Jaeger Melanie De, Fox Fiona, Cooney Geraldine, Robinson Jacqueline
Specialist Nurse, Bladder & Bowel Service provided by Virgin Care, St Martins Hospital, Bath.
Senior Research Associate in Ethnography/Qualitative Social Science, National Institute for Health Research Collaborations for Leadership in Applied Health Research and Care (NIHR CLAHRC West), University Hospital Bristol NHS Foundation Trust, Bristol.
Br J Nurs. 2017 Aug 10;26(15):857-866. doi: 10.12968/bjon.2017.26.15.857.
Many patients leaving hospital with a catheter do not have sufficient information to self-care and can experience physical and psychological difficulties.
This study aimed to explore how a patient-held catheter passport affects the experiences of patients leaving hospital with a urethral catheter, the hospital nurses who discharge them and the community nurses who provide ongoing care for them.
Qualitative methods used included interviews, focus groups and questionnaires, and thematic analysis.
Three major themes were reported-informing patients, informing nurses; improving catheter care, promoting self-management; and supporting transition.
The catheter passport can bridge the existing information gap, improve care, promote self-care and help patients adjust to their catheter, especially if complemented by ongoing input from a nurse or other health professional.
许多带着导尿管出院的患者没有足够的自我护理信息,可能会经历身体和心理上的困难。
本研究旨在探讨患者持有的导尿管护照如何影响带着尿道导尿管出院的患者、为他们办理出院手续的医院护士以及为他们提供持续护理的社区护士的体验。
使用的定性方法包括访谈、焦点小组和问卷调查以及主题分析。
报告了三个主要主题——告知患者、告知护士;改善导尿管护理、促进自我管理;以及支持过渡。
导尿管护照可以弥合现有的信息差距,改善护理,促进自我护理,并帮助患者适应导尿管,特别是如果有护士或其他健康专业人员的持续投入作为补充。