Son Youn Jung, Hong Sung Kyung, Jun Eun Young
Department of Nursing, Soonchunhyang University, Cheonan, Korea.
Taehan Kanho Hakhoe Chi. 2008 Jun;38(3):353-62. doi: 10.4040/jkan.2008.38.3.353.
This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward.
This study used Walker and Avant's process of concept analysis.
Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control.
Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.
本研究旨在分析并阐明转院压力这一概念的含义——重点关注从重症监护病房转至普通病房的患者。
本研究采用了沃克和阿凡特的概念分析方法。
转院压力可由以下这些属性定义如下：1）转院的非自愿决定；2）从熟悉且安全的环境转移至不熟悉的环境；3）安全与熟悉关系的破裂；4）转院后生理和心理社会的变化。转院压力的前因包括以下这些事实：1）从重症监护病房转至普通病房的准备程度；2）与转院过程相关信息的相关性；3）主要护理人员的变更；4）监测设备数量的变化；5）自我护理水平的变化。转院压力会导致以下后果：1）患者生活质量下降；2）应对能力下降；3）失去控制感。
转院压力是重症护理中的一个核心概念。运用这一概念将有助于重症护理的连续性。
