Knighton J, Carrougher G J, Marvin J A, Bayley E W, Rutan R L, Weber B
Ross Tilley Burn Centre, Wellesley Hospital, Toronto, Ontario, Canada.
J Burn Care Rehabil. 1992 Jan-Feb;13(1):97-104. doi: 10.1097/00004630-199201000-00021.
This study was designed to identify nursing research priorities in burn care. The Delphi technique of sequential questionnaires was used for data collection. Ninety-four participants completed four rounds of questionnaires. One hundred and one research questions were identified, and priorities were assigned according to their impact on patient welfare and on the profession of burn nursing. Twenty-two of these research questions concerned psychosocial issues. This group of questions was then analyzed for priority research issues. The top five ranked questions in the psychosocial issues group for impact on patient welfare concerned: (1) stress reduction techniques, (2) social reentry strategies, (3) management of psychosis and post-traumatic stress disorder, (4) strategies to assist patients with impaired communication capabilities, and (5) the role of recovered burn survivors in encouraging patient compliance with treatments. Similarly, the top five ranked questions for impact on the profession of burn nursing concerned: (1) stress reduction strategies, (2) coping techniques for burn survivors, (3) management of psychosis and post-traumatic stress disorder, (4) nursing's supportive role in regard to "do not resuscitate" orders, and (5) coping strategies to be used with patients who express a desire to die.
本研究旨在确定烧伤护理中的护理研究重点。采用序贯问卷调查的德尔菲技术收集数据。94名参与者完成了四轮问卷调查。共确定了101个研究问题,并根据其对患者福祉和烧伤护理专业的影响确定了优先顺序。其中22个研究问题涉及心理社会问题。然后对这组问题进行分析,以确定优先研究问题。心理社会问题组中对患者福祉影响排名前五的问题是:(1)减压技术,(2)重新融入社会策略,(3)精神病和创伤后应激障碍的管理,(4)帮助沟通能力受损患者的策略,以及(5)康复的烧伤幸存者在鼓励患者遵医嘱治疗方面的作用。同样,对烧伤护理专业影响排名前五的问题是:(1)减压策略,(2)烧伤幸存者的应对技巧,(3)精神病和创伤后应激障碍的管理,(4)护理在“不要复苏”医嘱方面的支持作用,以及(5)应对有求死意愿患者的策略。