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与青光眼患者合作——“共享护理”的前景

Working with glaucoma patients - prospects for "shared care".

作者信息

Martin L M

机构信息

Department of Clinical Science, Karolinska Institute, Stockholm, Sweden.

出版信息

Acta Ophthalmol Scand. 1999 Feb;77(1):103-6. doi: 10.1034/j.1600-0420.1999.770123.x.

DOI:10.1034/j.1600-0420.1999.770123.x
PMID:10071160
Abstract

PURPOSE

To investigate the prospects for "shared care" by evaluating to what extent ophthalmic nurses are involved in ophthalmic care decision tasks in the management of glaucoma patients, how well prepared the nurses feel they are for these tasks and their level of satisfaction in those tasks they actually are performing.

METHODS

A questionnaire was sent to the ophthalmic nurses at 13 eye clinics in Sweden. The clinics were selected to represent different parts of Sweden as well as university clinics and smaller rural clinics.

RESULTS

A difference was found between clinics regarding the number of tasks independently performed by the ophthalmic nurses and a significant correlation was found between level of participation and satisfaction (p=0.008). The nurses felt prepared for (61/62) and satisfied (58/62) when performing the glaucoma management tasks, and a high and very significant correlation (r=0.96, p= 0.0001) was found between the mean preparedness and satisfaction scores for each of the 14 tasks.

CONCLUSIONS

The findings in the study show that the ophthalmic nurses feel prepared for their tasks and regard their involvement in glaucoma care as subjectively satisfactory. These observations support the idea of "shared care" in glaucoma management.

摘要

目的

通过评估眼科护士在青光眼患者管理中参与眼科护理决策任务的程度、护士对这些任务的准备程度以及他们对实际执行任务的满意度,来调查“共享护理”的前景。

方法

向瑞典13家眼科诊所的眼科护士发送了一份问卷。这些诊所的选择代表了瑞典的不同地区以及大学诊所和较小的农村诊所。

结果

各诊所之间在眼科护士独立执行的任务数量上存在差异,并且参与程度与满意度之间存在显著相关性(p = 0.008)。护士在执行青光眼管理任务时感到有准备(61/62)且满意(58/62),并且在14项任务中每项任务的平均准备度得分与满意度得分之间发现了高度且非常显著的相关性(r = 0.96,p = 0.0001)。

结论

研究结果表明,眼科护士对其任务感到有准备,并认为他们参与青光眼护理在主观上是令人满意的。这些观察结果支持青光眼管理中“共享护理”的理念。

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