Gödecke Christiane, Kohlen Helen
Pflege Z. 2013 Apr;66(4):226-30.
In Germany, the number of patients who receive artificial respiration in their own home is increasing. One reason for long time ventilation is the rise of technical possibilities. Bringing "intensive care" to the home of people challenges original understandings of home care. While intensive care and artificial respiration are technology-oriented, home-care is social-oriented, respecting the familiar environment of the patient. An international literature review reveals that research has been done by investigating the experiences of relatives and patients but not those of nurses. The few studies with a focus on nurses relate to themes of privacy and how to set limits. In Germany, not one study could be found that dealt with the question of how nurses experience artificial respiratory care in patients' homes. Considering the involved changes of care, the question rises, how nurses experience artificial respiratory care in the home of patients. This research is explorative and allows an insight into what home care is like when technology comes in. The exploration is based on eight narrative interviews with nurses who are experiencing respiratory care for patients in their home. The findings reveal professional challenges nurses have to face when caring for patients who are dependent on technological devices. The relatives are included in the caring activities and cooperating with them is crucial.
在德国，在家中接受人工呼吸的患者数量正在增加。长期通气的一个原因是技术可能性的提高。将“重症监护”带入人们家中挑战了对家庭护理的原有理解。虽然重症监护和人工呼吸以技术为导向，但家庭护理以社会为导向，尊重患者熟悉的环境。一项国际文献综述表明，已有研究通过调查亲属和患者的经历展开，但未涉及护士的经历。少数以护士为重点的研究涉及隐私主题以及如何设定界限。在德国，尚未找到一项研究探讨护士如何体验在患者家中进行人工呼吸护理。考虑到护理所涉及的变化，问题随之而来，护士如何体验在患者家中进行人工呼吸护理。这项研究具有探索性，能够让人深入了解当技术介入时家庭护理的情况。该探索基于对八名在家中为患者提供呼吸护理的护士进行的叙事访谈。研究结果揭示了护士在护理依赖技术设备的患者时必须面对的专业挑战。亲属被纳入护理活动，与他们合作至关重要。
