Swindale J E
Hammersmith Hospital, London.
J Adv Nurs. 1989 Nov;14(11):899-905. doi: 10.1111/j.1365-2648.1989.tb01478.x.
Hospitalization, regardless of disease, is known to provoke anxiety in the patient admitted for minor surgery. If unrecognized, prolonged anxiety creates stress which may subsequently harm the patient and delay recovery. If nursing intervention is to be therapeutic, it is argued that recognition of and response to this area of patient need should be based on current research findings within the framework of a nursing model. The relationships between pre-operative anxiety, types of coping strategy and information received are discussed with reference to current literature. Open-ended and flexible assessment formats based on Orem's therapeutic self-care requirements and King's open-systems framework are proposed.
无论患何种疾病,住院都会使接受小手术的患者产生焦虑情绪。如果这种焦虑未被察觉,持续的焦虑会产生压力,进而可能对患者造成伤害并延迟康复。有人认为,若护理干预要起到治疗作用,对患者这一需求领域的识别与应对应基于护理模式框架内的当前研究结果。参考当前文献,讨论了术前焦虑、应对策略类型与所获信息之间的关系。提出了基于奥瑞姆治疗性自我护理需求和金的开放系统框架的开放式灵活评估形式。