Tarkka Marja-Terttu, Paavilainen Eija, Lehti Kristiina, Astedt-Kurki Päivi
Department of Nursing Science, University of Tampere, Tampere, Finland.
J Clin Nurs. 2003 Sep;12(5):736-43. doi: 10.1046/j.1365-2702.2003.00771.x.
Chronic illness in one family member influences all aspects of family life. Research has documented the positive contributions of social support in an unexpected and stressful event such as a family member's heart disease. The aim of the study was to describe in-hospital social support provided by nurses to families of heart patients and to identify factors related to social support. Data were collected using a mailed questionnaire to family members of heart patients (n = 161) receiving treatment on two medical wards of a university hospital in southern Finland. The results show that the family members were not very satisfied with the social support from nurses, because about 40% were dissatisfied with the concrete aid and affirmation they received and about 30% with emotional support. According to regression analysis the most important predictors of social support were family structure, patient's age, gender of family member and whether the patient had been hospitalized for cardiac symptoms. This report shows that supporting families of cardiac patients need development according to the family nursing practice.
一名家庭成员身患慢性病会影响家庭生活的方方面面。研究记录了社会支持在诸如家庭成员心脏病发作这类意外且压力巨大的事件中所发挥的积极作用。本研究的目的是描述护士为心脏病患者家属提供的住院期间社会支持,并确定与社会支持相关的因素。通过向在芬兰南部一家大学医院两个内科病房接受治疗的心脏病患者家属(n = 161)邮寄问卷来收集数据。结果显示,家属对护士提供的社会支持不太满意,因为约40%的人对所获得的具体帮助和肯定不满意,约30%的人对情感支持不满意。根据回归分析,社会支持的最重要预测因素是家庭结构、患者年龄、家庭成员性别以及患者是否因心脏症状住院。本报告表明,对心脏病患者家属的支持需要根据家庭护理实践加以改进。