护理整合的潜在障碍或促进者.
主要方法:
- 在两个呼吸机断奶单元中对临床医生进行了横截面调查.
- 通过自由文本协会和利克尔特尺度协议与息护理陈述收集数据.
- 使用诱导性内容分析,描述性统计学和费舍尔的精确测试进行分析.
主要成果:
- 在11个专业中,临床医生的参与率很高 (78.5%).
- 临床医生将息治疗与舒适和支持联系在一起.
- 超过95%的临床医生同意为CCI和可信赖的息治疗专家提供息治疗服务的需要.
结论:
- 临床医生愿意参与慢性重症病的息治疗.
- 有机会将息护理专业知识纳入CCI患者的长期急性护理环境.
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