Kuuppelomäki M, Lauri S
Hoitotiede. 1989;1(2):56-60.
The purpose of this study was to explain the nurses' and the special nurses' decision making and the facts with it in connection to eating problems with the old, seriously demented patients and with the old cancer patients in terminal stage. The study was carried out by interviewing 40 nurses and special nurses. Twenty of them was working with dementia patients in the wards of two health centers and twenty nurses had experience by caring cancer patients in terminal stage in one central hospital. The structural interview schedule was used and the interviews were recorded. It was found in the study, that the most nurses in cancer care didn't want to feed a patient against his will. In dementia care most of the nurses were ready to feed a patient. The opinion of relatives, order given by a physician, the attitudes of the other medical staff and the suffering caused by feeding the patient were the facts, which effected to the decision making of the nurses, especially in dementia care.
本研究的目的是解释护士及专科护士针对老年重症痴呆患者和晚期老年癌症患者进食问题的决策过程及相关事实。该研究通过对40名护士和专科护士进行访谈展开。其中20人在两家健康中心的病房护理痴呆患者，另外20名护士在一家中心医院有护理晚期癌症患者的经验。采用结构化访谈提纲并进行了录音。研究发现，在癌症护理中，大多数护士不想违背患者意愿喂食。在痴呆护理中，大多数护士愿意喂食。亲属的意见、医生的医嘱、其他医护人员的态度以及喂食给患者带来的痛苦等因素，影响着护士的决策，尤其是在痴呆护理中。
