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自己的房间——在设有单人病房的医院中接受护理。

A room of one's own--Being cared for in a hospital with a single-bed room design.

作者信息

Persson Eva, Anderberg Patrice, Ekwall Anna Kristensson

机构信息

Department of Health Sciences, Lund University, Lund, Sweden.

South Älvsborg Hospital, Borås, Sweden.

出版信息

Scand J Caring Sci. 2015 Jun;29(2):340-6. doi: 10.1111/scs.12168. Epub 2014 Sep 12.

DOI:10.1111/scs.12168
PMID:25213674
Abstract

AIM

To illuminate patients' experiences of being hospitalised in a hospital with a single-bed room design.

INTRODUCTION

Many patients seem to prefer single-bed hospital rooms. However, studies have also shown that patients do see the advantages of multiple-bed rooms.

METHOD

Interviews were conducted with 16 inpatients from a surgical ward in a hospital building with a single-bed room design. A hermeneutical-phenomenological approach guided by van Manen's four life-world existentials was used to analyse the interviews.

RESULTS

The essential meaning was that patients felt secure because they could create a personal environment without disruptive elements. The room was private, and this implied feelings of homeliness, which allowed patients to focus on themselves and was thought to facilitate the recovery process. The patients preferred staying in their room, and the relationship with the personnel was central. Feelings of loneliness and isolation could occur and could be frightening. Being hospitalised in a single-bed room meant balancing between feeling secure and feeling insecure. The following four themes emerged: A homely environment, The need for company and security, Time as unpredictable and involving waiting and Focus on healing the body.

CONCLUSION

Patients experienced that a single-bed room allowed them to focus on their recovery, have visitors without disturbing others and create a feeling of homeliness. However, mobilisation is not a natural part of the recovery process when patients have all they need in their rooms. The patients' need for social interaction and confirmation was not satisfied without effort and planning on the part of staff.

摘要

目的

阐明患者在设有单人病房的医院住院的体验。

引言

许多患者似乎更喜欢单人病房。然而,研究也表明患者确实看到了多人病房的优点。

方法

对一栋设有单人病房的医院外科病房的16名住院患者进行了访谈。采用以范曼的四个生活世界存在要素为指导的诠释现象学方法对访谈进行分析。

结果

其核心意义在于患者感到安全,因为他们可以营造一个没有干扰因素的个人环境。病房是私密的,这意味着有家的感觉,使患者能够专注于自身,且被认为有助于康复过程。患者更喜欢待在自己的房间里,与医护人员的关系很关键。孤独和孤立感可能会出现,而且可能令人恐惧。在单人病房住院意味着在安全感和不安全感之间取得平衡。出现了以下四个主题:温馨的环境、对陪伴和安全感的需求、时间不可预测且充满等待以及专注于身体康复。

结论

患者体验到单人病房使他们能够专注于康复,接待访客而不打扰他人,并营造出家的感觉。然而,当患者在病房里拥有所需的一切时,活动并不是康复过程的自然组成部分。如果医护人员不付出努力并进行规划,患者对社交互动和确认的需求就无法得到满足。

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