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为接受慢性血液透析治疗患者的近亲提供专业支持:护理文件的内容分析研究

Professional support for next of kin of patients receiving chronic haemodialysis treatment: a content analysis study of nursing documentation.

作者信息

Ziegert Kristina, Fridlund Bengt, Lidell Evy

机构信息

School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.

出版信息

J Clin Nurs. 2007 Feb;16(2):353-61. doi: 10.1111/j.1365-2702.2006.01597.x.

DOI:10.1111/j.1365-2702.2006.01597.x
PMID:17239071
Abstract

AIM AND OBJECTIVES

The aim of this study was to examine the content of nursing documentation with a focus on professional support for next of kin (NoK) of patients receiving chronic haemodialysis treatment.

BACKGROUND

Professional support in nursing focuses on promotion, maintenance and restoration of health and prevention of illness.

DESIGN

The study had a descriptive design and qualitative content analysis was used to search for themes based on descriptions contained in the collected nursing documentation.

METHODS

The total number of nursing records of patients receiving chronic haemodialysis treatment (n = 50) for the 5-year period 1998-2002 was included. All nursing documentation was systematic in accordance with the VIPS-documentation model.

RESULTS

The professional support could be described within the framework of three themes: to explore NoK's supportive resources, to enable NoK' readiness in caring for the patient and to co-operate with NoK in the care of the patient in the home, captured by the core theme which described the professional support as a continuous process.

CONCLUSIONS

Next of kin are a supportive resource in the nursing care of patients receiving chronic haemodialysis treatment and professional support for NoK focuses on planning their participation in the care of patients in the home.

RELEVANCE TO CLINICAL PRACTICE

Professional support for NoK should be documented in family focused nursing diagnoses, which would make it possible to search for different types of support. Future research might explore nurses' or NoK's views on carer support.

摘要

目的与目标

本研究旨在检查护理记录的内容,重点关注对接受慢性血液透析治疗患者的亲属提供专业支持。

背景

护理中的专业支持侧重于促进、维持和恢复健康以及预防疾病。

设计

本研究采用描述性设计,并运用定性内容分析法,根据所收集护理记录中的描述来寻找主题。

方法

纳入了1998年至2002年这5年期间接受慢性血液透析治疗患者(n = 50)的护理记录总数。所有护理记录均按照VIPS文档模型进行系统记录。

结果

专业支持可在三个主题框架内进行描述:探索亲属的支持资源、使亲属做好照顾患者的准备以及在家庭护理中与亲属合作,核心主题将专业支持描述为一个持续的过程。

结论

亲属是接受慢性血液透析治疗患者护理中的一种支持资源,对亲属的专业支持侧重于规划他们参与家庭护理患者的事宜。

与临床实践的相关性

对亲属的专业支持应记录在以家庭为重点的护理诊断中,这将有助于寻找不同类型的支持。未来的研究可以探讨护士或亲属对照顾者支持的看法。

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