Wilson Mary H
East Carolina University, College of Nursing, Greenville, NC, USA.
J Holist Nurs. 2008 Dec;26(4):303-7. doi: 10.1177/0898010108315186. Epub 2008 May 2.
Chronic disease can be devastating to the patient, family, and nurses who care for them. Patients and family members struggle with the debilitating effects and uncertainties that abound in living with a chronic disease, such as heart failure. The nurse has a unique opportunity to foster a therapeutic relationship through the use of nursing presence. The phenomenon of nursing presence has been defined in the literature by six features: uniqueness, connecting with the patient's experience, sensing, going beyond the scientific data, knowing (what will work and when to act), and being with the patient. Nursing presence, when exhibited, may facilitate healing, promote comfort, and improve patient satisfaction. The story in the article depicts how one professional nurse in a heart failure clinic exemplified the nurse as a healing presence. Through his example, nurses may better understand the significance that their presence may have when caring for patients diagnosed with a chronic illness.
慢性病可能会给患者、其家人以及照顾他们的护士带来沉重打击。患者及其家庭成员要应对慢性病(如心力衰竭)带来的衰弱影响和诸多不确定性。护士有独特的机会通过展现护理陪伴来建立治疗性护患关系。护理陪伴这一现象在文献中被定义为具有六个特征:独特性、与患者的经历建立联系、感知、超越科学数据、知晓(什么可行以及何时行动)以及陪伴患者。当展现出护理陪伴时,可能会促进康复、提升舒适度并提高患者满意度。文章中的故事描述了一位心力衰竭诊所的专业护士如何成为具有治愈力的陪伴典范。通过他的例子,护士们可以更好地理解在照顾慢性病患者时自身陪伴可能具有的重要意义。