Courtney M, Tong S, Walsh A
School of Nursing, Queensland University of Technology, Australia.
Aust J Rural Health. 2000 Apr;8(2):94-102. doi: 10.1046/j.1440-1584.2000.00256.x.
Many studies reporting nurses' knowledge of and attitudes toward older patients in long-term care settings have used instruments designed for older people. However, nurses' attitudes toward older patients are not as positive as their attitudes toward older people. Few studies investigate acute care nurses' knowledge of and attitudes toward older patients. In order to address these shortcomings, a self-report questionnaire was developed to determine nurses' knowledge of, and attitudes and practices toward, older patients in both rural and metropolitan acute care settings. Rural nurses were more knowledgeable about older patients' activities during hospitalisation, the likelihood of them developing postoperative complications and the improbability of their reporting incontinence. Rural nurses also reported more positive practices regarding pain management and restraint usage. However, metropolitan nurses reported more positive attitudes toward sleeping medications, decision making, discharge planning and the benefits of acute gerontological units, and were more knowledgeable about older patients' bowel changes in the acute care setting.
许多报告长期护理机构中护士对老年患者的认知和态度的研究都使用了为老年人设计的工具。然而，护士对老年患者的态度并不像他们对老年人的态度那样积极。很少有研究调查急症护理护士对老年患者的认知和态度。为了解决这些不足，我们设计了一份自填式问卷，以确定农村和大都市急症护理机构中护士对老年患者的认知、态度和做法。农村护士对老年患者住院期间的活动、发生术后并发症的可能性以及他们不太可能报告大小便失禁的情况了解更多。农村护士在疼痛管理和约束使用方面也报告了更积极的做法。然而，大都市护士对睡眠药物、决策制定、出院计划以及急性老年病科的益处报告了更积极的态度，并且对急症护理环境中老年患者的肠道变化了解更多。
