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家庭成员的参与与患者护理质量——成年外科患者的视角

Participation of family members and quality of patient care - the perspective of adult surgical patients.

作者信息

Leino-Kilpi Helena, Gröndahl Weronica, Katajisto Jouko, Nurminen Matti, Suhonen Riitta

机构信息

Department of Nursing Science, University of Turku, Turku, Finland.

Turku University Hospital, Turku, Finland.

出版信息

J Clin Nurs. 2016 Aug;25(15-16):2242-50. doi: 10.1111/jocn.13262. Epub 2016 Jun 22.

Abstract

AIMS AND OBJECTIVES

The aim of this study is to describe the participation of family members in the care of Finnish adult surgical patients and the connection of the participation with the quality of patient care as perceived by surgical patients.

BACKGROUND

The family members of adult surgical patients are important. Earlier studies vary concerning the nature of participation, its meaning and the connection of participation with patient-centred quality of care. In this study, we aim to produce new knowledge about adult surgical patients whose family members have participated in their care.

DESIGN

This was a cross-sectional descriptive survey study.

METHODS

The data were collected among adult surgical patients (N = 481) before being discharged home from hospital with two instruments: the Good Nursing Care scale and the Received Knowledge of Hospital Patients.

RESULTS

Based on the results, most adult surgical patients report that family members participate in their care. Participation was connected with received knowledge and preconditions of care, which are components of the quality of patient care.

CONCLUSIONS

In future, testing of different solutions for improving the participation of surgical patients' family members in patient care should be implemented. Furthermore, the preconditions of family members' participation in care and the concept of participation should be analysed to emphasise the active role of family members.

RELEVANCE TO CLINICAL PRACTICE

The results emphasised the importance of family members for the patients in surgical care. Family members' participation is connected with the quality of patient care.

摘要

目的

本研究旨在描述芬兰成年外科手术患者的家庭成员在其护理过程中的参与情况,以及这种参与与外科手术患者所感知的患者护理质量之间的联系。

背景

成年外科手术患者的家庭成员很重要。早期研究在参与的性质、其意义以及参与与以患者为中心的护理质量之间的联系方面存在差异。在本研究中,我们旨在获取有关家庭成员参与护理的成年外科手术患者的新知识。

设计

这是一项横断面描述性调查研究。

方法

使用两种工具,在成年外科手术患者(N = 481)出院前收集数据:良好护理量表和医院患者知识接受情况量表。

结果

基于研究结果,大多数成年外科手术患者报告家庭成员参与了他们的护理。参与与所接受的知识以及护理的前提条件相关,而这些都是患者护理质量的组成部分。

结论

未来,应测试不同的解决方案,以提高外科手术患者家庭成员对患者护理的参与度。此外,应分析家庭成员参与护理的前提条件和参与概念,以强调家庭成员的积极作用。

与临床实践的相关性

研究结果强调了家庭成员在外科护理中对患者的重要性。家庭成员的参与与患者护理质量相关。

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