护士如何解决心脏或肺功能衰竭晚期患者的心理需求:一种定性面试研究
Janneke van Oirschot1,2,3, Esmee D Noijons4, Hanneke Merten1,2
1Amsterdam UMC, Department of Public and Occupational Health, Amsterdam, The Netherlands.
BMC nursing
|March 14, 2026
概括
护士发现与高级心脏或肺衰竭患者讨论心理社会需求是有意义的,但在敏感的话题上面临时间限制和挑战. 他们的直观方法是有效的,但往往受到实际障碍的限制.
科学领域:
- 医疗保健 医疗保健 医疗保健 医疗保健
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
背景情况:
- 患有晚期心脏或肺衰竭的患者经历了重要的心理社会需求,影响了生活质量.
- 护士在解决这些需求方面发挥着关键作用,但他们对这些对话的看法尚未得到充分研究.
研究的目的:
- 探索护士在解决高级心力衰竭 (NYHA III-IV阶段) 或肺衰竭 (GOLD 3-4) 患者的心理需求方面的方法和经验.
主要方法:
- 使用半结构面试对12名医院和家庭护理护士进行定性研究.
- 专题分析被应用到采访数据,由积极健康的蜘蛛网模型提供信息.
主要成果:
- 护士认为关于心理社会需求的讨论是有意义的,是他们角色的重要组成部分,采用直观的,以患者为中心的方法.
- 时间限制和竞争优先级,特别是在医院环境中,挑战护士充分满足这些需求的能力.
- 对性和财务等敏感话题存在犹,原因是不适或感知优先级较低.
结论:
- 在护士认为心理社会讨论的重要性与其实际实施之间存在差距.
- 护士的直观方法和患者的调整塑造了他们的实践,但敏感的话题仍然具有挑战性.
- 有效地解决心理社会需求需要克服实际障碍,并在这些对话中加强对护士的支持.
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