Brown Hilary, Johnston Bridget, Ostlund Ulrika
NHS Highland, Argyll and Bute CHP, Lorn and Islands Hospital, Oban.
Br J Community Nurs. 2011 May;16(5):238-45. doi: 10.12968/bjcn.2011.16.5.238.
Community nurses have a central role in the provision of palliative and end-of-life care; helping people to die with dignity is an important component of this care. To conserve dignity, care should comprise a broad range of actions addressing the distress that might impact on the patient's sense of dignity. These care actions need to be defined. This study aims to suggest care actions that conserve dignity at the end of life based on evidence from local experience and community nursing practice. Data were collected by focus group interviews and analysed by framework analysis using the Chochinov model of dignity as a predefined framework. Suggestions on care actions were given in relation to all themes. As part of a multi-phase project developing and testing a dignity care pathway, this study might help community nurses to conserve dying patients' dignity.
社区护士在提供姑息治疗和临终关怀方面发挥着核心作用；帮助人们有尊严地离世是这种关怀的重要组成部分。为维护尊严，护理应包括一系列广泛的行动，以应对可能影响患者尊严感的痛苦。这些护理行动需要明确界定。本研究旨在根据当地经验和社区护理实践的证据，提出在生命末期维护尊严的护理行动。通过焦点小组访谈收集数据，并使用以乔奇诺夫尊严模型为预定义框架的框架分析法进行分析。针对所有主题给出了护理行动建议。作为一个开发和测试尊严护理路径的多阶段项目的一部分，本研究可能有助于社区护士维护临终患者的尊严。
