Esmaeili Maryam, Cheraghi Mohammad A, Salsali Mahvash
School of Nursing and Midwifery, Nursing Critical Care Department, Tehran University of Medical Sciences Tehran, Iran.
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nurs Crit Care. 2016 Mar;21(2):97-104. doi: 10.1111/nicc.12148. Epub 2014 Dec 18.
The aim of this study was to explore cardiac patients' perception of patient-centred care.
Despite patient's importance in the process of care, less attention has been paid to experiences and expectations of patients in definitions of patient-centred care. As patients are an important element in process of patient-centred care, organizing care programs according to their perceptions and expectations will lead to enhanced quality of care and greater patient satisfaction.
This study is a descriptive qualitative study.
Content analysis approach was performed for data analysis. Participants were 18 cardiac patients (10 women and 8 men) hospitalized in coronary care units of teaching hospitals affiliated to Tehran University of Medical Sciences. We collected the study data through conducting personal face-to-face semi-structured interviews.
The participants' perceptions of patient-centred care fell into three main themes including managing patients uncertainty, providing care with more flexibility and establishing a therapeutic communication. The second theme consisted of two sub-themes: empathizing with patients and having the right to make independent decisions.
Receiving patient-centred care is essential for cardiac patients. Attention to priorities and preferences of cardiac patients and making decisions accordingly is among effective strategies for achieving patient-centred care.
Cardiac care unit nurses ought to be aware that in spite of technological developments and advances, it is still important to pay attention to patients' needs and expectations in order to achieve patient satisfaction. In planning care programs, they should consider accountability towards patients' needs, flexibility in process of care and establishing medical interactions as an effective strategy for improving quality of care.
本研究旨在探讨心脏病患者对以患者为中心的护理的认知。
尽管患者在护理过程中很重要，但在以患者为中心的护理定义中，对患者的经历和期望关注较少。由于患者是以患者为中心的护理过程中的重要因素，根据他们的认知和期望组织护理计划将提高护理质量并提升患者满意度。
本研究是一项描述性定性研究。
采用内容分析法进行数据分析。参与者为德黑兰医科大学附属教学医院冠心病监护病房收治的18名心脏病患者（10名女性和8名男性）。我们通过进行个人面对面半结构化访谈收集研究数据。
参与者对以患者为中心的护理的认知主要分为三个主题，包括管理患者的不确定性、提供更灵活的护理以及建立治疗性沟通。第二个主题由两个子主题组成：同情患者和拥有独立决策的权利。
接受以患者为中心的护理对心脏病患者至关重要。关注心脏病患者的优先事项和偏好并据此做出决策是实现以患者为中心的护理的有效策略之一。
冠心病监护病房的护士应该意识到，尽管技术不断发展进步，但关注患者的需求和期望对于实现患者满意度仍然很重要。在制定护理计划时，他们应该考虑对患者需求的责任、护理过程中的灵活性以及建立医疗互动，将其作为提高护理质量的有效策略。
