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中风患者急性和亚急性康复中的护理角色与功能:全心全意为患者服务。

Nursing Roles and Functions in the Acute and Subacute Rehabilitation of Patients With Stroke: Going All In for the Patient.

作者信息

Dreyer Pia, Angel Sanne, Langhorn Leanne, Pedersen Birgitte Blicher, Aadal Lena

机构信息

Questions or comments about this article may be directed to Pia Dreyer, RN MScN PhD, at

出版信息

J Neurosci Nurs. 2016 Apr;48(2):108-15. doi: 10.1097/JNN.0000000000000191.

Abstract

BACKGROUND

The description of nursing roles and functions in rehabilitation of patients with stroke remains sparse.

AIM

The aim of this study was to describe the experienced roles and functions of nurses during in-hospital rehabilitation of patients with stroke.

METHODS

Within a phenomenological hermeneutic approach, 19 nurses working with in-hospital rehabilitation of patients with stroke participated in three focus group interviews during 2013.

FINDINGS

The nurses' experiences were described in two themes: (a) the nurse's role and function in relation to the patient's needs 24/7 and (b) the nurse's role and function in the interdisciplinary team. Getting to know the patient as a person was essential to the nurses to care for the patient's basic needs; these must come first working with rehabilitation and always include the relatives. Recognition of the team members' individual skills with focus on the patient's needs must be the center of attention.

CONCLUSION

An interdisciplinary rehabilitation program actively needs to include the patient by integrating the patient's perspective in the goals as well as in daily rehabilitation. In the team, nurses had the role of coordinator and the patient's voice.

摘要

背景

关于护士在中风患者康复中的角色和功能的描述仍然很少。

目的

本研究的目的是描述护士在中风患者住院康复期间所经历的角色和功能。

方法

采用现象学诠释学方法,2013年期间,19名从事中风患者住院康复工作的护士参加了三次焦点小组访谈。

结果

护士的经历被归纳为两个主题:(a)护士在全天候满足患者需求方面的角色和功能;(b)护士在跨学科团队中的角色和功能。了解患者本人对于护士满足患者基本需求至关重要;在进行康复工作时,这些需求必须放在首位,并且始终要包括患者家属。以患者需求为重点,认识团队成员的个人技能必须成为关注的核心。

结论

跨学科康复计划需要通过将患者的观点纳入目标以及日常康复中,积极地让患者参与进来。在团队中,护士扮演着协调者和患者代言人的角色。

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