Read E, McEachern C, Mitchell T
East Gloucestershire NHS Trust, Cheltenham General Hospital.
Br J Nurs. 2001;10(21):1385-91. doi: 10.12968/bjon.2001.10.21.9350.
The impetus for this multiphased project was the realization that rheumatoid arthritis (RA) is not only physically debilitating, but also a cause of severe psychological distress which is often unacknowledged. A small sample of patients (n=15) was interviewed to identify their main area of psychological distress caused by RA, and data were analysed thematically. These themes formed the basis of a questionnaire that was distributed to a random sample of inpatients and outpatients with RA. This larger sample (n=140) prioritised the areas of distress that were identified by the interviewed sample of patients. This led to the development of an education programme for nurses. The authors describe the impetus for the project, the activities and processes associated with data collection, and the development and evaluation of the education programme.
这个多阶段项目的推动因素是认识到类风湿性关节炎（RA）不仅会导致身体衰弱，还会引发严重的心理困扰，而这种困扰往往未得到重视。对一小部分患者（n = 15）进行了访谈，以确定他们因类风湿性关节炎而产生心理困扰的主要方面，并对数据进行了主题分析。这些主题构成了一份问卷的基础，该问卷被分发给类风湿性关节炎住院患者和门诊患者的随机样本。这个更大的样本（n = 140）对受访患者样本所确定的困扰领域进行了优先级排序。这促成了一项针对护士的教育计划的制定。作者描述了该项目的推动因素、与数据收集相关的活动和过程，以及教育计划的制定和评估。
