护士如何在专门的门诊伤口诊所沟通截肢和死亡 - - 一项定性研究
Emma Sandberg Nautrup1, Kristoffer Marsaa2, Heidi Bergenholtz3
1University of Southern Denmark, Odense, Denmark.
Scandinavian journal of caring sciences
|February 9, 2026
概括
由于时间限制和重点关注伤口愈合等障碍,护士们很难与患者讨论截肢和死亡. 改善沟通需要有系统的方法和加强培训,以便更好地照顾患者.
科学领域:
- 护理的沟通 护理的沟通
- 抚慰性护理是一项非常重要的护理.
- 慢性伤口管理 慢性伤口管理
背景情况:
- 患有慢性腿部伤口的患者面临截肢和死亡的风险.
- 关于预后和终身护理的有效沟通至关重要,但往往缺乏.
研究的目的:
- 探索护士-病人沟通关于截肢和死亡在慢性腿部伤口护理.
- 确定护士在讨论预后,治疗选择和生命终端护理时所面临的障碍.
主要方法:
- 使用非参与者观察 (85次咨询) 和焦点小组采访 (13名护士) 的探索性定性设计.
- 在丹麦四家医院的专门伤口诊所进行.
- 数据使用定性内容分析进行分析,遵循COREQ的指导方针.
主要成果:
- 护士们优先考虑伤口愈合,经常掩盖有关截肢和死亡的讨论.
- 关键主题:情感参与,诚实与同情,避免困难的对话,时机问题,以及生物医学信心与心理社会不确定性.
- 护士希望进行更深入的对话,但由于机构实践和个人信仰而面临限制.
结论:
- 在慢性伤口管理中,对截肢和终身护理的沟通有系统的方法至关重要.
- 障碍物包括被认为的无能,时间限制,缺乏系统的方法,不清楚的角色和个人信仰.
- 通过培训和指导方针提高护士的能力可以促进公开的讨论,改善患者的结果和生活质量.
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