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护士在治疗慢性静脉溃疡女性患者时所经历的限制与可能性。

Limits and possibilities experienced by nurses in the treatment of women with chronic venous ulcers.

作者信息

Silva Marcelo Henrique da, Jesus Maria Cristina Pinto de, Merighi Miriam Aparecida Barbosa, Oliveira Deíse Moura de

机构信息

School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.

School of Nursing, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

出版信息

Rev Esc Enferm USP. 2014 Aug;48 Spec No:53-8. doi: 10.1590/S0080-623420140000600008. Epub 2014 Aug 1.

Abstract

Objective To understand the experiences and expectations of nurses in the treatment of women with chronic venous ulcers. Method Phenomenological research was based on Alfred Schütz, whose statements were obtained in January, 2012, through semi-structured interviews with seven nurses. Results The nurse reveals the difficulties presented by the woman in performing self-care, the perceived limitations in the treatment anchored in motivation, and the values and beliefs of women. It showed professional frustration because venous leg ulcer recurrence, lack of inputs, interdisciplinary work and training of nursing staff. There was an expected adherence to the treatment of women, and it emphasized the need for ongoing care, supported self-care and standard practices in treatment. Conclusion That treatment of chronic venous leg ulcers constitutes a challenge that requires collective investment, involving women, professionals, managers and health institutions.

摘要

目的 了解护士在治疗慢性静脉性溃疡女性患者过程中的经历与期望。方法 基于阿尔弗雷德·舒茨的现象学研究,2012年1月通过对七名护士进行半结构式访谈获取陈述。结果 护士揭示了女性患者在自我护理方面存在的困难、基于动机的治疗中察觉到的局限性以及女性患者的价值观和信念。研究表明,由于下肢静脉溃疡复发、资源匮乏、跨学科工作以及护理人员培训不足,护士存在职业挫败感。期望女性患者坚持治疗,并强调持续护理的必要性,支持自我护理以及治疗中的标准操作。结论 慢性下肢静脉溃疡的治疗是一项挑战,需要集体投入,涉及女性患者、专业人员、管理人员和卫生机构。

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