护士在植物人患者家庭照顾者应对过程中的作用：一项定性研究。
The Role of Nurses in Coping Process of Family Caregivers of Vegetative Patients: A Qualitative Study.
作者信息
Imanigoghary Zahra, Peyrovi Hamid, Nouhi Esmat, Kazemi Majid
机构信息
Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Int J Community Based Nurs Midwifery. 2017 Jan;5(1):70-81.
BACKGROUND
Vegetative state (VS) occurs through return of the brain stem after coma state. After hospital discharge, responsibility of caring for VS patients is transferred to their families, which causes a high burden on them. Nurses have an important role in helping the family caregivers to meet their needs and cope with difficulties. To explore the role of nurses during coping process of family caregivers of VS patients.
METHODS
This study is a part of a larger qualitative study which was performed in Kerman province, Iran during 2014- 2015. Purposive and theoretical sampling was used. 14 caregivers participated in the study. Data were gathered using face-to-face in-depth interviews and managed by MAXQDA 10 software. Analysis was done through constant Comparative Method.
RESULTS
Three themes of "nurse as a pursuer teacher", "nurse as a compassionate caregiver", and "nurse as a supporter" were derived from analysis that represent various roles of a nurse in the coping process of family caregivers of vegetative patients during the care process.
CONCLUSION
Nurses can play an effective role in improving the caregivers' well-being by considering the importance of training at discharge time and during home care, helping families in providing care and support them during care process.
背景
植物状态（VS）是在昏迷状态后脑干功能恢复时出现的。出院后，照顾植物状态患者的责任转至其家人，这给他们带来了沉重负担。护士在帮助家庭照顾者满足其需求并应对困难方面发挥着重要作用。旨在探讨护士在植物状态患者家庭照顾者应对过程中的作用。
方法
本研究是2014 - 2015年在伊朗克尔曼省进行的一项更大规模定性研究的一部分。采用了目的抽样和理论抽样。14名照顾者参与了研究。通过面对面深入访谈收集数据，并由MAXQDA 10软件进行管理。通过持续比较法进行分析。
结果
分析得出了“护士作为求知引导者”、“护士作为富有同情心的照顾者”和“护士作为支持者”这三个主题，它们代表了护士在植物状态患者家庭照顾者护理过程中的应对过程中所扮演的不同角色。
结论
护士可以通过重视出院时和居家护理期间的培训，在护理过程中帮助家庭提供护理并给予支持，从而在改善照顾者的幸福感方面发挥有效作用。
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