Chen Hsiao-Yu, Boore Jennifer R P, Mullan Francis D
School of Nursing, Chungtai Institute of Health Sciences and Technology, Taiwan.
Int J Nurs Stud. 2005 Mar;42(3):255-72. doi: 10.1016/j.ijnurstu.2004.06.012.
The purpose of this study is to investigate rehabilitation nurses' care for patients with spinal cord injury (SCI). It also examines how rehabilitation nurses perceive their role in assessing the alteration of self-concept and the interventions they use in helping patients to develop a more positive perception of themselves. A critical review of common models in use was undertaken including Roper, Logan and Tierney's Activities of Living Model, Roy's Adaptation Model and Orem's Self-care Deficit Nursing Theory. A nursing framework has been developed for rehabilitation nursing. Data were collected by questionnaire. The findings indicate that rehabilitation nurses are aware of the alteration in self-concept for patients with SCI. Although nursing interventions include physiological, psychological and social aspects of care, nurses do not feel that current nursing models are useful in SCI nursing and tend to support the specially designed model.
本研究的目的是调查康复护士对脊髓损伤(SCI)患者的护理情况。它还探讨了康复护士如何看待自己在评估自我概念变化方面的作用,以及他们在帮助患者形成更积极的自我认知时所采用的干预措施。对常用的模型进行了批判性综述,包括罗珀、洛根和蒂尔尼的生活活动模型、罗伊的适应模型以及奥瑞姆的自我护理缺陷护理理论。已为康复护理制定了一个护理框架。通过问卷调查收集数据。研究结果表明,康复护士意识到SCI患者自我概念的变化。尽管护理干预包括生理、心理和社会方面的护理,但护士们认为当前的护理模型对SCI护理并无帮助,倾向于支持专门设计的模型。