Hommel Ami, Kock Marie-Louise, Persson Jeanette, Werntoft Elisabeth
Department of Orthopaedic, Lund University Hospital, 22185 Lund, Sweden.
ISRN Nurs. 2012;2012:863291. doi: 10.5402/2012/863291. Epub 2012 Jul 3.
Background. The pathway for patients with a hip fracture described in this study is a fast track. Many studies have focused on prevention of various complications but, so far, the patient's view of nursing care has not been highlighted. Aim. The aim of the study is to illuminate the patient's view on nursing care when treated for a hip fracture. Method. Ten patients were interviewed. A content analysis design was conducted. Findings. From the analysis, four main categories emerged: waiting times; pain/pain relief and mobilisation; attitude/information and sense of security; complications. Conclusion. Patients generally felt satisfied with the nursing provided. The staff created a feeling of security and showed interest and empathy for the patient. However, patients experienced a stressful waiting for surgery, and patients who developed confusion waited more than 24 hours for surgery. Therefore, waiting time must be decreased. Furthermore, patients' descriptions of a variety of pain problem show, for example, that good collaboration between the nurse and physiotherapist is critical for achieving good pain relief before mobilisation. Nursing staff need to be attentive and should elicit the patient's feelings through patient-focused communication in order to relieve anxiety about going home.
背景。本研究中所描述的髋部骨折患者治疗途径是一条快速通道。许多研究都聚焦于预防各种并发症,但到目前为止,患者对护理的看法尚未得到突出体现。目的。本研究的目的是阐明髋部骨折患者在接受治疗时对护理的看法。方法。对10名患者进行了访谈。采用了内容分析设计。结果。通过分析,出现了四个主要类别:等待时间;疼痛/疼痛缓解与活动;态度/信息与安全感;并发症。结论。患者总体上对所提供的护理感到满意。工作人员营造了一种安全感,并对患者表现出兴趣和同理心。然而,患者经历了紧张的手术等待,出现意识模糊的患者手术等待时间超过24小时。因此,必须减少等待时间。此外,患者对各种疼痛问题的描述表明,例如,护士与物理治疗师之间的良好协作对于在活动前实现良好的疼痛缓解至关重要。护理人员需要细心,并应通过以患者为中心的沟通方式了解患者的感受,以减轻对回家的焦虑。