保持ICU护士在老年患者中的尊严:一项混合方法研究
Wanting Xie1, Haili Zhu1,2, Han Fu3
1Hunan University of Chinese Medicine, Changsha, China.
Nursing ethics
|January 29, 2026
概括
重症监护室 (ICU) 护士为老年人提供适度高的尊严护理,但在维护个人尊严方面面临挑战. 改善护理需要解决个人,环境和文化因素.
科学领域:
- 护理 护理 护理 护理
- 老年医疗护理 医疗护理
- 关键护理医学 关键护理医学
背景情况:
- 维护尊严是护理的基础,特别是在重症监护室 (ICU) 的老年人,他们容易失去尊严.
- 危急疾病,侵入性手术和ICU中的沟通障碍加剧了老年患者尊严妥协的风险.
研究的目的:
- 评估目前ICU护士对老年患者的体面护理实践的现状.
- 确定影响尊严护理的因素,以告知质量改进战略.
主要方法:
- 使用了一种解释性的顺序混合方法设计,将问卷调查与半结构面试相结合.
- 来自中国五家三级医院的487名ICU护士完成了调查,随后对18名护士进行了采访.
- 用描述性现象学分析了定性数据.
主要成果:
- 护士报告了整体体有尊严的护理得分中度高 (79.12 ± 10.40),绝对尊严的得分高 (87.05 ± 11.43),相对尊严的得分高 (70.19 ± 12.86).
- 尊严护理的关键预测因素包括性别,教育,伦理培训,工作环境,道德敏感性和心理资本,解释了38.4%的差异.
- 定性调查结果强调了技术要求与尊严平衡的挑战,与患者相关的障碍,文化冲突和诸如重工作负载等组织约束.
结论:
- 密切护理护士通常在维护尊严方面表现良好,但在个性化患者需求方面却扎不堪.
- 尊严的护理是个体,环境和文化因素的复杂相互作用.
- 提高尊严的护理需要优化临床环境,加强伦理教育和支持,实施以尊严为中心的标准,并培养以患者为中心的文化.
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