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创伤性脑损伤患者家属的情感支持提供:芬兰护士的观点。

The provision of emotional support to the families of traumatic brain injury patients: perspectives of Finnish nurses.

机构信息

Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.

出版信息

J Clin Nurs. 2013 May;22(9-10):1467-76. doi: 10.1111/jocn.12136. Epub 2013 Mar 13.

DOI:10.1111/jocn.12136
PMID:23489840
Abstract

AIMS AND OBJECTIVES

To examine nursing staff's perceptions about how often they provide interventions of emotional support and the level of competence needed on neurosurgical wards to support traumatic brain injury patients' family members.

BACKGROUND

Traumatic brain injury in one individual affects the health of their whole family. Studying the emotional support provided by nursing staff is important because such support is crucial for the family members of a traumatic brain injury patient during the acute phase of treatment. Members of the nursing staff provide emotional support to family members by consoling them; this alleviates insecurity, anxiety, hopelessness and depression.

DESIGN

A structured self-reported questionnaire presented to 172 nurses working on neurosurgical wards. The response rate was 67% (n = 115).

METHODS

Descriptive statistics were used to determine how often nurses provided emotional support to the traumatic brain injury patients family members and one-way anova to examine the relationships between the background variables and the respondents' evaluations of how often they gave emotional support to brain injury patients' family members.

RESULTS

Thirty-seven percentage of nurses stated that they always took account of family members' individuality and 65% that they were always respectful. All registered nurses and staff members with long work experience (21 years or more) on a neurosurgical ward reported that they took family members' feelings of anger and guilt into consideration slightly more often than other nursing staff did. Most nurses considered these skills to represent basic competencies.

CONCLUSION

Further service training on dealing with difficult emotions of traumatic brain injury patients' family members could help nurses to face these situations. Both education and work experience affected the frequency at which nursing staff provided emotional support to traumatic brain injury patients' family members.

RELEVANCE TO CLINICAL PRACTICE

The results are relevant for example when planning specialised studies or in-service training for neuro-nurses, as well as when selecting the subjects to be addressed during the orientation of a new staff member. In addition, the results should help nursing staff to understand their role in the emotional support of family members.

摘要

目的

调查护理人员对其提供情感支持的频率以及神经外科病房支持创伤性脑损伤患者家属所需的能力水平的看法。

背景

一个人的创伤性脑损伤会影响整个家庭的健康。研究护理人员提供的情感支持很重要,因为在治疗的急性期,这种支持对创伤性脑损伤患者的家属至关重要。护理人员通过安慰家属来提供情感支持;这可以减轻他们的不安全感、焦虑、绝望和抑郁。

设计

对在神经外科病房工作的 172 名护士进行了结构化的自我报告问卷调查。回复率为 67%(n=115)。

方法

使用描述性统计来确定护士为创伤性脑损伤患者家属提供情感支持的频率,并使用单向方差分析来检查背景变量与受访者对为脑损伤患者家属提供情感支持的频率之间的关系。

结果

37%的护士表示他们始终考虑到家属的个性,65%的护士表示他们始终尊重家属。所有注册护士和在神经外科病房工作 21 年或以上的工作人员报告说,他们比其他护理人员更经常考虑到家属的愤怒和内疚感。大多数护士认为这些技能是基本能力。

结论

进一步的服务培训,以处理创伤性脑损伤患者家属的困难情绪,可以帮助护士面对这些情况。教育和工作经验都影响了护理人员为创伤性脑损伤患者家属提供情感支持的频率。

临床意义

这些结果对于例如规划神经科护士的专门研究或在职培训,以及选择新员工入职培训期间要解决的主题都具有重要意义。此外,结果应帮助护理人员了解他们在为家属提供情感支持方面的角色。

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