Benninghoven Dieter, Knödler Rose, Gielis Alexa, Kunzendorf Sebastian, Jantschek Ingrid, Jantschek Günter
Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Medizinische Klinik II, Bereich Psychosomatik.
Psychother Psychosom Med Psychol. 2004 Jan;54(1):9-16. doi: 10.1055/s-2003-812587.
Nursing plays an essential part in the acute psychosomatic inpatient treatment. The goals, which the nurses aim at while taking care of their patients, have, however seldom been investigated. This first systematic inquiry into the goals, which care at the clinic for psychosomatic medicine bears in mind, was carried out on a sample of 84 patients. These goals were evaluated and compared with different common outcome measures. Carers, first of all, aim at goals referring to the symptom, such as improving the patients' eating habits. Apart from that they mainly focus on goals not directly connected to the patients' physical condition, such as helping to improve the patients' self esteem. In some cases the nurses' estimate concerning the success of the treatment corresponds to that of the patients' to a greater extent than to that of the patients' personal therapist. Nursing in inpatient psychosomatic medicine extends much further than the demands of care normally imply. The knowledge concerning the patients' mental condition, which the nurses have according to this inquiry, ought to be used within the treatment.
护理在急性身心疾病住院治疗中起着至关重要的作用。然而，护士在照顾患者时所追求的目标却很少得到研究。本次首次对身心医学诊所护理所考虑的目标进行的系统调查，是以84名患者为样本开展的。这些目标经过评估，并与不同的常见结局指标进行了比较。护理人员首先致力于实现与症状相关的目标，比如改善患者的饮食习惯。除此之外，他们主要关注的是与患者身体状况没有直接关联的目标，例如帮助提高患者的自尊。在某些情况下，护士对治疗成功与否的评估与患者的评估相符程度，要高于与患者私人治疗师的评估相符程度。住院身心医学护理的范畴比通常所理解的护理要求广泛得多。根据本次调查，护士所掌握的有关患者精神状况的知识，应在治疗过程中加以运用。
