Saunders Mitzi M
University of Detroit Mercy, McAuley School of Nursing, Detroit, Mich 48219-0900, USA.
Holist Nurs Pract. 2003 May-Jun;17(3):136-42. doi: 10.1097/00004650-200305000-00004.
Millions of family members are serving as caregivers for patients with heart failure and the numbers will continue to rise. It appears that caregivers desire to be involved in the patient's care even when the caregiving tasks average 8 hours per day. Burden, stress, and depression have been found to be significantly associated with the caregiving role in this population. Decreasing any negative aspects of caregiving should be a priority. Alarmingly, caregivers have reported being ignored or made to feel like an outsider by health care providers. Nurses are in a pivotal position to improve patient and caregiver outcomes by including the family caregivers of heart failure patients in all aspects of care and in promoting the well being of the caregiver. This article will highlight the importance of social support on patient and caregiver outcomes, and second, review studies on family caregiving among heart failure patients. Recommendations for nursing practice and further research will be discussed.
数百万家庭成员正在为心力衰竭患者提供护理,而且这一数字还将持续上升。即便平均每天的护理任务时长达到8小时,护理人员似乎仍希望参与到患者的护理工作中。研究发现,负担、压力和抑郁与这一人群的护理角色显著相关。减轻护理工作的任何负面影响都应成为首要任务。令人担忧的是,护理人员报告称,他们被医疗服务提供者忽视或感觉自己像个局外人。护士处于关键地位,通过将心力衰竭患者的家庭护理人员纳入护理的各个方面,并促进护理人员的福祉,来改善患者和护理人员的结局。本文将强调社会支持对患者和护理人员结局的重要性,其次,回顾关于心力衰竭患者家庭护理的研究。还将讨论对护理实践的建议和进一步的研究。